Exendin-4 (Ex4), a 39-amino acid polypeptide secreted by the lizard Heloderma suspectrum, shares common bioactivity with the human incretin glucagon-like peptide-1 (GLP-1).1 Both Ex4 and GLP-1 bind to the GLP-1 receptor (GLP-1R) and potentiate the secretion of insulin from pancreatic β-cells.2,3 Because of its high binding affinity and extended in vivo half-life, Ex4 and its analogues have been a focus for the treatment of type2 diabetes.4−7The structure of Ex4 has been determined by both 1H NMR spectroscopy and X-ray crystallography.8,9 Because the solubility of Ex4 inH2Ois limited, its NMR spectra have been acquired in a 30% trifluoroethanol (TFE)/70% H2O mixture8 while the X-ray structure of a truncated Ex4 [Ex4(9−39)] has been determined in a GLP-1R-bound state.9 Ex4 displays significant helicity from residue 7 to 28 with greater fraying at the Nterminus and is stabilized by a Trp cage (TC) tertiary fold at the C-terminal part of the helix. The comparison of the NMR and X-ray structures reveals that the TFE/H2O medium can mimic the receptor bound state as the two types of Ex4 conformers superimpose well.The N-terminal segment of Ex4 is 82% homologous with human GLP-1(7−36); conserved residues include His1, Glu3, Thr5, and Phe6, all of which are crucial for receptor activation ( Figure 1).10−12 The affinity of Ex4 for the GLP-1 receptor's N-terminal domain (nGLP-1R) is governed by the central helical part of the molecule.13 Both hydrophobic and hydrophilic side chains are involved in the binding as revealed by the crystal structure of the complex [Protein Data Bank (PDB) entry 3C5T].9 The binding surface of Ex4 consists of Glu15, Val19, Arg20, Phe22, Ile23, Leu26, Lys27, and Ser32, whereas that of nGLP-1R involves Leu32, Thr35, Val36, Trp39, Tyr69, Tyr88, Leu89, Pro90, Trp91, Leu123, Glu127, and Glu128.9On the basis of recent structure−activity studies, it is known that all peptidic ligands targeting class B G-protein-coupled receptors (GPCRs) bind in a predominantly α-helical manner, and for most ligands, the α-helix forms upon binding of the extracellular N-terminal domain of the GPCR.15 These ligands, including glucagon,16 GLP-1,8,17 GLP-2,18 Ex4,8 glucose dependent insulinotropic polypeptide (GIP),19 pituitary adenylate cyclase activating polypeptide (PACAP),20 and corticotropin-releasing factor (CRF),21 show moderately ordered structure in aqueous solution but adopt a continuous or kinked α-helix in the presence of organic solvents (e.g., in a TFE/water mixed solvent) or in protein crystals. The major structural difference between Ex4 and GLP-1 is the continuity of the α-helix: Ex4 forms a single amphipathic α-helix both in the TFE/water mixed solvent and in the receptor-bound state, while GLP-1 is composed of two adjacent subhelices joined by the flexible Gly22. Binding studies demonstrated that the isolated N-terminal extracellular domain of GLP-1R has a low affinity for endogenous GLP-1 but a high affinity for Ex4.22 The superior affinity of Ex4 stems from the more favorable alignment of the oppositel...