GIP receptors (GIPR) are expressed on adipocytes, where GIP signalling modulates triglyceride handling, lipoprotein lipase activity and insulin sensitivity. This adipose-tissue arm of GIP biology is one of the features that distinguishes GIP-active pharmacology from selective GLP-1 receptor agonism.
Dual GIP / GLP-1 agonists such as Tirzepatide engage the GIP-adipocyte axis directly. The clinical significance of this axis relative to central appetite signalling remains an active research question, with rodent and human data both contributing.
The GIP-adipocyte axis is a distinguishing mechanistic feature of dual and triple agonists compared with GLP-1 mono-agonists.
