The Lizard Behind Ozempic
Name Date
Predict
The Gila monster is a big orange and black lizard with a venomous bite. Its venom holds a molecule that works like a hormone your body makes after you eat. Could a molecule from lizard venom lead to a medicine for people?
Circle one. Yes / No
Why?
Watch
- Ozempic exists because of a LIZARD!youtube.com/shorts/3CZu2rwL4NQ
Word of the day
Insulin (IN-suh-lin). A hormone that helps move sugar from your blood into your cells. Tiny islands of cells in your pancreas, called islets, make insulin.
| Word part | Comes from | Meaning |
|---|---|---|
| insul- | Latin insula | island |
| -in | New Latin -ina | an ending for names of chemicals |
- A peninsula is land with water almost all the way around. Peninsula comes from Latin paen-, “almost,” and insula, “island.”
- Insulation in a wall keeps heat from passing through. Insulate comes from Latin for “made into an island.”
Bonus word. Homeostasis (hoh-mee-oh-STAY-sis). Your body keeps the conditions inside it steady, even when conditions outside change. Homeo- means similar, and -stasis means standing. A thermostat keeps a room at a steady temperature in the same way.
Questions
Insulin is a hormone, a chemical messenger that travels in your blood. Insulin helps move sugar out of your blood and into your cells. After you eat, your gut makes another hormone called GLP-1, and GLP-1 signals your pancreas to release more insulin. Why does your body release more insulin after you eat?
Hint. What goes up in your blood after a meal?
Your body breaks down GLP-1 in about 2 minutes. A thermostat turns the heat on when a room gets cold and turns the heat off when the room warms up. Why would a GLP-1 signal that shuts off within a few minutes help your body?
Hint. What could happen to your blood sugar if insulin kept rising long after a meal?
Exendin-4 is a molecule from Gila monster venom. Exendin-4 works like GLP-1, but exendin-4 lasts for hours instead of minutes. Why was a molecule that lasts for hours such a big deal for treating high blood sugar?
Hint. Could a signal that disappears in 2 minutes work as a medicine?
Ozempic is the brand name of a medicine called semaglutide. Scientists made semaglutide by changing human GLP-1, and no part of semaglutide comes from lizard venom. Ozempic didn’t come from a lizard. How did Gila monster research still help lead to Ozempic?
Hint. Exenatide, a lab-made copy of exendin-4, became a medicine in 2005. Ozempic was approved in 2017. Which medicine came first?
Exit ticket
Exendin-4 and GLP-1 work the same way in the body, but exendin-4 lasts much longer. GLP-1 starts with the building blocks H, A and E. Exendin-4 starts with H, G and E. An enzyme called DPP-4, a protein that cuts other molecules, cuts these two quickly when the second building block is A. What tiny difference between exendin-4 and GLP-1 makes exendin-4 last longer?
Hint. Compare the second building block of each molecule.
Sources
- John Eng, an endocrinologist at the Bronx VA Medical Center, with W. A. Kleinman, L. Singh, G. Singh and Jean-Pierre Raufman, Journal of Biological Chemistry, 1992
- R. Göke, H. C. Fehmann, T. Linn, H. Schmidt, M. Krause, John Eng and B. Göke, Journal of Biological Chemistry, 1993
- Y. E. Chen and D. J. Drucker, Journal of Biological Chemistry, 1997
- C. M. Christel and D. F. DeNardo, Comparative Biochemistry and Physiology A, 2006
- R. Mentlein, B. Gallwitz and W. E. Schmidt, European Journal of Biochemistry, 1993
- C. F. Deacon, L. B. Knudsen, K. Madsen, F. C. Wiberg, O. Jacobsen and J. J. Holst, University of Copenhagen and Novo Nordisk, Diabetologia, 1998
- Reviews by Drucker, Habener and Holst, and by T. D. Müller and colleagues, Journal of Clinical Investigation, 2017 and Molecular Metabolism, 2019
- US Food and Drug Administration prescribing labels, Byetta label and Ozempic label
- Golden Goose Award, John Eng awardee page and 2013 announcement, for Eng’s work at the Bronx VA, the 1992 discovery and the path to Byetta
- Jake Currie, “How the Gila Monster Gave the World Ozempic,” Nautilus, 2026, for Eng’s title as an endocrinologist
- Smithsonian’s National Zoo, Gila monster
- UniProt P01275, the human proglucagon sequence, for GLP-1’s first five amino acids
- Vision and Change core concepts and competencies, as summarized in Brownell and others, CBE Life Sciences Education, 2014
- Word origins from Dictionary.com: insulin, -in, insula, insular, homeostasis, homeo-, stasis, peninsula, hemostasis, hemo-, thermostat, insulate, homeomorphism, Gila monster
- Spanish, French and Italian spellings from Wiktionary: insula, insulin