Disconnect between signalling potency and in vivo efficacy of pharmacokinetically optimised biased glucagon-like peptide-1 receptor agonists

Autor: Philip Pickford, Guy A. Rutter, Alejandra Tomas, Stephen R. Bloom, James Minnion, Ben Jones, Katja Schoeneberg, Stavroula Bitsi, Jan Ungewiss, Maria Lucey
Přispěvatelé: Medical Research Council (MRC), The Academy of Medical Sciences, Society for Endocrinology, European Foundation for the Study of Diabetes
Rok vydání: 2019
Předmět:
0301 basic medicine
Male
Acylation
GLP-1RA
glucagon-like peptide-1 receptor agonist

Pharmacology
0601 Biochemistry and Cell Biology
law.invention
Mice
0302 clinical medicine
n.c.
not calculable

law
Glucagon-Like Peptide 1
Receptors
Glucagon

Receptor
TR-FRET
time-resolved Förster resonance energy transfer

Trafficking
Chemistry
Type 2 diabetes
Ligand (biochemistry)
Glucagon-like peptide-1
3. Good health
cAMP
cyclic adenosine monophosphate

FITC
fluorescein isothiocyanate

Signal Transduction
lcsh:Internal medicine
PBS
phosphate-buffered saline

030209 endocrinology & metabolism
T2D
type 2 diabetes

AUC
area under curve

Brief Communication
SEM
standard error of the mean

Glucagon-Like Peptide-1 Receptor
03 medical and health sciences
Pharmacokinetics
Confocal microscopy
In vivo
Potency
Animals
Humans
HTRF
homogenous time-resolved fluorescence

lcsh:RC31-1245
HBSS
Hank's buffered salt solution

Molecular Biology
Biased signalling
Dose-Response Relationship
Drug

Exendin-4
Cell Biology
DIO
diet-induced obesity

LC/MSMS
liquid chromatography/tandem mass spectrometry

0606 Physiology
Peptide Fragments
030104 developmental biology
Glucose
HEK293 Cells
Exenatide
Blood sugar regulation
BSA
bovine serum albumin

Peptides
Zdroj: Molecular Metabolism
Molecular Metabolism, Vol 37, Iss, Pp 100991-(2020)
ISSN: 2212-8778
Popis: Objective The objective of this study was to determine how pharmacokinetically advantageous acylation impacts on glucagon-like peptide-1 receptor (GLP-1R) signal bias, trafficking, anti-hyperglycaemic efficacy, and appetite suppression. Methods In vitro signalling responses were measured using biochemical and biosensor assays. GLP-1R trafficking was determined by confocal microscopy and diffusion-enhanced resonance energy transfer. Pharmacokinetics, glucoregulatory effects, and appetite suppression were measured in acute, sub-chronic, and chronic settings in mice. Results A C-terminally acylated ligand, [F1,G40,K41.C16 diacid]exendin-4, was identified that showed undetectable β-arrestin recruitment and GLP-1R internalisation. Depending on the cellular system used, this molecule was up to 1000-fold less potent than the comparator [D3,G40,K41.C16 diacid]exendin-4 for cyclic AMP signalling, yet was considerably more effective in vivo, particularly for glucose regulation. Conclusions C-terminal acylation of biased GLP-1R agonists increases their degree of signal bias in favour of cAMP production and improves their therapeutic potential.
Highlights • Programming of GLP-1R agonists for selective signalling. • Signal bias allows “low efficacy” agonists to be highly effective in vivo. • GLP-1R endocytosis does not affect pharmacokinetics.
Databáze: OpenAIRE