Discovery of a potent GIPR peptide antagonist that is effective in rodent and human systems.

Discovery of a potent GIPR peptide antagonist that is effective in rodent and human systems.
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DOI:
10.1016/j.molmet.2022.101638
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发表时间:
2022-12
影响因子:
8.1
通讯作者:
Finan, Brian
Finan, Brian
中科院分区:
医学1区
文献类型:
--
作者:
Yang, Bin;Gelfanov, Vasily M.;El, Kimberley;Chen, Alex;Rohlfs, Rebecca;DuBois, Barent;Hansen, Ann Maria Kruse;Perez-Tilve, Diego;Knerr, Patrick J.;'Alessio, David;Campbell, Jonathan E.;Douros, Jonathan D.;Finan, Brian

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葡萄糖依赖性促胰岛素多肽(GIP)是调节代谢稳态的两种主要肠促胰岛素因子之一。在小鼠中,其受体(GIPR)的基因消融可保护小鼠免受饮食诱导的肥胖(DIO),而在临床前模型和临床试验中,GIPR中和抗体与GLP-1 R激动剂联合使用时可产生额外的体重减轻。相反,GIPR激动剂已被证明可促进啮齿类动物的体重减轻,而GLP-1 R/GIPR双重激动剂在临床试验中证明上级GLP-1 R单激动剂。我们试图开发一种长效的,特异性的GIPR肽拮抗剂作为工具化合物,适用于研究啮齿动物和人类系统中的GIPR药理学。我们报告了基于人和小鼠GIP序列的GIPR肽拮抗剂与基于脂肪酸的延长的结构-活性关系。我们评估了这些化合物在体外,在DIO小鼠体内,和离体胰岛从人类供体。我们报道了一种GIP(5-31)棕榈酰化类似物[Nα-Ac,L14,R18,E21] hGIP(5-31)-K11(γE-C16)的发现,该类似物在hGIPR和mGIPR上都能有效地抑制体外GIP介导的cAMP生成。在体内,这种肽有效地阻断了响应于外源性和内源性GIP的GIP介导的β-内酰胺酶减少,并显示出适合啮齿动物每日一次给药的循环药代动力学特征。与Semaglutide单药相比,GLP-1 R激动剂Semaglutide和该GIPR肽拮抗剂联合给药可增强体重减轻。最后,这种拮抗剂抑制完整人胰岛中GIP-而不是GLP-1-刺激的胰岛素分泌。我们的工作证明了一种强效、特异性和长效的GIPR肽拮抗剂的发现,该肽拮抗剂在体外、离体人胰岛和小鼠体内有效阻断GIP作用,同时在DIO小鼠中与GLP-1 R激动剂联合使用时产生额外的体重减轻。[Nα-Ac,L14,R18,E21] hGIP(5-31)- K11(γE-C16)是一种有效的特异性GIPR肽拮抗剂。延长化学和位置影响药理学,而不仅仅是PK特征。先导肽显示适合啮齿动物每日一次给药的PK特征。先导拮抗剂可增强GLP-1 R激动剂介导的啮齿类动物体重减轻。在完整的人胰岛中,GIP而不是GLP-1的作用被先导拮抗剂减弱。
Glucose-dependent insulinotropic polypeptide (GIP) is one of the two major incretin factors that regulate metabolic homeostasis. Genetic ablation of its receptor (GIPR) in mice confers protection against diet-induced obesity (DIO), while GIPR neutralizing antibodies produce additive weight reduction when combined with GLP-1R agonists in preclinical models and clinical trials. Conversely, GIPR agonists have been shown to promote weight loss in rodents, while dual GLP-1R/GIPR agonists have proven superior to GLP-1R monoagonists for weight reduction in clinical trials. We sought to develop a long-acting, specific GIPR peptide antagonist as a tool compound suitable for investigating GIPR pharmacology in both rodent and human systems. We report a structure–activity relationship of GIPR peptide antagonists based on the human and mouse GIP sequences with fatty acid-based protraction. We assessed these compounds in vitro, in vivo in DIO mice, and ex vivo in islets from human donors. We report the discovery of a GIP(5-31) palmitoylated analogue, [Nα-Ac, L14, R18, E21] hGIP(5-31)-K11 (γE-C16), which potently inhibits in vitro GIP-mediated cAMP generation at both the hGIPR and mGIPR. In vivo, this peptide effectively blocks GIP-mediated reductions in glycemia in response to exogenous and endogenous GIP and displays a circulating pharmacokinetic profile amenable for once-daily dosing in rodents. Co-administration with the GLP-1R agonist semaglutide and this GIPR peptide antagonist potentiates weight loss compared to semaglutide alone. Finally, this antagonist inhibits GIP- but not GLP-1-stimulated insulin secretion in intact human islets. Our work demonstrates the discovery of a potent, specific, and long-acting GIPR peptide antagonist that effectively blocks GIP action in vitro, ex vivo in human islets, and in vivo in mice while producing additive weight-loss when combined with a GLP-1R agonist in DIO mice. [Nα-Ac, L14, R18, E21] hGIP(5-31) - K11 (γE-C16) is a potent and specific GIPR peptide antagonist. Protraction chemistry and location influences pharmacology, not simply PK profile. The lead peptide displays a PK profile amenable for once-daily dosing in rodents. The lead antagonist potentiates GLP-1R agonist mediated weight loss in rodents. GIP, not GLP-1, action is diminished by the lead antagonist in intact human islets.
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