Therapeutic Efficacy of Intranasal WGA-GLP1 in AD

鼻内WGA-GLP1治疗AD的疗效

• 批准号: 8512104
• 负责人: NEELIMA CHAUHAN
• 金额: $ 23.93万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-01 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8512104
• 关键词: Achievement; Afferent Neurons; Alzheimer' s Disease; American; Asses; Axonal Transport; Binding; Biological; Blood Glucose; Brain; Calculi; Clinical; Cognition; Cognitive deficits; Complex; Critiques; Development; Dipeptidyl Peptidases; Disease; Enzymes; Exhibits; Functional disorder; Gluconeogenesis; Glucosamine; Glucose; Glutamates; Glycoproteins; Goals; Growth Factor; Half-Life; Hepatic; Hormones; Human; Hyperglycemia; Hypoglycemia; IRS1 gene; Immunotherapeutic agent; Individual; Insulin; Insulin Receptor; Insulin Resistance; Insulinase; Intervention; Intranasal Administration; Kidney Failure; Label; Learning; Link; Membrane Glycoproteins; Memory; Modification; Mus; Neurodegenerative Disorders; Neurons; Non-Insulin-Dependent Diabetes Mellitus; Nose; Outcome; Pancreatitis; Reporting; Resistance; Route; Sialic Acids; Structure of mucous membrane of nose; Synapses; Testing; Therapeutic; Transgenic Mice; Translations; Treatment Efficacy; Update; Validation; Wheat Germ Agglutinins; age related; analog; desensitization; effective therapy; exenatide; global health; glucagon-like peptide; improved; liraglutide; meetings; mimetics; mouse model; novel; pre-clinical; prevent; public health relevance; receptor; repaired; research clinical testing; uptake

DESCRIPTION (provided by applicant): Alzheimer's disease (AD) is a global health crisis. In US alone, ~5.4 million Americans are afflicted with AD, and this number may escalate up to ~16 million if effective treatments are not discovered. Emerging evidence indicates a causal link between type 2 diabetes (T2DM) and AD. Both T2DM and AD exhibit hyperglycemia, insulin resistance and insulin receptor(s) (IRS1/2) dysfunction. Insulin acts as a neuroprotective factor, supports neuronal repair, dendritic sprouting and differentiation which logically led to insulin therapy. However, Insulin is likely to produce hypoglycemia and elevate Ass due to its competition with insulin degrading enzyme (IDE) that degrades both insulin and Ass. Therefore, approaches that reduce hyperglycemia other than insulin are emerging. One such approach is the use of incretins-a group of gut hormones-such as Glucagon-like peptide 1 (GLP1), that stimulates insulin release during hyperglycemia, while simultaneously preventing hypoglycemia and maintaining euglycemia. GLP1 is neuroprotective acting via GLP1 receptors (GLP1R) expressed on neurons and is known to improve learning and memory. GLP1 is degraded by dipeptidyl- peptidase 4 (DPP-4) with a half life of 1-2 min in humans, which resulted in the development of DPP-4 resistant more stable and longer lasting GLP1 mimetics such as Exendin-4 (Ex-4) (Byetta) and Liraglutide (Victoza). However, long-term systemic use of these GLP1 analogues is reported to cause pancreatitis and renal failure. In order to circumvent these adversities, we propose intranasal route of delivery of GLP1 which is previously shown to be successful, but with the novel modification of conjugating GLP1 with wheat germ agglutinin (WGA)-a biologically-derived non-immune and non-toxic glycoprotein. WGA conjugation to GLP1 not only will enhance intranasal delivery of GLP1, but will also exert additive insulinotropic effects and thus will validate advanced incretin therapy for AD. We have already tested the feasibility of intranasal administration of WGA- labeled GLP1 (WGA-GLP1) to the brain in 5XFAD mice modeling AD, which strengthens successful achievement of proposed aims. This project will test the hypothesis that Intranasal delivery of WGA conjugated GLP1 (WGA-GLP1) will more efficiently prevent and reverse AD-like pathocognition than the unconjugated GLP1 (GLP1) in 5XFAD mice. If successful, this project has great potential for clinical translation.

描述(申请人提供)：阿尔茨海默病(AD)是一种全球性的健康危机。仅在美国，就有约540万美国人患有阿尔茨海默病，如果不发现有效的治疗方法，这个数字可能会上升到约1600万。新出现的证据表明，2型糖尿病(T2 DM)和AD之间存在因果联系。T2 DM和AD均存在高血糖、胰岛素抵抗和胰岛素受体(S)(IRS1/2)功能障碍。胰岛素作为一种神经保护因子，支持神经元修复、树突状细胞的萌发和分化，从而在逻辑上导致了胰岛素治疗。然而，胰岛素可能会产生低血糖和升高Ass，因为它与同时降解胰岛素和Ass的胰岛素降解酶(IDE)竞争。因此，胰岛素以外的降低高血糖的方法正在出现。一种这样的方法是使用胰岛素-一组肠道激素-如胰升糖素样肽1(GLP1)，在高血糖时刺激胰岛素释放，同时预防低血糖和维持正常血糖。GLP1是通过表达在神经元上的GLP1受体(GLP1R)发挥神经保护作用的，并被认为可以改善学习和记忆。GLP1在人体内被二肽基肽酶4(DPP-4)降解，半衰期为1-2分钟，导致产生更稳定、持续时间更长的GLP1模拟物，如Exendin-4(Ex-4)(Byetta)和Liraluide(Victoza)。然而，据报道，长期全身使用这些GLP1类似物会导致胰腺炎和肾功能衰竭。为了避免这些不利因素，我们提出了GLP1的鼻腔给药途径，这是以前被证明是成功的，但通过新的修饰将GLP1与小麦胚芽凝集素(WGA)结合-一种生物来源的非免疫和无毒的糖蛋白。WGA与GLP1的偶联不仅能增强GLP1的鼻腔给药，而且还能起到加性促胰岛素作用 因此，将验证先进的胰岛素治疗AD的有效性。我们已经在5XFAD小鼠模型上测试了WGA标记的GLP1(WGA-GLP1)鼻腔给药的可行性，这加强了所提出的目标的成功实现。该项目将测试WGA结合的GLP1(WGA-GLP1)鼻腔给药将比非结合GLP1(GLP1)更有效地预防和逆转5XFAD小鼠的AD样病理认知的假设。如果成功，这个项目在临床翻译方面有很大的潜力。