Treating diabetes and obesity with an FGF21-mimetic antibody activating the βKlotho/FGFR1c receptor complex

Ian N Foltz1, Sylvia Hu, Chadwick King

  • 1Amgen British Columbia, 7990 Enterprise Street, Burnaby, British Columbia V5A1V7, Canada.

Insights

A novel antibody, mimAb1, mimics Fibroblast Growth Factor 21 (FGF21) effects, reducing weight and improving metabolism in obese monkeys. This antibody offers a potential new therapy for diabetes and obesity by targeting the FGFR1c receptor complex.

Area of Science:

  • Metabolic research
  • Endocrinology
  • Pharmacology

Background:

  • Fibroblast Growth Factor 21 (FGF21) is a key metabolic regulator with therapeutic potential for diabetes and obesity.
  • FGF21 exerts its effects via interaction with the βKlotho co-receptor and FGF receptors (FGFRs).

Purpose of the Study:

  • To develop and evaluate a monoclonal antibody (mimAb1) that activates FGF21 signaling pathways.
  • To investigate the role of FGFR1c and adipose tissue in FGF21-mediated metabolic improvements.

Main Methods:

  • Development of mimAb1, a high-affinity antibody targeting the βKlotho/FGFR1c complex.
  • Administration of mimAb1 to obese cynomolgus monkeys to assess metabolic effects.
  • Evaluation of FGF21 efficacy in mice with adipose-selective FGFR1 knockout.

Main Results:

  • MimAb1 induced FGF21-like metabolic benefits in obese monkeys, including weight loss and improved glucose and lipid profiles.
  • Mice lacking adipose FGFR1 were unresponsive to FGF21, highlighting FGFR1c's essential role.
  • Fat tissue was identified as a critical target for FGF21 and mimAb1 action.

Conclusions:

  • MimAb1 effectively mimics FGF21's metabolic actions and represents a promising therapeutic strategy for obesity and diabetes.
  • Targeting the βKlotho/FGFR1c complex with mimAb1 may offer a safer alternative to activating FGFR1c alone, avoiding potential side effects.

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