Novel α-MSH analog causes weight loss in obese rats and minipigs and improves insulin sensitivity

Keld Fosgerau1, Kirsten Raun, Cecilia Nilsson

  • 1Novo Nordisk Diabetes Research Unit, Novo Nordisk A/S, Novo Nordisk Park, DK-2760 Maaloev, Denmark.

Insights

A novel selective alpha-melanocyte-stimulating hormone (α-MSH) analog, MC4-NN1-0182, effectively reduced body weight in diet-induced obese rats and minipigs. This compound also improved insulin sensitivity, suggesting MC4 agonism as a promising therapeutic target for obesity and related metabolic disorders.

Area of Science:

  • Metabolic Research
  • Endocrinology
  • Pharmacology

Background:

  • Obesity presents a significant global health and economic challenge.
  • Current treatments for obesity and associated insulin resistance are limited.
  • Targeting melanocortin 4 receptor (MC4-R) pathways offers a potential therapeutic strategy.

Purpose of the Study:

  • To evaluate the efficacy of a novel selective MC4-R peptide agonist, MC4-NN1-0182, in managing obesity.
  • To investigate the impact of MC4-NN1-0182 on insulin sensitivity.
  • To characterize the subchronic effects of MC4-NN1-0182 in preclinical models of obesity.

Main Methods:

  • Subchronic administration of MC4-NN1-0182 in diet-induced obese (DIO) rats and DIO minipigs.
  • Assessment of food intake, energy consumption, and body weight changes.
  • Acute euglycemic-hyperinsulinemic clamp studies in normal rats to determine insulin sensitivity.

Main Results:

  • MC4-NN1-0182 treatment led to significant body weight reduction in DIO rats (7±1%) and DIO minipigs (13±3%) compared to vehicle controls.
  • Food intake was decreased in treated DIO rats.
  • Acute administration of MC4-NN1-0182 significantly increased glucose disposal (Rd) in normal rats, indicating improved insulin sensitivity independent of weight loss.

Conclusions:

  • Selective MC4-R agonism with MC4-NN1-0182 effectively promotes weight loss in obese animal models.
  • MC4-NN1-0182 demonstrates weight-independent improvements in insulin sensitivity.
  • MC4 agonism represents a viable therapeutic target for treating obesity and insulin resistance.