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Published on: September 30, 2019
Human FGF-21 Is a Substrate of Fibroblast Activation Protein
Andrew L Coppage1, Kathryn R Heard1,2, Matthew T DiMare1,2
1Department of Developmental, Molecular and Chemical Biology, Tufts University Sackler School of Graduate Biomedical Sciences, Boston, Massachusetts, United States of America.
Abstract:
FGF-21 is a key regulator of metabolism and potential drug candidate for the treatment of type II diabetes and other metabolic disorders. However, the half-life of active, circulating, human FGF-21 has recently been shown to be limited in mice and monkeys by a proteolytic cleavage between P171 and S172. Here, we show that fibroblast activation protein is the enzyme responsible for this proteolysis by demonstrating that purified FAP cleaves human FGF-21 at this site in vitro, and that an FAP-specific inhibitor, ARI-3099, blocks the activity in mouse, monkey and human plasma and prolongs the half-life of circulating human FGF-21 in mice. Mouse FGF-21, however, lacks the FAP cleavage site and is not cleaved by FAP. These findings indicate FAP may function in the regulation of metabolism and that FAP inhibitors may prove useful in the treatment of diabetes and metabolic disorders in humans, but pre-clinical proof of concept studies in rodents will be problematic.
Insights
Fibroblast activation protein (FAP) cleaves human FGF-21, limiting its metabolic regulation. FAP inhibitors show potential for treating diabetes and metabolic disorders by prolonging FGF-21 half-life.
Area of Science:
- Biochemistry
- Metabolic Regulation
- Enzymology
Background:
- Fibroblast activation protein (FAP) is implicated in various physiological and pathological processes.
- Fibroblast activation protein (FAP) cleaves human Fibroblast Growth Factor 21 (FGF-21), a key metabolic regulator.
- The limited half-life of human FGF-21 in circulation is a significant barrier to its therapeutic application for metabolic disorders like type II diabetes.
Purpose of the Study:
- To identify the enzyme responsible for the proteolytic cleavage of human FGF-21.
- To investigate the role of fibroblast activation protein (FAP) in FGF-21 metabolism.
- To evaluate the therapeutic potential of FAP inhibitors for metabolic diseases.
Main Methods:
- In vitro enzymatic assays using purified FAP and human FGF-21.
- Inhibition studies using a specific FAP inhibitor (ARI-3099) in plasma from various species.
- Pharmacokinetic analysis of human FGF-21 half-life in mice treated with FAP inhibitor.
Main Results:
- Purified fibroblast activation protein (FAP) was confirmed to cleave human FGF-21 at the P171-S172 site.
- The FAP-specific inhibitor ARI-3099 effectively blocked FAP activity in mouse, monkey, and human plasma.
- Administration of ARI-3099 significantly prolonged the half-life of circulating human FGF-21 in mice.
- Mouse FGF-21 lacks the FAP cleavage site and is resistant to FAP-mediated proteolysis.
Conclusions:
- Fibroblast activation protein (FAP) is the primary enzyme responsible for the degradation of human FGF-21.
- FAP plays a role in regulating metabolism, and its inhibition may offer a novel therapeutic strategy for type II diabetes and other metabolic disorders.
- Pre-clinical efficacy studies of FAP inhibitors in rodents may be complicated due to species-specific differences in FGF-21 processing.
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