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Published on: November 16, 2011
Glucagon receptor antagonist and GIP agonist combination for diet-induced obese mice
L M McShane1, N Irwin1, D O'Flynn2
1SAAD Centre for Pharmacy and DiabetesUniversity of Ulster, Coleraine, Northern Ireland, UK.
Abstract:
Ablation of glucagon receptor signaling represents a potential treatment option for type 2 diabetes (T2DM). Additionally, activation of glucose-dependent insulinotropic polypeptide (GIP) receptor signaling also holds therapeutic promise for T2DM. Therefore, this study examined both independent and combined metabolic actions of desHis(1)Pro(4)Glu(9)(Lys(12)PAL)-glucagon (glucagon receptor antagonist) and d-Ala(2)GIP (GIP receptor agonist) in diet-induced obese mice. Glucagon receptor binding has been linked to alpha-helical structure and desHis(1)Pro(4)Glu(9)(Lys(12)PAL)-glucagon displayed enhanced alpha-helical content compared with native glucagon. In clonal pancreatic BRIN-BD11 beta-cells, desHis(1)Pro(4)Glu(9)(Lys(12)PAL)-glucagon was devoid of any insulinotropic or cAMP-generating actions, and did not impede d-Ala(2)GIP-mediated (P<0.01 to P<0.001) effects on insulin and cAMP production. Twice-daily injection of desHis(1)Pro(4)Glu(9)(Lys(12)PAL)-glucagon or d-Ala(2)GIP alone, and in combination, in high-fat-fed mice failed to affect body weight or energy intake. Circulating blood glucose levels were significantly (P<0.05 to P<0.01) decreased by all treatments regimens, with plasma and pancreatic insulin elevated (P<0.05 to P<0.001) in all mice receiving d-Ala(2)GIP. Interestingly, plasma glucagon concentrations were decreased (P<0.05) by sustained glucagon inhibition (day 28), but increased (P<0.05) by d-Ala(2)GIP therapy, with a combined treatment resulting in glucagon concentration similar to saline controls. All treatments improved (P<0.01) intraperitoneal and oral glucose tolerance, and peripheral insulin sensitivity. d-Ala(2)GIP-treated mice showed increased glucose-induced insulin secretion in response to intraperitoneal and oral glucose. Metabolic rate and ambulatory locomotor activity were increased (P<0.05 to P<0.001) in all desHis(1)Pro(4)Glu(9)(Lys(12)PAL)-glucagon-treated mice. These studies highlight the potential of glucagon receptor inhibition alone, and in combination with GIP receptor activation, for T2DM treatment.
Insights
Glucagon receptor inhibition and GIP receptor activation show potential for type 2 diabetes (T2DM) treatment. Both approaches, alone or combined, improved glucose control and insulin sensitivity in obese mice without affecting body weight.
Area of Science:
- Endocrinology
- Metabolic Diseases
Background:
- Glucagon receptor (GR) signaling blockade is a potential therapeutic strategy for type 2 diabetes (T2DM).
- Glucose-dependent insulinotropic polypeptide (GIP) receptor signaling activation also shows promise for T2DM treatment.
Purpose of the Study:
- To investigate the independent and combined metabolic effects of a GR antagonist (desHis(1)Pro(4)Glu(9)(Lys(12)PAL)-glucagon) and a GIP receptor agonist (d-Ala(2)GIP) in diet-induced obese mice.
Main Methods:
- Administration of GR antagonist and/or GIP receptor agonist via twice-daily injections in high-fat-fed mice.
- Assessment of body weight, energy intake, blood glucose, insulin levels, glucagon concentrations, glucose tolerance, insulin sensitivity, and metabolic rate.
Main Results:
- All treatment regimens significantly decreased blood glucose levels.
- d-Ala(2)GIP increased plasma and pancreatic insulin levels and enhanced glucose-induced insulin secretion.
- GR inhibition increased metabolic rate and locomotor activity.
- All treatments improved glucose tolerance and insulin sensitivity.
Conclusions:
- Glucagon receptor inhibition, alone or combined with GIP receptor activation, demonstrates therapeutic potential for T2DM.
- These combined strategies effectively improve glycemic control and insulin sensitivity in a preclinical model of obesity.
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