Long-Acting and Selective Oxytocin Peptide Analogs Show Antidiabetic and Antiobesity Effects in Male Mice

Brandy Snider1, Andrea Geiser2, Xiao-Peng Yu1

  • 1Diabetes and Complications, Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, Indiana.

Insights

A novel oxytocin analog (OXTGly) selectively targets the oxytocin receptor (OXTR), offering metabolic benefits like weight loss and improved glycemic control. Lipid-conjugated versions show extended half-lives and enhanced therapeutic potential.

Area of Science:

  • Endocrinology and Metabolism
  • Pharmacology
  • Molecular Biology

Background:

  • Oxytocin (OXT) exhibits metabolic benefits including appetite suppression and weight loss.
  • Limitations of OXT include a short half-life and lack of receptor selectivity, activating both OXT and vasopressin receptors.
  • This restricts OXT's therapeutic efficacy and can cause adverse effects like increased blood pressure.

Purpose of the Study:

  • To develop and characterize a potent and selective OXT analog (OXTGly) for the OXT receptor (OXTR).
  • To evaluate the metabolic effects of OXTGly and lipid-conjugated analogs (acylated-OXT and acylated-OXTGly) in vivo.
  • To compare the efficacy of selective OXTR activation versus non-selective OXT treatment in a mouse model of diet-induced obesity.

Main Methods:

  • In vitro receptor activation assays and in vivo studies in mice.
  • Administration of OXT, OXTGly, acylated-OXT, and acylated-OXTGly via intraperitoneal (IP) or subcutaneous (SC) routes.
  • Assessment of food intake, glucose tolerance, insulin, glucagon-like peptide 1, and glucagon secretion, along with lipid profiles and gene expression analysis.

Main Results:

  • OXTGly demonstrated selectivity for OXTR, unlike OXT which activated vasopressin receptors and increased blood pressure.
  • Both OXT and OXTGly improved glycemic control and stimulated insulin and incretin secretion.
  • Lipid-conjugated analogs exhibited extended half-lives; acylated-OXT treatment in obese mice led to significant weight reduction, improved lipid profiles, and altered gene expression favoring lipolysis.

Conclusions:

  • Selective OXTR activation by OXTGly confers acute and chronic metabolic advantages.
  • Non-selective OXT analogs activate vasopressin receptors, causing physiological stress that may contribute to weight loss but also adverse effects.
  • Targeting OXTR specifically offers a promising therapeutic strategy for metabolic disorders with reduced side effects.

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