A novel long-acting oxyntomodulin analogue eliminates diabetes and obesity in mice

Tao Ma1, Su Huo1, Bing Xu1

  • 1School of Chinese Materia Medica, Beijing University of Chinese Medicine, Liangxiang Campus, Fangshan District, Beijing, 102488, PR China.

Insights

Novel oxyntomodulin (OXM) analogues show potential for treating obesity and diabetes. A modified, PEGylated OXM analogue demonstrated significant weight loss and improved metabolic health in mouse models.

Area of Science:

  • Metabolic research
  • Peptide therapeutics
  • Obesity and diabetes research

Background:

  • Oxyntomodulin (OXM) acts as a dual agonist for glucagon (GCG) receptor (GCGR) and glucagon-like peptide 1 (GLP-1) receptor (GLP-1R).
  • Native OXM exhibits weak in vitro activation of GCGR and GLP-1R, limiting its therapeutic efficacy.
  • Structural modifications and chimeric peptide design yielded novel OXM analogues with improved receptor activation.

Purpose of the Study:

  • To develop novel oxyntomodulin analogues with enhanced and balanced GCGR/GLP-1R activation.
  • To evaluate the pharmacological effects of a PEGylated OXM analogue in preclinical models of obesity and diabetes.
  • To assess the potential of the analogue as an anti-diabetic and anti-obesity therapeutic candidate.

Main Methods:

  • Chimeric peptide sequence design to create novel OXM analogues.
  • Chemical conjugation with polyethylene glycol (PEG) for sustained release.
  • Pharmacological evaluation in db/db and diet-induced obese (DIO) mouse models.

Main Results:

  • The PEGylated OXM analogue demonstrated dose-dependent hypoglycemic effects and significant body weight loss.
  • Chronic administration normalized adiposity, improved lipid metabolism, and reduced liver steatosis.
  • Enhanced insulin stimulation and improved insulin resistance were observed.

Conclusions:

  • The developed PEGylated OXM analogue shows significant potential as a novel anti-diabetic and anti-obesity therapeutic.
  • The analogue may also be a candidate for treating nonalcoholic steatohepatitis (NASH) due to its effects on insulin sensitivity.
  • Further exploration of this modified OXM analogue is warranted for clinical development.

Related Concept Videos

Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
710
Oral Hypoglycemic Agents: Biguanides and Glitazones01:26

Oral Hypoglycemic Agents: Biguanides and Glitazones

Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
511
Oral Hypoglycemic Agents: Glinides01:06

Oral Hypoglycemic Agents: Glinides

Repaglinide (Prandin) and Nateglinide (Starlix), known as glinides, are oral insulin secretagogues that stimulate insulin release from pancreatic β cells by closing the ATP-sensitive potassium channels (KATP channel). Repaglinide controls insulin release from pancreatic β cells by managing potassium efflux. It shares two binding sites with sulfonylureas and also has a unique site, indicating overlapping mechanisms of action. With a rapid onset and a 4-7 hour duration, it effectively...
480