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Published on: June 8, 2021
A novel long-acting oxyntomodulin analogue eliminates diabetes and obesity in mice
1School of Chinese Materia Medica, Beijing University of Chinese Medicine, Liangxiang Campus, Fangshan District, Beijing, 102488, PR China.
Abstract:
Oxyntomodulin (OXM) was identified as a glucagon (GCG) receptor (GCGR) and glucagon-like peptide 1 (GLP-1) receptor (GLP-1R) dual agonist to suppress appetite, increase energy expenditure, and induce body weight loss in obese humans. However, the activities of native OXM to activate GCGR and GLP-1R in vitro were much weaker than the natural ligands. To address this gap, structural modifications were adopted and novel OXM analogues were obtained through chimeric peptide sequence design. One specific analogue with enhanced and balanced GCGR/GLP-1R activations was chemically conjugated with polyethylene glycol (PEG) to achieve sustained release in vivo. This PEGylated analogue was further explored pharmacologically in db/db and diet-induced obese (DIO) mice models. Chronic weekly administration significantly induced hypoglycemic effects and body weight loss with dose dependency, along with normalized adiposity, lipid metabolism, and liver steatosis. Based on its profiles in vitro and in vivo, the analogue has the great potential to develop as a novel anti-diabetic and/or anti-obese candidate. As observed more insulin stimulation and improved insulin resistance, it may be also explored for the treatment of nonalcoholic steatohepatitis (NASH) in the future.
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.
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