Efficacy of PEGylated ciliary neurotrophic factor superagonist variant in diet-induced obesity mice

Maria Rosaria Battista1, Antonella Grigoletto2, Tommaso Tedeschini2

  • 1IRBM SpA, Pomezia, Rome, Italy.

Plos One
|March 22, 2022
PubMed

Insights

Engineered Ciliary neurotrophic factor (CNTF) with PEGylation (PEG-DH-CNTF) shows improved pharmacokinetics and enhanced weight loss and antidiabetic effects in obese animal models. This modified CNTF offers a promising therapeutic strategy for obesity and diabetes treatment.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Endocrinology

Background:

  • Ciliary neurotrophic factor (CNTF) exhibits potential for treating obesity and diabetes due to its appetite-reducing, weight-loss, and antidiabetic properties.
  • Therapeutic application of native CNTF is limited by neutralizing antibodies and a short plasma half-life.
  • Protein modification strategies, such as PEGylation, are employed to enhance therapeutic protein efficacy and duration of action.

Purpose of the Study:

  • To develop a modified CNTF variant (DH-CNTF) with enhanced receptor affinity and activity.
  • To PEGylate DH-CNTF to improve its pharmacokinetic profile and in vivo efficacy.
  • To evaluate the therapeutic potential of PEG-DH-CNTF in diet-induced obese animal models.

Main Methods:

  • Selection of a high-affinity CNTF variant (DH-CNTF) with increased cellular activity.
  • PEGylation of DH-CNTF to create PEG-DH-CNTF.
  • In vitro assessment of PEG-DH-CNTF's biological activity.
  • Evaluation of PEG-DH-CNTF's pharmacokinetic parameters and its effects on glucose tolerance and weight loss in diet-induced obese mice.

Main Results:

  • DH-CNTF demonstrated a 40-fold higher affinity for its receptor and increased activity in cellular assays.
  • PEG-DH-CNTF retained the in vitro biological activity of native CNTF and exhibited improved pharmacokinetic parameters.
  • PEG-DH-CNTF significantly reduced glycemia in an acute glucose tolerance test in obese mice, comparable to a 10-fold higher dose of DH-CNTF.
  • PEG-DH-CNTF induced a more potent weight loss effect than unmodified DH-CNTF.

Conclusions:

  • PEGylation of the high-affinity CNTF variant DH-CNTF successfully improved its pharmacokinetic properties while maintaining biological activity.
  • PEG-DH-CNTF demonstrates significant therapeutic potential for managing hyperglycemia and promoting weight loss in obese individuals.
  • The enhanced properties of PEG-DH-CNTF may allow for reduced dosing schedules, improving patient compliance in obesity and diabetes treatment.

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