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Related Concept Videos

Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

308
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...
308

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Transcriptome-guided GLP-1 receptor therapy rescues metabolic and behavioral disruptions in a Bardet-Biedl syndrome

Arashdeep Singh1,2,3, Naila Haq4, Mingxin Yang2,3

  • 1Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.

The Journal of Clinical Investigation
|April 15, 2025
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Bardet-Biedl Syndrome (BBS) causes obesity and learning issues. A new BBS5 mouse model shows GLP-1R agonists can treat BBS-related metabolic problems, including hyperphagia and weight gain.

Keywords:
EndocrinologyMacrophagesMetabolismMonogenic diseasesObesity

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Area of Science:

  • Ciliopathies
  • Metabolic disorders
  • Obesity pathogenesis

Background:

  • Bardet-Biedl Syndrome (BBS) is a ciliopathy linked to obesity and learning deficits due to BBS gene mutations.
  • Mutations in BBSome genes exacerbate BBS symptoms, affecting primary cilia function.
  • Understanding BBS-induced obesity mechanisms is crucial for developing targeted therapies.

Purpose of the Study:

  • To investigate the mechanisms of BBS-induced obesity using a novel BBS5 knockout (BBS5-/-) mouse model.
  • To characterize the metabolic and immunophenotypic alterations in BBS5-/- mice.
  • To evaluate the therapeutic potential of GLP-1R agonists in BBS.

Main Methods:

  • Generation and characterization of BBS5 knockout (BBS5-/-) mice.
  • Phenotypic analysis including metabolic testing, glucose/insulin tolerance, and hormone level assessment.
  • Hypothalamic transcriptomics and functional analysis of endocrine signaling pathways.
  • Treatment of BBS5-/- mice with a GLP-1R agonist.

Main Results:

  • BBS5-/- mice exhibited key BBS symptoms: hyperphagia, learning deficits, glucose intolerance, and altered metabolic hormones.
  • Unique immunophenotype in white adipose tissue with proinflammatory macrophages and dysfunctional regulatory T cells.
  • Hypothalamic transcriptomics revealed defects in insulin, leptin, and CCK signaling, but preserved GLP-1R responsiveness.
  • GLP-1R agonist treatment improved hyperphagia, weight gain, glucose tolerance, and metabolic hormone profiles in BBS5-/- mice.

Conclusions:

  • BBS5-/- mice serve as a valuable translational model for BBS research.
  • GLP-1R agonists show significant therapeutic potential for managing metabolic dysregulation in BBS.
  • Targeting GLP-1R pathways offers a promising strategy for BBS treatment.