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- Title
Glucagon-Like Peptide 1/Glucagon Receptor Dual Agonism Reverses Obesity in Mice.
- Authors
Pocai, Alessandro; Carrington, Paul E.; Adams, Jennifer R.; Wright, Michael; Eiermann, George; Lan Zhu; Xiaobing Du; Petrov, Aleksandr; Lassman, Michael E.; Guoqiang Jiang; Liu, Franklin; Miller, Corey; Tota, Laurie M.; Zhou, Gaochao; Xiaoping Zhan; Sountis, Michael M.; Santoprete, Alessia; Capito, Elena; Chicchi, Gary G.; Thornberry, Nancy
- Abstract
OBJECTIVE--Oxyntomodulin (OXM) is a glucagon-like peptide 1 (GLP-1) receptor (GLPIR)/glucagon receptor (GCGR) dual agonist peptide that reduces body weight in obese subjects through increased energy expenditure and decreased energy intake. The metabolic effects of OXM have been attributed primarily to GLP1R agonism. We examined whether a long acting GLPIR/GCGR dual agonist peptide exerts metabolic effects in diet-induced obese mice that are distinct from those obtained with a GLPIR-selective agonist. RESEARCH DESIGN AND METHODS--We developed a protease-resistant dual GLPIR/GCGR agonist, DualAG, and a corresponding GLPIR-selective agonist, GLPAG, matched for GLP1R agonist potency and pharmacokinetics. The metabolic effects of these two peptides with respect to weight loss, caloric reduction, glucose control, and lipid lowering, were compared upon chronic dosing in diet-induced obese (DIO) mice. Acute studies in DIO mice revealed metabolic pathways that were modulated independent of weight loss. Studies in Glp1r[sup -/-] and Gcgr[sup -/-] mice enabled delineation of the contribution of GLP1R versus GCGR activation to the pharmacology of DualAG. RESULTS--Peptide DualAG exhibits superior weight loss, lipid-lowering activity, and antihyperglycemic efficacy comparable to GLPAG. Improvements in plasma metabolic parameters including insulin, leptin, and adiponectin were more pronounced upon chronic treatment with DualAG than with GLPAG. Dual receptor agonism also increased fatty acid oxidation and reduced hepatic steatosis in DIO mice. The antiobesity effects of DualAG require activation of both GLP1R and GCGR. CONCLUSIONS--Sustained GLP1R/GCGR dual agonism reverses obesity in DIO mice and is a novel therapeutic approach to the treatment of obesity. Diabetes 58:2258-2266, 2009
- Subjects
GLUCAGON-like peptide 1; PEPTIDES; FATTY acids; WEIGHT loss; PHYSIOLOGICAL oxidation; FATTY degeneration; OBESITY treatment; LABORATORY mice
- Publication
Diabetes, 2009, Vol 58, Issue 10, p2258
- ISSN
0012-1797
- Publication type
Article
- DOI
10.2337/db09-0278