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Functional role of immunoglobulin G as an oxytocin-carrier protein 免疫球蛋白 G 作为催产素载体蛋白的功能作用
IF 3 4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-14 DOI: 10.1016/j.peptides.2024.171221
Emilie Lahaye, Sergueï O. Fetissov

It has been long-time known that oxytocin in plasma is bound to a carrier protein, a common feature of circulating peptide hormones, however, the nature of such protein was uncertain. A recent study revealed that about 60% of oxytocin present in plasma is bound to immunoglobulin G (IgG) and that oxytocin-binding IgG plays a role of a functional oxytocin carrier protein. Here, we review the historical background and methodology leading to this discovery. Moreover, we review the data showing the functional role of oxytocin-binding IgG in the modulation of oxytocin signaling relevant to the regulation of motivated behavior and several neuropsychiatric disorders. Furthermore, the possible role of gut microbiota in the origin of such IgG is discussed and the relevant new therapeutic strategies for the enhancement of oxytocin signaling are presented.

人们早就知道血浆中的催产素与一种载体蛋白结合,这是循环肽类激素的共同特征,但这种蛋白的性质并不确定。最近的一项研究发现,血浆中约 60% 的催产素与免疫球蛋白 G(IgG)结合,与催产素结合的 IgG 扮演着催产素功能性载体蛋白的角色。在此,我们回顾了导致这一发现的历史背景和方法。此外,我们还回顾了一些数据,这些数据显示了催产素结合蛋白 IgG 在调节催产素信号传导中的功能性作用,而催产素信号传导与动机行为和几种神经精神疾病的调节有关。此外,我们还讨论了肠道微生物群在此类 IgG 来源中可能扮演的角色,并介绍了增强催产素信号转导的相关新治疗策略。
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引用次数: 0
Positive interplay between FFAR4/GPR120, DPP-IV inhibition and GLP-1 in beta cell proliferation and glucose homeostasis in obese high fat fed mice FFAR4/GPR120、DPP-IV 抑制剂和 GLP-1 在肥胖高脂喂养小鼠β细胞增殖和葡萄糖稳态中的积极相互作用
IF 3 4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-14 DOI: 10.1016/j.peptides.2024.171218
A.I. Owolabi, R.C. Corbett, P.R. Flatt, A.M. McKillop

G-protein coupled receptor-120 (GPR120; FFAR4) is a free fatty acid receptor, widely researched for its glucoregulatory and insulin release activities. This study aimed to investigate the metabolic advantage of FFAR4/GPR120 activation using combination therapy. C57BL/6 mice, fed a High Fat Diet (HFD) for 120 days to induce obesity-diabetes, were subsequently treated with a single daily oral dose of FFAR4/GPR120 agonist Compound A (CpdA) (0.1μmol/kg) alone or in combination with sitagliptin (50 mg/kg) for 21 days. After 21-days, glucose homeostasis, islet morphology, plasma hormones and lipids, tissue genes (qPCR) and protein expression (immunocytochemistry) were assessed. Oral administration of CpdA improved glucose tolerance (34% p<0.001) and increased circulating insulin (38% p<0.001). Addition of CpdA with the dipeptidyl peptidase-IV (DPP-IV) inhibitor, sitagliptin, further improved insulin release (44%) compared to sitagliptin alone and reduced fat mass (p<0.05). CpdA alone (50%) and in combination with sitagliptin (89%) induced marked reductions in LDL-cholesterol, with greater effects in combination (p<0.05). All treatment regimens restored pancreatic islet and beta-cell area and mass, complemented with significantly elevated beta-cell proliferation rates. A marked increase in circulating GLP-1 (53%) was observed, with further increases in combination (38%). With treatment, mice presented with increased Gcg (proglucagon) gene expression in the jejunum (130% increase) and ileum (120% increase), indicative of GLP-1 synthesis and secretion. These data highlight the therapeutic promise of FFAR4/GPR120 activation and the potential for combined benefit with incretin enhancing DPP-IV inhibitors in the regulation of beta cell proliferation and diabetes.

G-蛋白偶联受体-120(GPR120;FFAR4)是一种游离脂肪酸受体,因其具有葡萄糖调节和胰岛素释放活性而被广泛研究。本研究旨在通过联合疗法研究 FFAR4/GPR120 激活的代谢优势。C57BL/6小鼠以高脂饮食(HFD)喂养120天诱发肥胖-糖尿病,随后每天口服单剂量FFAR4/GPR120激动剂化合物A(CpdA)(0.1μmol/kg)单独或与西格列汀(50 mg/kg)联合治疗21天。21 天后,对葡萄糖稳态、胰岛形态、血浆激素和脂质、组织基因(qPCR)和蛋白质表达(免疫细胞化学)进行了评估。口服 CpdA 可改善葡萄糖耐量(34% p<0.001)并增加循环胰岛素(38% p<0.001)。与单独使用西格列汀相比,将 CpdA 与二肽基肽酶-IV(DPP-IV)抑制剂西格列汀合用可进一步改善胰岛素释放(44%)并减少脂肪量(p<0.05)。单用 CpdA(50%)和与西他列汀联用(89%)可显著降低低密度脂蛋白胆固醇,联用效果更好(p<0.05)。所有治疗方案都能恢复胰岛和 beta 细胞的面积和质量,并显著提高 beta 细胞的增殖率。观察到循环中的 GLP-1 明显增加(53%),联合用药后进一步增加(38%)。在治疗过程中,小鼠空肠(增加 130%)和回肠(增加 120%)的 Gcg(促胰高血糖素)基因表达增加,表明 GLP-1 的合成和分泌增加。这些数据凸显了 FFAR4/GPR120 激活的治疗前景,以及与增量素增强型 DPP-IV 抑制剂联合用于调节β细胞增殖和糖尿病的潜力。
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引用次数: 0
Glucagon-based therapy for people with diabetes and obesity: What is the sweet spot? 针对糖尿病和肥胖症患者的胰高血糖素疗法:甜蜜点在哪里?
IF 3 4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-13 DOI: 10.1016/j.peptides.2024.171219
Emma Rose McGlone , Tricia M.-M. Tan

People with obesity and type 2 diabetes have a high prevalence of metabolic-associated steatotic liver disease, hyperlipidemia and cardiovascular disease. Glucagon increases hepatic glucose production; it also decreases hepatic fat accumulation, improves lipidemia and increases energy expenditure. Pharmaceutical strategies to antagonize the glucagon receptor improve glycemic outcomes in people with diabetes and obesity, but they increase hepatic steatosis and worsen dyslipidemia. Co-agonism of the glucagon and glucagon-like peptide-1 (GLP-1) receptors has emerged as a promising strategy to improve glycemia in people with diabetes and obesity. Addition of glucagon receptor agonism enhances weight loss, reduces liver fat and ameliorates dyslipidemia. Prior to clinical use, however, further studies are needed to investigate the safety and efficacy of glucagon and GLP-1 receptor co-agonists in people with diabetes and obesity and related conditions, with specific concerns regarding a higher prevalence of gastrointestinal side effects, loss of muscle mass and increases in heart rate. Furthermore, co-agonists with differing ratios of glucagon:GLP-1 receptor activity vary in their clinical effect; the optimum balance is yet to be identified.

肥胖症和 2 型糖尿病患者中,代谢相关性脂肪肝、高脂血症和心血管疾病的发病率很高。胰高血糖素能增加肝脏葡萄糖的生成,还能减少肝脏脂肪堆积、改善脂质血症并增加能量消耗。拮抗胰高血糖素受体的药物策略可改善糖尿病和肥胖症患者的血糖疗效,但会加重肝脂肪变性和血脂异常。拮抗胰高血糖素受体和胰高血糖素样肽-1(GLP-1)受体已成为改善糖尿病和肥胖症患者血糖的一种有前途的策略。加入胰高血糖素受体激动剂可增强减肥效果、减少肝脏脂肪并改善血脂异常。不过,在临床使用之前,还需要进一步研究胰高血糖素和 GLP-1 受体联合激动剂对糖尿病和肥胖症患者及相关疾病的安全性和有效性,特别是胃肠道副作用、肌肉质量下降和心率加快等问题。此外,胰高血糖素与 GLP-1 受体活性比例不同的联合拮抗剂在临床效果上也各不相同;最佳平衡尚待确定。
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引用次数: 0
Negative association between basal oxytocin and oxytocin changes after repetitive transcranial magnetic stimulation in patients with treatment-resistant depression 耐药性抑郁症患者的基础催产素与重复经颅磁刺激后催产素变化之间存在负相关关系
IF 3 4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-13 DOI: 10.1016/j.peptides.2024.171217
Ryohei Kojima , Hiroshi Tateishi , Hiroko Kunitake , Yoshiomi Imamura , Yutaka Kunitake , Toru Murakawa , Chika Nagahama , Takumi Shiraishi , Ken Takada , Masataka Hirano , Airi Fukai , Akira Tomonari , Akira Monji , Yoshito Mizoguchi

Repetitive transcranial magnetic stimulation (rTMS) is a neuromodulator effective for treating depressive symptoms in patients with treatment-resistant depression (TRD). One of the multiple mechanisms for its antidepressant effects proposed is related to the hypothalamus. Oxytocin is a neuropeptide synthesized in the hypothalamus that affects human behavior and psychology, including social and affiliative behaviors, stress regulation, and fear and emotion processing. There have been no reports on the relationship between rTMS and oxytocin for the treatment of TRD. Therefore, we aimed to investigate changes in salivary oxytocin concentrations in patients with TRD before and after 6 weeks of rTMS treatment. A total of 28 patients with TRD who received rTMS at Saga University Hospital between August 2013 and August 2020 were included. Although rTMS treatment significantly improved 24-item Hamilton Depression Rating Scale scores, rTMS treatment did not change mean salivary oxytocin after 6 weeks of treatment in patients with TRD. Multiple regression analysis revealed that the change in salivary oxytocin levels after rTMS treatment was negatively associated with basal oxytocin levels before rTMS treatment, suggesting that rTMS treatment tends to decrease oxytocin levels in patients with depression with high basal oxytocin levels while increasing them in those with low basal levels. These findings suggest that rTMS treatment improved depressive symptoms through mechanisms other than the modulatory effect on oxytocin levels in patients with TRD, while there is room for further studies to confirm these findings using a larger patient sample size and/or a sham rTMS procedure.

重复经颅磁刺激(rTMS)是一种神经调节剂,可有效治疗难治性抑郁症(TRD)患者的抑郁症状。其抗抑郁作用的多种机制之一与下丘脑有关。催产素是一种在下丘脑合成的神经肽,会影响人类的行为和心理,包括社交和从属行为、压力调节以及恐惧和情绪处理。目前还没有关于经颅磁刺激与催产素治疗 TRD 关系的报道。因此,我们旨在研究经颅磁刺激治疗 6 周前后 TRD 患者唾液催产素浓度的变化。研究共纳入了2013年8月至2020年8月期间在佐贺大学医院接受经颅磁刺激治疗的28名TRD患者。虽然经颅磁刺激治疗能明显改善24项汉密尔顿抑郁量表评分,但治疗6周后,经颅磁刺激治疗并未改变TRD患者唾液催产素的平均值。多元回归分析显示,经颅磁刺激治疗后唾液催产素水平的变化与经颅磁刺激治疗前的基础催产素水平呈负相关,这表明经颅磁刺激治疗往往会降低基础催产素水平高的抑郁症患者的催产素水平,而提高基础催产素水平低的患者的催产素水平。这些研究结果表明,经颅磁刺激治疗除了对TRD患者的催产素水平有调节作用外,还通过其他机制改善了患者的抑郁症状。
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引用次数: 0
Safety of native glucose-dependent insulinotropic polypeptide in humans 原生葡萄糖依赖性促胰岛素多肽对人体的安全性
IF 3 4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-12 DOI: 10.1016/j.peptides.2024.171214
Mads M. Helsted , Nina L. Schaltz , Lærke S. Gasbjerg , Mikkel B. Christensen , Tina Vilsbøll , Filip K. Knop

In this systematic review, we assessed the safety and possible safety events of native glucose-dependent insulinotropic polypeptide (GIP)(1−42) in human studies with administration of synthetic human GIP. We searched the PubMed database for all trials investigating synthetic human GIP(1−42) administration. A total of 67 studies were included. Study duration ranged from 30 min to 6 days. In addition to healthy individuals, the studies included individuals with impaired glucose tolerance, type 2 diabetes, type 1 diabetes, chronic pancreatitis and secondary diabetes, latent autoimmune diabetes in adults, diabetes caused by a mutation in the hepatocyte nuclear factor 1-alpha gene, end-stage renal disease, chronic renal insufficiency, critical illness, hypoparathyroidism, or cystic fibrosis-related diabetes. Of the included studies, 78 % did not mention safety events, 10 % of the studies reported that no safety events were observed in relation to GIP administration, and 15 % of the studies reported safety events in relation to GIP administration with most frequently reported event being a moderate and transient increased heart rate. Gastrointestinal safety events, and changes in blood pressure were also reported. Plasma concentration of active GIP(1−42) increased linearly with dose independent of participant phenotype. There was no significant correlation between achieved maximal concentration of GIP(1−42) and reported safety events. Clearance rates of GIP(1−42) were similar between participant groups. In conclusion, the available data indicate that GIP(1−42) in short-term (up to 6 days) infusion studies is generally well-tolerated. The long-term safety of continuous GIP(1−42) administration is unknown.

在这篇系统性综述中,我们评估了在人体研究中使用合成人 GIP 的原生葡萄糖依赖性胰岛素多肽 (GIP)(1-42) 的安全性和可能发生的安全事件。我们在 PubMed 数据库中搜索了所有研究合成人 GIP(1-42) 给药的试验。共纳入 67 项研究。研究持续时间从 30 分钟到 6 天不等。除健康人外,这些研究还包括糖耐量受损、2 型糖尿病、1 型糖尿病、慢性胰腺炎和继发性糖尿病、成人潜伏性自身免疫性糖尿病、肝细胞核因子 1-α 基因突变引起的糖尿病、终末期肾病、慢性肾功能不全、危重病、甲状旁腺功能减退或囊性纤维化相关糖尿病患者。在纳入的研究中,78% 的研究未提及安全事件,10% 的研究报告称未观察到与服用 GIP 相关的安全事件,15% 的研究报告了与服用 GIP 相关的安全事件,其中最常报告的事件是中度和短暂的心率增快。胃肠道安全事件和血压变化也有报道。血浆中活性 GIP(1-42)的浓度随剂量的增加而线性增加,与参与者的表型无关。GIP(1-42) 达到的最大浓度与报告的安全事件之间没有明显的相关性。各组患者的 GIP(1-42) 清除率相似。总之,现有数据表明,在短期(最多 6 天)输注研究中,GIP(1-42) 一般耐受性良好。连续服用 GIP(1-42) 的长期安全性尚不清楚。
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引用次数: 0
Newly identified peptide Nigrocin-OA27 inhibits UVB induced melanin production via the MITF/TYR pathway 新发现的肽 Nigrocin-OA27 通过 MITF/TYR 途径抑制紫外线诱导的黑色素生成
IF 3 4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-11 DOI: 10.1016/j.peptides.2024.171215
Jiayi Li , Saige Yin , Ziqi Wei , Zhaoxun Xiao , Zijian Kang , Yutong Wu , Yubing Huang , Qiuye Jia , Ying Peng , Zeqiong Ru , Xiaohan Sun , Yuliu Yang , Qian Yang , Junyuan Wang , Chengxing Liu , Meifeng Yang , Ying Wang , Xinwang Yang

Melasma is a common skin disease induced by an increase in the content of melanin in the skin, which also causes serious physical and mental harm to patients. In this research, a novel peptide (Nigrocin-OA27) from Odorrana andersonii is shown to exert a whitening effect on C57 mice pigmentation model. The peptide also demonstrated non-toxic and antioxidant capacity, and can significantly reduce melanin content in B16 cells. Topical application effectively delivered Nigrocin-OA27 to skin's epidermal and dermal layers and exhibited significant preventive and whitening effects on the UVB-induced ear pigmentation model in C57 mice. The whitening mechanism of Nigrocin-OA27 may be related to reduced levels of the microphthalmia-associated transcription factor and the key enzyme for melanogenesis-tyrosinase (TYR). Nigrocin-OA27 also inhibited the catalytic activity by adhering to the active core of TYR, thereby reducing melanin formation and deposition. In conclusion, Nigrocin-OA27 may be a potentially effective external agent to treat melasma by inhibiting aberrant skin melanin synthesis.

黄褐斑是一种常见的皮肤病,由皮肤中黑色素含量增加诱发,对患者的身心造成严重伤害。在这项研究中,一种来自Odorrana andersonii的新型多肽(Nigrocin-OA27)被证明对C57小鼠色素沉着模型具有美白作用。该肽还具有无毒性和抗氧化能力,能显著降低 B16 细胞中的黑色素含量。外用 Nigrocin-OA27 能有效地将其输送到皮肤的表皮层和真皮层,对紫外线诱导的 C57 小鼠耳部色素沉着模型有明显的预防和美白效果。Nigrocin-OA27 的美白机制可能与小眼病相关转录因子和黑色素生成的关键酶--酪氨酸酶(TYR)水平的降低有关。Nigrocin-OA27还通过粘附TYR的活性核心抑制其催化活性,从而减少黑色素的形成和沉积。总之,Nigrocin-OA27 可抑制皮肤黑色素的异常合成,是一种治疗黄褐斑的潜在有效外用药物。
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引用次数: 0
Glucagon does not directly stimulate pituitary secretion of ACTH, GH or copeptin 胰高血糖素不会直接刺激垂体分泌促肾上腺皮质激素、促肾上腺皮质激素或促肾上腺皮质激素
IF 3 4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-10 DOI: 10.1016/j.peptides.2024.171213
Ida Stangerup , Sasha A.S. Kjeldsen , Michael M. Richter , Nicole J. Jensen , Jørgen Rungby , Steen Bendix Haugaard , Birgitte Georg , Jens Hannibal , Kjeld Møllgård , Nicolai J. Wewer Albrechtsen , Camilla Bjørnbak Holst

Glucagon is best known for its contribution to glucose regulation through activation of the glucagon receptor (GCGR), primarily located in the liver. However, glucagon’s impact on other organs may also contribute to its potent effects in health and disease. Given that glucagon-based medicine is entering the arena of anti-obesity drugs, elucidating extrahepatic actions of glucagon are of increased importance. It has been reported that glucagon may stimulate secretion of arginine-vasopressin (AVP)/copeptin, growth hormone (GH) and adrenocorticotrophic hormone (ACTH) from the pituitary gland. Nevertheless, the mechanisms and whether GCGR is present in human pituitary are unknown. In this study we found that intravenous administration of 0.2 mg glucagon to 14 healthy subjects was not associated with increases in plasma concentrations of copeptin, GH, ACTH or cortisol over a 120-min period. GCGR immunoreactivity was present in the anterior pituitary but not in cells containing GH or ACTH. Collectively, glucagon may not directly stimulate secretion of GH, ACTH or AVP/copeptin in humans but may instead be involved in yet unidentified pituitary functions.

胰高血糖素因其通过激活主要位于肝脏的胰高血糖素受体(GCGR)来调节血糖而最为人熟知。然而,胰高血糖素对其他器官的影响也可能是其对健康和疾病产生强效作用的原因。鉴于以胰高血糖素为基础的药物正在进入抗肥胖药物领域,阐明胰高血糖素的肝外作用变得越来越重要。据报道,胰高血糖素可刺激垂体分泌精氨酸-血管加压素(AVP)/肽、生长激素(GH)和促肾上腺皮质激素(ACTH)。然而,GCGR 的机制以及是否存在于人体垂体中尚属未知。在这项研究中,我们发现给 14 名健康受试者静脉注射 0.2 毫克胰高血糖素后,120 分钟内血浆中的 copeptin、GH、ACTH 或皮质醇浓度并没有增加。GCGR 免疫反应存在于垂体前叶,但不存在于含有 GH 或 ACTH 的细胞中。总之,胰高血糖素可能不会直接刺激人体分泌促肾上腺皮质激素、促肾上腺皮质激素或 AVP/肽,而是可能参与了尚未确定的垂体功能。
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引用次数: 0
GIP-derived GIP receptor antagonists – a review of their role in GIP receptor pharmacology 源自 GIP 的 GIP 受体拮抗剂--回顾其在 GIP 受体药理学中的作用
IF 3 4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-10 DOI: 10.1016/j.peptides.2024.171212
Mette Marie Rosenkilde, Peter Lindquist, Hüsün Sheyma Kizilkaya, Lærke Smidt Gasbjerg

Surprisingly, agonists, as well as antagonists of the glucose-dependent insulinotropic polypeptide receptor (GIPR), are currently being used or investigated as treatment options for type 2 diabetes and obesity – and both, when combined with glucagon-like peptide 1 receptor (GLP-1R) agonism, enhance GLP-1-induced glycemia and weight loss further. This paradox raises several questions regarding not only the mechanisms of actions of GIP but also the processes engaged during the activation of both the GIP and GLP-1 receptors. Here, we provide an overview of studies of the properties and actions of peptide-derived GIPR antagonists, focusing on GIP(3-30)NH2, a naturally occurring N- and C-terminal truncation of GIP(1−42). GIP(3−30)NH2 was the first GIPR antagonist administered to humans. GIP(3−30)NH2 and a few additional antagonists, like Pro3-GIP, have been used in both in vitro and in vivo studies to elucidate the molecular and cellular consequences of GIPR inhibition, desensitization, and internalization and, at a larger scale, the role of the GIP system in health and disease. We provide an overview of these studies combined with recent knowledge regarding the effects of naturally occurring variants of the GIPR system and species differences within the GIP system to enhance our understanding of the GIPR as a drug target.

令人惊讶的是,葡萄糖依赖性胰岛素促泌多肽受体(GIPR)的激动剂和拮抗剂目前正被用作或研究作为治疗 2 型糖尿病和肥胖症的备选方案,而这两种药物在与胰高血糖素样肽 1 受体(GLP-1R)激动剂结合使用时,都能进一步提高 GLP-1 诱导的血糖和减肥效果。这一悖论不仅提出了有关 GIP 作用机制的几个问题,还提出了有关 GIP 和 GLP-1 受体激活过程的几个问题。在此,我们概述了有关肽源 GIPR 拮抗剂的特性和作用的研究,重点是 GIP(3-30)NH2 - 一种天然存在的 GIP(1-42) 的 N 端和 C 端截断物。GIP(3-30)NH2 是第一个用于人体的 GIPR 拮抗剂。GIP(3-30)NH2 和其他一些拮抗剂(如 Pro3-GIP)已被用于体外和体内研究,以阐明 GIPR 抑制、脱敏和内化的分子和细胞后果,并在更大范围内阐明 GIP 系统在健康和疾病中的作用。我们对这些研究进行了综述,并结合有关 GIPR 系统天然变体的影响和 GIP 系统内物种差异的最新知识,加深了我们对 GIPR 作为药物靶点的理解。
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引用次数: 0
Identification and utility exploration of a highly potent and long-acting bullfrog GLP-1 analogue in GLP-1 and amylin combination therapy 一种强效长效牛蛙 GLP-1 类似物在 GLP-1 和淀粉样蛋白联合疗法中的鉴定和实用性探索
IF 3 4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-04 DOI: 10.1016/j.peptides.2024.171203
Xiao Sun , Dawei Yang , Yan Li , Jingjing Shi , Xiaolong Zhang , Tingzhuang Yi

This study assesses the efficacy of an innovative therapeutic approach that combines GLP-1 and amylin analogues for weight reduction. Focusing on GLP-1 analogues from bullfrog (Rana catesbeiana), we designed ten bGLP-1 analogues with various modifications. Among them, bGLP-10 showed high potency in binding and activating GLP-1 receptors, with superior albumin affinity. In diet-induced obesity (DIO) mice fed a high-fat diet, bGLP-10 demonstrated significant superiority over semaglutide in reducing blood sugar and food intake at a dose of 10 nmol/kg (P < 0.001). Notably, in a chronic study involving DIO mice, the combination of bGLP-10 with the amylin analogue cagrilintide led to a more substantial weight loss (-38.4%, P < 0.001) compared to either the semaglutide-cagrilintide combination (-23.0%) or cagrilintide (-5.7%), bGLP-10 (-16.1%), and semaglutide (-10.9%) alone. Furthermore, the bGLP-10 and cagrilintide combination exhibited superior glucose control and liver lipid management compared to the semaglutide-cagrilintide combination (P < 0.001). These results highlight bGLP-10’s potential in GLP-1 and amylin-based therapies and suggest exploring more GLP-1 analogues from natural sources for anti-obesity and anti-diabetic treatments.

本研究评估了结合 GLP-1 和淀粉样蛋白类似物的创新治疗方法对减轻体重的疗效。我们以牛蛙(Rana catesbeiana)的 GLP-1 类似物为重点,设计了十种经过不同修饰的 bGLP-1 类似物。其中,bGLP-10 在结合和激活 GLP-1 受体方面表现出很高的效力,并具有较好的白蛋白亲和力。在饮食诱导肥胖(DIO)小鼠中,bGLP-10 在降低血糖和食物摄入量方面明显优于剂量为 10 nmol/kg 的semaglutide(P < 0.001)。值得注意的是,在一项涉及 DIO 小鼠的慢性研究中,bGLP-10 与淀粉样蛋白类似物卡格列汀(cagrilintide)的组合导致的体重减轻(-38.4%,P < 0.001)比单独使用 semaglutide-cagrilintide 组合(-23.0%)或卡格列汀(-5.7%)、bGLP-10(-16.1%)和 semaglutide(-10.9%)更显著。此外,与semaglutide-cagrilintide组合相比,bGLP-10和卡格列奈组合的血糖控制和肝脂管理效果更佳(P < 0.001)。这些结果凸显了bGLP-10在基于GLP-1和淀粉样蛋白的疗法中的潜力,并建议探索更多天然来源的GLP-1类似物用于抗肥胖和抗糖尿病治疗。
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引用次数: 0
Targeting the GLP-2 receptor in the management of obesity 靶向 GLP-2 受体治疗肥胖症
IF 3 4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-03 DOI: 10.1016/j.peptides.2024.171210
Thorir G. Pálsson , Hannah Gilliam-Vigh , Benjamin A.H. Jensen , Palle B. Jeppesen , Asger B. Lund , Filip K. Knop , Casper K. Nielsen

Recent advancements in understanding glucagon-like peptide 2 (GLP-2) biology and pharmacology have sparked interest in targeting the GLP-2 receptor (GLP-2R) in the treatment of obesity. GLP-2 is a proglucagon-derived 33-amino acid peptide co-secreted from enteroendocrine L cells along with glucagon-like peptide 1 (GLP-1) and has a range of actions via the GLP-2R, which is particularly expressed in the gastrointestinal tract, the liver, adipose tissue, and the central nervous system (CNS). In humans, GLP-2 evidently induces intestinotrophic effects (i.e., induction of intestinal mucosal proliferation and improved gut barrier function) and promotes mesenteric blood flow. However, GLP-2 does not seem to have appetite or food intake-reducing effects in humans, but its gut barrier-promoting effect may be of interest in the context of obesity. Obesity is associated with reduced gut barrier function, increasing the translocation of proinflammatory gut content to the circulation. This phenomenon constitutes a strong driver of obesity-associated systemic low-grade inflammation, which in turn plays a major role in the development of most obesity-associated complications. Thus, the intestinotrophic and gut barrier-improving effect of GLP-2, which in obese rodent models shows strong anti-inflammatory potential, may, in combination with food intake-reducing strategies, e.g., GLP-1 receptor (GLP-1) agonism, be able to rectify core pathophysiological mechanism of obesity. Here, we provide an overview of GLP-2 physiology in the context of obesity pathophysiology and review the pharmacological potential of GLP-2R activation in the management of obesity and related comorbidities.

最近,人们对胰高血糖素样肽 2(GLP-2)生物学和药理学的认识取得了进展,这引发了人们对靶向 GLP-2 受体(GLP-2R)治疗肥胖症的兴趣。GLP-2 是一种由胰高血糖素衍生的 33 氨基酸肽,与胰高血糖素样肽 1(GLP-1)一起从肠内分泌 L 细胞中共同分泌,并通过 GLP-2R 发挥一系列作用,GLP-2R 尤其在胃肠道、肝脏、脂肪组织和中枢神经系统(CNS)中表达。在人体中,GLP-2 可明显诱导肠营养作用(即诱导肠粘膜增生和改善肠道屏障功能),并促进肠系膜血流。然而,GLP-2 似乎对人类没有降低食欲或食物摄入量的作用,但其促进肠道屏障的作用可能对肥胖症有意义。肥胖与肠道屏障功能降低有关,这增加了肠道中促炎性成分向血液循环的转移。这种现象是肥胖相关全身性低度炎症的强大驱动力,而这种炎症反过来又在大多数肥胖相关并发症的发生中扮演重要角色。因此,在肥胖啮齿动物模型中显示出强大抗炎潜力的 GLP-2 的肠道营养和肠道屏障改善作用,与 GLP-1 受体(GLP-1)激动等减少食物摄入策略相结合,可能能够纠正肥胖的核心病理生理机制。在此,我们概述了肥胖病理生理学背景下的 GLP-2 生理,并回顾了激活 GLP-2R 在治疗肥胖及相关合并症方面的药理潜力。
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引用次数: 0
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