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将艾塞那肽类似物进行位点特异性聚乙二醇化处理显著提高了它们的血糖调节活性。

Site-specific PEGylation of exenatide analogues markedly improved their glucoregulatory activity.

机构信息

King's Lab, School of Pharmacy, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Br J Pharmacol. 2011 May;163(2):399-412. doi: 10.1111/j.1476-5381.2011.01227.x.

DOI:10.1111/j.1476-5381.2011.01227.x
PMID:21244372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3087140/
Abstract

BACKGROUND AND PURPOSE

Exenatide is a 39-amino-acid peptide widely used to manage type 2 diabetes mellitus. However, it has a short plasma half-life and requires a twice daily injection regime. To overcome these drawbacks we used maleimide-polyethylene glycol to induce site-specific PEGylation.

EXPERIMENTAL APPROACH

The analogue PB-105 (ExC39) was produced by replacing cysteine at position 39 of exenatide to provide a free thiol group. PB-105 showed the same glucoregulatory activity as exenatide in mice. Site-specific PEGylation of PB-105 was performed to produce PB-110 (ExC39PEG5kDa), PB-106 (ExC39PEG20kDa), PB-107 (ExC39PEG30kDa) and PB-108 (ExC39PEG40kDa). Their effects on intracellular cAMP, acute glucoregulatory activity and pharmacokinetic profile were compared in mice and rats.

KEY RESULTS

PEGylation shifted the concentration-response curve of PB-105 to the right in a parallel, polyethylene glycol mass-dependent manner but with an inflexion point of at least 20 kDa. The activities of PB-107 and PB-108 but not PB-106 were reduced by 90% and 99%. PEGylation affected in vivo glucoregulatory activity in the same 'Inflexion-Shift' fashion at least at 20 kDa, but linearly increased plasma duration and systemic exposure without inflexion. PB-106 had a plasma t(1/2) approximately 10-fold that of PB-105, and exhibited superior glucoregulatory activity compared with PB-105 in normal and diabetic mice.

CONCLUSIONS AND IMPLICATIONS

Site-specific PEGylation of exenatide with a permanent amide linkage affects its activity in a new type of 'Inflexion-Shift' fashion. PB-106 is a putative new analogue for treating diabetes; it possesses no loss of in vitro activity, prolonged plasma duration and superior, improved in vivo glucoregulatory activity compared with exenatide.

摘要

背景与目的

艾塞那肽是一种由 39 个氨基酸组成的肽,广泛用于治疗 2 型糖尿病。然而,它的血浆半衰期较短,需要每天注射两次。为了克服这些缺点,我们使用马来酰亚胺-聚乙二醇诱导定点 PEG 化。

实验方法

通过将位置 39 的半胱氨酸替换为艾塞那肽,产生类似物 PB-105(ExC39),从而提供一个游离的巯基。PB-105 在小鼠中表现出与艾塞那肽相同的血糖调节活性。对 PB-105 进行定点 PEG 化,得到 PB-110(ExC39PEG5kDa)、PB-106(ExC39PEG20kDa)、PB-107(ExC39PEG30kDa)和 PB-108(ExC39PEG40kDa)。在小鼠和大鼠中比较了它们对细胞内 cAMP、急性血糖调节活性和药代动力学特征的影响。

主要结果

PEG 化以平行、聚乙二醇质量依赖性的方式将 PB-105 的浓度-反应曲线向右移动,但拐点至少为 20 kDa。PB-107 和 PB-108 的活性降低了 90%和 99%,但 PB-106 的活性没有降低。PEG 化以至少 20 kDa 的相同“拐点-移位”方式影响体内血糖调节活性,但呈线性增加血浆持续时间和全身暴露,没有拐点。PB-106 的血浆 t(1/2)约为 PB-105 的 10 倍,在正常和糖尿病小鼠中表现出优于 PB-105 的血糖调节活性。

结论和意义

艾塞那肽的定点 PEG 化与永久酰胺键结合,以一种新的“拐点-移位”方式影响其活性。PB-106 是一种潜在的新型糖尿病治疗药物,与艾塞那肽相比,它不丧失体外活性,延长了血浆持续时间,并具有更好、更优的体内血糖调节活性。

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本文引用的文献

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Exenatide: first-in-class incretin mimetic for the treatment of Type 2 diabetes mellitus.艾塞那肽:用于治疗2型糖尿病的首个同类肠促胰岛素类似物。
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The major determinant of exendin-4/glucagon-like peptide 1 differential affinity at the rat glucagon-like peptide 1 receptor N-terminal domain is a hydrogen bond from SER-32 of exendin-4.外源性胰高血糖素样肽-1/胰高血糖素样肽-1 受体 N 端结构域亲和力差异的主要决定因素是外源性胰高血糖素样肽-4 中 SER-32 的氢键。
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Exendin-4 increases blood glucose levels acutely in rats by activation of the sympathetic nervous system.Exendin-4 通过激活交感神经系统使大鼠的血糖水平急性升高。
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Patient characteristics, drug adherence patterns, and hypoglycemia costs for patients with type 2 diabetes mellitus newly initiated on exenatide or insulin glargine.新起始用艾塞那肽或甘精胰岛素的 2 型糖尿病患者的患者特征、药物依从性模式和低血糖成本。
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