Ji Wan-Wan, Yu Dong-An, Fan Min, You Meng, Lu You, Li Er-Bing, Xie Ning, Yan Shou-Sheng
Jiangsu T-mab BioPharma Co., Ltd, G03, 1# Yao-Cheng Avenue, Taizhou, Jiangsu, People's Republic of China.
Nanjing Biomedical Research Institute of Nanjing University, 12#, Xue-Fu Road, Nanjing, Jiangsu, People's Republic of China.
Acta Diabetol. 2017 Jul;54(7):685-693. doi: 10.1007/s00592-017-0992-z. Epub 2017 Apr 19.
GLP-1-based strategies have many advantages in treatment of type 2 diabetes mellitus (T2DM), but native GLP-1 has a short half-life in the circulation, which limits its clinical application. The purpose of this study was to evaluate the effects of GW002, a novel recombinant GLP-1 analog fusion protein produced by linking the human GLP-1 analog C-terminus to the N-terminus of human serum albumin via a linker, in vitro and in BKS-db mice.
To determine whether GW002 can activate the GLP-1 receptor in cells, the level of luciferase expression was evaluated in vitro. In vivo, body weight, food intake, non-fasting and fasting blood glucose, oral glucose tolerance test, blood glucose and insulin levels, liver histology, liver function parameters and antibody levels in BKS-db mice were investigated to evaluate the effects of GW002. Albiglutide was chosen as a positive comparator.
Cyclic adenosine monophosphate levels were increased in a dose-dependent manner in cells. In vivo studies demonstrated that GW002 lowers non-fasting and fasting blood glucose levels and improves glucose tolerance and insulin secretion in BKS-db mice. The degree of hepatic steatosis and hepatic biochemical indexes was also decreased. In this study, the mice body weight was not reduced significantly.
The above results showed that the efficacy of GW002 in BKS-db mice displayed a significant hypoglycemic effect, which indicated that GW002 might be a potential candidate for the treatment of T2DM.
基于胰高血糖素样肽-1(GLP-1)的治疗策略在2型糖尿病(T2DM)治疗中具有诸多优势,但天然GLP-1在循环中的半衰期较短,这限制了其临床应用。本研究旨在评估GW002(一种通过连接子将人GLP-1类似物C末端与人血清白蛋白N末端连接产生的新型重组GLP-1类似物融合蛋白)在体外及BKS-db小鼠体内的作用。
为确定GW002是否能在细胞中激活GLP-1受体,体外评估荧光素酶表达水平。在体内,研究BKS-db小鼠的体重、食物摄入量、非空腹和空腹血糖、口服葡萄糖耐量试验、血糖和胰岛素水平、肝脏组织学、肝功能参数及抗体水平,以评估GW002的作用。选择阿必鲁肽作为阳性对照。
细胞中环磷酸腺苷水平呈剂量依赖性增加。体内研究表明,GW002可降低BKS-db小鼠的非空腹和空腹血糖水平,改善葡萄糖耐量和胰岛素分泌。肝脂肪变性程度和肝脏生化指标也有所降低。在本研究中,小鼠体重未显著降低。
上述结果表明,GW002在BKS-db小鼠中的疗效显示出显著的降血糖作用,这表明GW002可能是治疗T2DM的潜在候选药物。