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靶向 GLP-1 受体转运以提高激动剂疗效。

Targeting GLP-1 receptor trafficking to improve agonist efficacy.

机构信息

Section of Investigative Medicine, Imperial College London, London, W12 0NN, UK.

Section of Cell Biology and Functional Genomics, Imperial College London, London, W12 0NN, UK.

出版信息

Nat Commun. 2018 Apr 23;9(1):1602. doi: 10.1038/s41467-018-03941-2.

DOI:10.1038/s41467-018-03941-2
PMID:29686402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5913239/
Abstract

Glucagon-like peptide-1 receptor (GLP-1R) activation promotes insulin secretion from pancreatic beta cells, causes weight loss, and is an important pharmacological target in type 2 diabetes (T2D). Like other G protein-coupled receptors, the GLP-1R undergoes agonist-mediated endocytosis, but the functional and therapeutic consequences of modulating GLP-1R endocytic trafficking have not been clearly defined. Here, we investigate a series of biased GLP-1R agonists with variable propensities for GLP-1R internalization and recycling. Compared to a panel of FDA-approved GLP-1 mimetics, compounds that retain GLP-1R at the plasma membrane produce greater long-term insulin release, which is dependent on a reduction in β-arrestin recruitment and faster agonist dissociation rates. Such molecules elicit glycemic benefits in mice without concomitant increases in signs of nausea, a common side effect of GLP-1 therapies. Our study identifies a set of agents with specific GLP-1R trafficking profiles and the potential for greater efficacy and tolerability as T2D treatments.

摘要

胰高血糖素样肽-1 受体 (GLP-1R) 的激活可促进胰岛β细胞分泌胰岛素,减轻体重,是 2 型糖尿病 (T2D) 的重要药物靶点。与其他 G 蛋白偶联受体一样,GLP-1R 会发生激动剂介导的内吞作用,但调节 GLP-1R 内吞作用的功能和治疗后果尚未明确界定。在这里,我们研究了一系列具有不同 GLP-1R 内化和回收倾向的偏向性 GLP-1R 激动剂。与一系列 FDA 批准的 GLP-1 类似物相比,保留在质膜上的 GLP-1R 的化合物会产生更大的长期胰岛素释放,这依赖于β-arrestin 募集的减少和更快的激动剂解离速率。此类分子可在不增加恶心迹象(GLP-1 治疗的常见副作用)的情况下,在小鼠中产生降血糖作用。我们的研究确定了一组具有特定 GLP-1R 转运特征的药物,它们具有作为 T2D 治疗方法的更大疗效和更好耐受性的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/d863545c3e30/41467_2018_3941_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/fdc08a9dd2b5/41467_2018_3941_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/1df60bf82b6f/41467_2018_3941_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/926678d29df7/41467_2018_3941_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/ea1422d3aea1/41467_2018_3941_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/44ab0d3ca004/41467_2018_3941_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/507b3446c0b8/41467_2018_3941_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/3c5d9fcd7fc3/41467_2018_3941_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/8bb3978f8fa6/41467_2018_3941_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/d863545c3e30/41467_2018_3941_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/fdc08a9dd2b5/41467_2018_3941_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/1df60bf82b6f/41467_2018_3941_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/926678d29df7/41467_2018_3941_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/ea1422d3aea1/41467_2018_3941_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/44ab0d3ca004/41467_2018_3941_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/507b3446c0b8/41467_2018_3941_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/3c5d9fcd7fc3/41467_2018_3941_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/8bb3978f8fa6/41467_2018_3941_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1199/5913239/d863545c3e30/41467_2018_3941_Fig9_HTML.jpg

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