Design of Novel Exendin-Based Dual Glucagon-like Peptide 1 (GLP-1)/Glucagon Receptor Agonists

J Med Chem. 2017 May 25;60(10):4293-4303. doi: 10.1021/acs.jmedchem.7b00174. Epub 2017 May 5.

Abstract

Dual activation of the glucagon-like peptide 1 (GLP-1) and glucagon receptor has the potential to lead to a novel therapy principle for the treatment of diabesity. Here, we report a series of novel peptides with dual activity on these receptors that were discovered by rational design. On the basis of sequence analysis and structure-based design, structural elements of glucagon were engineered into the selective GLP-1 receptor agonist exendin-4, resulting in hybrid peptides with potent dual GLP-1/glucagon receptor activity. Detailed structure-activity relationship data are shown. Further modifications with unnatural and modified amino acids resulted in novel metabolically stable peptides that demonstrated a significant dose-dependent decrease in blood glucose in chronic studies in diabetic db/db mice and reduced body weight in diet-induced obese (DIO) mice. Structural analysis by NMR spectroscopy confirmed that the peptides maintain an exendin-4-like structure with its characteristic tryptophan-cage fold motif that is responsible for favorable chemical and physical stability.

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Blood Glucose / analysis
  • Blood Glucose / metabolism
  • Body Weight / drug effects
  • Drug Design*
  • Exenatide
  • Female
  • Glucagon / metabolism
  • Glucagon-Like Peptide 1 / agonists*
  • Glucagon-Like Peptide 1 / chemistry
  • Glucagon-Like Peptide 1 / metabolism
  • Glucagon-Like Peptide-1 Receptor / agonists*
  • Glucagon-Like Peptide-1 Receptor / chemistry
  • Glucagon-Like Peptide-1 Receptor / metabolism
  • Hypoglycemic Agents / blood
  • Hypoglycemic Agents / chemistry
  • Hypoglycemic Agents / pharmacology
  • Mice, Inbred C57BL
  • Mice, Obese
  • Molecular Docking Simulation
  • Obesity / drug therapy
  • Obesity / metabolism
  • Peptides / blood
  • Peptides / chemistry*
  • Peptides / pharmacology*
  • Structure-Activity Relationship
  • Swine
  • Venoms / blood
  • Venoms / chemistry*
  • Venoms / pharmacology*

Substances

  • Blood Glucose
  • Glucagon-Like Peptide-1 Receptor
  • Hypoglycemic Agents
  • Peptides
  • Venoms
  • Glucagon-Like Peptide 1
  • Glucagon
  • Exenatide