GLP-1-mediated delivery of tesaglitazar improves obesity and glucose metabolism in male mice

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  • Carmelo Quarta
  • Kerstin Stemmer
  • Aaron Novikoff
  • Bin Yang
  • Felix Klingelhuber
  • Alex Harger
  • Mostafa Bakhti
  • Aimee Bastidas-Ponce
  • Eric Baugé
  • Jonathan E. Campbell
  • Megan Capozzi
  • Gustav Collden
  • Perla Cota
  • Jon Douros
  • Daniel J. Drucker
  • Barent DuBois
  • Annette Feuchtinger
  • Cristina Garcia-Caceres
  • Gerald Grandl
  • Nathalie Hennuyer
  • Stephan Herzig
  • Susanna M. Hofmann
  • Patrick J. Knerr
  • Konxhe Kulaj
  • Fanny Lalloyer
  • Heiko Lickert
  • Arek Liskiewicz
  • Daniela Liskiewicz
  • Gandhari Maity
  • Diego Perez-Tilve
  • Sneha Prakash
  • Miguel A. Sanchez-Garrido
  • Qian Zhang
  • Bart Staels
  • Natalie Krahmer
  • Richard D. DiMarchi
  • Matthias H. Tschöp
  • Brian Finan
  • Timo D. Müller

Dual agonists activating the peroxisome proliferator-activated receptors alpha and gamma (PPARɑ/ɣ) have beneficial effects on glucose and lipid metabolism in patients with type 2 diabetes, but their development was discontinued due to potential adverse effects. Here we report the design and preclinical evaluation of a molecule that covalently links the PPARɑ/ɣ dual-agonist tesaglitazar to a GLP-1 receptor agonist (GLP-1RA) to allow for GLP-1R-dependent cellular delivery of tesaglitazar. GLP-1RA/tesaglitazar does not differ from the pharmacokinetically matched GLP-1RA in GLP-1R signalling, but shows GLP-1R-dependent PPARɣ-retinoic acid receptor heterodimerization and enhanced improvements of body weight, food intake and glucose metabolism relative to the GLP-1RA or tesaglitazar alone in obese male mice. The conjugate fails to affect body weight and glucose metabolism in GLP-1R knockout mice and shows preserved effects in obese mice at subthreshold doses for the GLP-1RA and tesaglitazar. Liquid chromatography–mass spectrometry-based proteomics identified PPAR regulated proteins in the hypothalamus that are acutely upregulated by GLP-1RA/tesaglitazar. Our data show that GLP-1RA/tesaglitazar improves glucose control with superior efficacy to the GLP-1RA or tesaglitazar alone and suggest that this conjugate might hold therapeutic value to acutely treat hyperglycaemia and insulin resistance.

OriginalsprogEngelsk
TidsskriftNature Metabolism
Vol/bind4
Udgave nummer8
Sider (fra-til)1071-1083
Antal sider13
ISSN2522-5812
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
This work was funded by Novo Nordisk. M.H.T. further received funding from the Alexander von Humboldt Foundation, the Helmholtz Alliance ICEMED and the Helmholtz Initiative on Personalized Medicine iMed by Helmholtz Association, the Helmholtz cross-programme topic Metabolic Dysfunction and the European Research Council (ERC) AdG HypoFlam no. 695054. T.D.M. received research funding from the German Research Foundation (DFG) grant nos. GRK 2816/1, TRR152, TRR296 and SFB1123, and the German Center for Diabetes Research (DZD e.V.). S.M.H. received funding from the German Research Foundation (DFG) grant no. SFB1123. D.J.D. is supported by CIHR grant no. 154321, a Banting and Best Diabetes Centre Novo Nordisk Chair in Incretin biology and the Sinai Health Novo Nordisk Foundation Fund in regulatory peptides. C.Q. acknowledges support by INSERM, Agence Nationale de la Recherche (neuroIDobese, grant no. ANR-20-CE14-0046), Société Française d’Endocrinologie (Pfizer–SFE Prix de Recherche en Endocrinologie), Société Française de Nutrition and Société Francophone du Diabète. C.G.-C. received funding from the ERC STG (AstroNeuroCrosstalk no. 757393). B.S., E.B. and N.H. acknowledge support by the Agence Nationale de la Recherche (grant no. ANR-10-LABX-0046) European Genomic Institute for Diabetes.

Publisher Copyright:
© 2022, The Author(s).

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