PMID- 22808093 OWN - NLM STAT- MEDLINE DCOM- 20130326 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 7 DP - 2012 TI - Sustained exendin-4 secretion through gene therapy targeting salivary glands in two different rodent models of obesity/type 2 diabetes. PG - e40074 LID - 10.1371/journal.pone.0040074 [doi] LID - e40074 AB - Exendin-4 (Ex-4) is a Glucagon-like peptide 1 (GLP-1) receptor agonist approved for the treatment of Type 2 Diabetes (T2DM), which requires daily subcutaneous administration. In T2DM patients, GLP-1 administration is reported to reduce glycaemia and HbA1c in association with a modest, but significant weight loss. The aim of present study was to characterize the site-specific profile and metabolic effects of Ex-4 levels expressed from salivary glands (SG) in vivo, following adeno-associated virus-mediated (AAV) gene therapy in two different animal models of obesity prone to impaired glucose tolerance and T2DM, specifically, Zucker fa/fa rats and high fed diet (HFD) mice. Following percutaneous injection of AAV5 into the salivary glands, biologically active Ex-4 was detected in the blood of both animal models and expression persisted in salivary gland ductal cell until the end of the study. In treated mice, Ex-4 levels averaged 138.9+/-42.3 pmol/L on week 6 and in treated rats, mean circulating Ex-4 levels were 238.2+/-72 pmol/L on week 4 and continued to increase through week 8. Expression of Ex-4 resulted in a significant decreased weight gain in both mice and rats, significant improvement in glycemic control and/or insulin sensitivity as well as visceral adipose tissue adipokine profile. In conclusion, these results suggest that sustained site-specific expression of Ex-4 following AAV5-mediated gene therapy is feasible and may be useful in the treatment of obesity as well as trigger improved metabolic profile. FAU - Di Pasquale, Giovanni AU - Di Pasquale G AD - Molecular Physiology and Therapeutics Branch, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, Maryland, United States of America. FAU - Dicembrini, Ilaria AU - Dicembrini I FAU - Raimondi, Laura AU - Raimondi L FAU - Pagano, Claudio AU - Pagano C FAU - Egan, Josephine M AU - Egan JM FAU - Cozzi, Andrea AU - Cozzi A FAU - Cinci, Lorenzo AU - Cinci L FAU - Loreto, Andrea AU - Loreto A FAU - Manni, Maria E AU - Manni ME FAU - Berretti, Silvia AU - Berretti S FAU - Morelli, Annamaria AU - Morelli A FAU - Zheng, Changyu AU - Zheng C FAU - Michael, Drew G AU - Michael DG FAU - Maggi, Mario AU - Maggi M FAU - Vettor, Roberto AU - Vettor R FAU - Chiorini, John A AU - Chiorini JA FAU - Mannucci, Edoardo AU - Mannucci E FAU - Rotella, Carlo M AU - Rotella CM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120713 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Blood Glucose) RN - 0 (GLP1R protein, human) RN - 0 (Glp1r protein, mouse) RN - 0 (Glp1r protein, rat) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Peptides) RN - 0 (Receptors, Glucagon) RN - 0 (Venoms) RN - 9P1872D4OL (Exenatide) SB - IM MH - Animals MH - Blood Glucose/analysis MH - Dependovirus/*genetics MH - Diabetes Mellitus, Type 2/blood/*therapy MH - Diet, High-Fat/adverse effects MH - Disease Models, Animal MH - Exenatide MH - Gene Expression MH - Genetic Therapy/*methods MH - Genetic Vectors MH - Glucagon-Like Peptide-1 Receptor MH - Glucose Tolerance Test MH - Humans MH - Male MH - Mice MH - Obesity/blood/etiology/*therapy MH - Peptides/blood/*genetics/metabolism MH - Rats MH - Rats, Zucker MH - Receptors, Glucagon/agonists MH - Salivary Glands/*metabolism MH - Venoms/blood/*genetics/metabolism MH - Weight Gain PMC - PMC3396615 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2012/07/19 06:00 MHDA- 2013/03/27 06:00 PMCR- 2012/07/13 CRDT- 2012/07/19 06:00 PHST- 2012/01/09 00:00 [received] PHST- 2012/06/05 00:00 [accepted] PHST- 2012/07/19 06:00 [entrez] PHST- 2012/07/19 06:00 [pubmed] PHST- 2013/03/27 06:00 [medline] PHST- 2012/07/13 00:00 [pmc-release] AID - PONE-D-12-00873 [pii] AID - 10.1371/journal.pone.0040074 [doi] PST - ppublish SO - PLoS One. 2012;7(7):e40074. doi: 10.1371/journal.pone.0040074. Epub 2012 Jul 13.