PMID- 30795583 OWN - NLM STAT- MEDLINE DCOM- 20190610 LR - 20200225 IS - 1420-3049 (Electronic) IS - 1420-3049 (Linking) VI - 24 IP - 4 DP - 2019 Feb 21 TI - Novel Site-Specific Fatty Chain-Modified GLP-1 Receptor Agonist with Potent Antidiabetic Effects. LID - 10.3390/molecules24040779 [doi] LID - 779 AB - Glucagon-like peptide-1 receptor (GLP-1R) agonists have emerged as treatment options for type 2 diabetes mellitus (T2DM). Here, we designed a high-throughput GLP-1R extracellular domain (ECD)-based system that enabled the screening of high-potency receptor-biased GLP-1R agonists demonstrating new pharmacological virtues. Firstly, six 12-mer peptides (termed PEP01(-)06), screened from a large phage displayed peptide library were fused to the N-terminus of Exendin-4 (29(-)39) to generate PEP07(-)12. By the use of four lysine-altered PEP07 (PEP13(-)16) as the starting point, a series of fatty chain conjugates (PEP17(-)20) were synthesized and evaluated by in vitro GLP-1R-based cell assays. In addition, the acute and long-term in vivo effects on diet-induced obesity (DIO) mice were further evaluated. All four conjugates showed good receptor activation efficacy, and PEP20 was selected to undergo further assessment. Preclinical experiments in DIO mice demonstrated that PEP20 had significant insulinotropic activities and glucose-lowering abilities. Moreover, a prolonged antidiabetic effect of PEP20 was also observed by the hypoglycemic test in DIO mice. Furthermore, long-term treatment with PEP20 achieved beneficial effects on the food intake, weight gain, hemoglobin A1C (HbA1C) lowering activity, and glucose tolerance compared with the control and was similar to the Liraglutide. In conclusion, PEP20, a GLP-1R ECD-biased agonist, may provide a novel therapeutic approach to T2DM. FAU - Zhong, Xia AU - Zhong X AD - College of Life Science and Technology, Jinan University, Guangzhou 510000, China. x_zhong@outlook.com. AD - Reyoung Biopharmaceuticals Co., Ltd, Suzhou 215000, China. x_zhong@outlook.com. FAU - Chen, Zhu AU - Chen Z AD - Reyoung Biopharmaceuticals Co., Ltd, Suzhou 215000, China. Zchen@163.com. AD - East China University of Science and Technology, Shanghai 200000, China. Zchen@163.com. FAU - Chen, Qiong AU - Chen Q AD - Reyoung Biopharmaceuticals Co., Ltd, Suzhou 215000, China. qchen0862@yeah.net. FAU - Zhao, Wei AU - Zhao W AD - Reyoung Biopharmaceuticals Co., Ltd, Suzhou 215000, China. zwei1008@163.com. FAU - Chen, Zhi AU - Chen Z AD - East China University of Science and Technology, Shanghai 200000, China. Paulchan121@outlook.com. LA - eng PT - Journal Article DEP - 20190221 PL - Switzerland TA - Molecules JT - Molecules (Basel, Switzerland) JID - 100964009 RN - 0 (Fatty Acids) RN - 0 (Glp1r protein, mouse) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Glycoconjugates) RN - 0 (Hypoglycemic Agents) RN - 0 (Peptide Library) RN - 0 (Peptides) RN - 9P1872D4OL (Exenatide) SB - IM MH - Amino Acid Sequence MH - Animals MH - Binding Sites MH - Cell Line MH - Diet, High-Fat/adverse effects MH - Exenatide/genetics/metabolism MH - Fatty Acids/chemistry MH - Gene Expression Regulation MH - Glucagon-Like Peptide-1 Receptor/*agonists/genetics/metabolism MH - Glucose Tolerance Test MH - Glycoconjugates/chemistry/metabolism/*pharmacology MH - Hyperglycemia/*drug therapy/etiology/genetics/metabolism MH - Hypoglycemic Agents/chemistry/metabolism/*pharmacology MH - Insulin-Secreting Cells/*drug effects/metabolism/pathology MH - Male MH - Mice MH - Obesity/*drug therapy/etiology/genetics/metabolism MH - Peptide Library MH - Peptides/chemistry/metabolism/pharmacology MH - Protein Binding MH - Rats MH - Structure-Activity Relationship PMC - PMC6412877 OTO - NOTNLM OT - Exendin-4 OT - Glucagon-like peptide-1 receptor OT - antidiabetic effects OT - extracellular domain OT - fatty chain COIS- The authors declare no conflicts of interest. EDAT- 2019/02/24 06:00 MHDA- 2019/06/14 06:00 PMCR- 2019/02/21 CRDT- 2019/02/24 06:00 PHST- 2019/01/16 00:00 [received] PHST- 2019/02/15 00:00 [revised] PHST- 2019/02/15 00:00 [accepted] PHST- 2019/02/24 06:00 [entrez] PHST- 2019/02/24 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2019/02/21 00:00 [pmc-release] AID - molecules24040779 [pii] AID - molecules-24-00779 [pii] AID - 10.3390/molecules24040779 [doi] PST - epublish SO - Molecules. 2019 Feb 21;24(4):779. doi: 10.3390/molecules24040779.