PMID- 32468873 OWN - NLM STAT- MEDLINE DCOM- 20210108 LR - 20210108 IS - 2169-141X (Electronic) IS - 2169-1401 (Linking) VI - 48 IP - 1 DP - 2020 Dec TI - Everestmab, a novel long-acting GLP-1/anti GLP-1R nanobody fusion protein, exerts potent anti-diabetic effects. PG - 854-866 LID - 10.1080/21691401.2020.1770268 [doi] AB - In the present study, a novel single domain antibody (sdAb) fusion protein, named everestmab, composing of a mutated GLP-1(A8G) fused to the tandem bispecific humanized GLP-1R-targeting and albumin-binding nanobodies was designed and characterized for the therapies for type 2 diabetes mellitus (T2DM). Surface plasmon resonance (SPR) measurements demonstrated everestmab associates with serum albumins of rat and monkey species with high affinity, and tends to be cross-reactive with rat and monkey species. In vitro GLP-1R binding and activation assays revealed that everestmab can specifically activate the GLP-1R, and the antagonist exendin-4 (9-39) did not inhibit the activation yet. In vivo multiple oral glucose tolerance tests (OGTTs) and hypoglycaemic efficacy tests proved that a single injection of everestmab reduced the blood glucose for at least 144 h in Goto-Kakizaki (GK) rats. The plasma half-lives of 4.1 and 7.8 days were observed after a single s.c. administration of everestmab in SD rats and cynomolgus monkeys, respectively. Chronic treatment of everestmab to GK and diet induced obese (DIO) rats achieved beneficial effects on weight reducing, HbA1c lowering, glucose tolerance, liver and pancreas islet function impairment. In summary, everestmab is a unique G-protein-coupled receptor-targeted nanobody fusion protein and exerts potential as a therapeutic treatment for T2DM. FAU - Pan, Hongchao AU - Pan H AD - Department of Laboratory Medicine, Shanghai SimpleGene Medical Laboratory, Shanghai, P. R. China. AD - Department of Laboratory Medicine, Tongji Hospital of Tongji University, Shanghai, P. R. China. FAU - Su, Yunnan AU - Su Y AD - Department of Neurology, Baoshan Branch, Shanghai General Hospital, Shanghai, P. R. China. FAU - Xie, Yini AU - Xie Y AD - Department of Laboratory Medicine, The People's Hospital of Jiedong, Jieyang, P. R. China. FAU - Wang, Weiyong AU - Wang W AD - Department of Medical Center, Yandong Hospital of Yancheng City, Yancheng, P. R. China. FAU - Qiu, Wanli AU - Qiu W AD - Department of Medical Center, Yandong Hospital of Yancheng City, Yancheng, P. R. China. FAU - Chen, Wei AU - Chen W AD - Department of Experimental Medicine Center, The Sixth People's Hospital of Yancheng City, Yancheng, P. R. China. FAU - Lu, Wenying AU - Lu W AD - Department of Experimental Medicine Center, The Sixth People's Hospital of Yancheng City, Yancheng, P. R. China. FAU - Lu, Zhao AU - Lu Z AD - Department of Laboratory Medicine, Key Laboratory of Pharmaceutical Chemistry, China Pharmaceutical University, NanJing, P. R. China. FAU - Wang, Weiwei AU - Wang W AD - Department of Experimental Medicine Center, The Sixth People's Hospital of Yancheng City, Yancheng, P. R. China. FAU - Shang, Anquan AU - Shang A AD - Department of Laboratory Medicine, Tongji Hospital of Tongji University, Shanghai, P. R. China. LA - eng PT - Journal Article PL - England TA - Artif Cells Nanomed Biotechnol JT - Artificial cells, nanomedicine, and biotechnology JID - 101594777 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 0 (Recombinant Fusion Proteins) RN - 0 (Single-Domain Antibodies) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM MH - Animals MH - Diabetes Mellitus, Type 2/drug therapy MH - Glucagon-Like Peptide 1/*genetics MH - Glucagon-Like Peptide-1 Receptor/*immunology MH - Hypoglycemic Agents/pharmacokinetics/*pharmacology/therapeutic use MH - Macaca fascicularis MH - Male MH - Rats MH - Rats, Sprague-Dawley MH - Recombinant Fusion Proteins/pharmacokinetics/*pharmacology/therapeutic use MH - Single-Domain Antibodies/*pharmacology/therapeutic use MH - Tissue Distribution OTO - NOTNLM OT - Long-acting GLP-1 OT - anti-diabetic properties OT - glucose metabolism OT - human serum albumin OT - single domain antibody EDAT- 2020/05/30 06:00 MHDA- 2021/01/09 06:00 CRDT- 2020/05/30 06:00 PHST- 2020/05/30 06:00 [entrez] PHST- 2020/05/30 06:00 [pubmed] PHST- 2021/01/09 06:00 [medline] AID - 10.1080/21691401.2020.1770268 [doi] PST - ppublish SO - Artif Cells Nanomed Biotechnol. 2020 Dec;48(1):854-866. doi: 10.1080/21691401.2020.1770268.