OL3, a novel low-absorbed TGR5 agonist with reduced side effects, lowered blood glucose via dual actions on TGR5 activation and DPP-4 inhibition
作者:Shan-yao Ma、Meng-meng Ning、Qing-an Zou、Ying Feng、Yang-liang Ye、Jian-hua Shen、Ying Leng
DOI:10.1038/aps.2016.27
日期:2016.10
TGR5 agonists stimulate intestinal glucagon-like peptide-1 (GLP-1) release, but systemic exposure causes unwanted side effects, such as gallbladder filling. In the present study, linagliptin, a DPP-4 inhibitor with a large molecular weight and polarity, and MN6, a previously described TGR5 agonist, were linked to produce OL3, a novel low-absorbed TGR5 agonist with reduced side-effects and dual function in lowering blood glucose by activation of TGR5 and inhibition of DPP-4. TGR5 activation was assayed in HEK293 cells stably expressing human or mouse TGR5 and a CRE-driven luciferase gene. DPP-4 inhibition was assessed based on the rate of hydrolysis of a surrogate substrate. GLP-1 secretion was measured in human enteroendocrine NCI-H716 cells. OL3 permeability was tested in Caco-2 cells. Acute glucose-lowering effects of OL3 were evaluated in ICR and diabetic ob/ob mice. OL3 activated human and mouse TGR5 with an EC50 of 86.24 and 17.36 nmol/L, respectively, and stimulated GLP-1 secretion in human enteroendocrine NCI-H716 cells (3â30 μmol/L). OL3 inhibited human and mouse DPP-4 with IC50 values of 18.44 and 69.98 μmol/L, respectively. Low permeability of OL3 was observed in Caco-2 cells. In ICR mice treated orally with OL3 (150 mg/kg), the serum OL3 concentration was 101.10 ng/mL at 1 h, and decreased to 13.38 ng/mL at 5.5 h post dose, confirming the low absorption of OL3 in vivo. In ICR mice and ob/ob mice, oral administration of OL3 significantly lowered the blood glucose levels, which was a synergic effect of activating TGR5 that stimulated GLP-1 secretion in the intestine and inhibiting DPP-4 that cleaved GLP-1 in the plasma. In ICR mice, oral administration of OL3 did not cause gallbladder filling. OL3 is a low-absorbed TGR5 agonist that lowers blood glucose without inducing gallbladder filling. This study presents a new strategy in the development of potent TGR5 agonists in treating type 2 diabetes, which target to the intestine to avoid systemic side effects.
TGR5激动剂能刺激肠道释放胰高血糖素样肽-1(GLP-1),但全身暴露会引起不必要的副作用,如胆囊充盈。在本研究中,将分子量大、极性强的 DPP-4 抑制剂利拉利汀和之前描述过的 TGR5 激动剂 MN6 联用,生产出一种新型低吸收 TGR5 激动剂 OL3,这种激动剂副作用小,并具有通过激活 TGR5 和抑制 DPP-4 降低血糖的双重功能。在稳定表达人或小鼠 TGR5 和 CRE 驱动荧光素酶基因的 HEK293 细胞中检测 TGR5 的活化情况。根据代底物的水解率评估 DPP-4 抑制作用。在人肠内分泌 NCI-H716 细胞中测量 GLP-1 的分泌。在 Caco-2 细胞中测试了 OL3 的渗透性。在 ICR 和糖尿病 ob/ob 小鼠中评估了 OL3 的急性降糖效果。OL3激活人和小鼠TGR5的EC50分别为86.24和17.36 nmol/L,并刺激人肠内分泌NCI-H716细胞分泌GLP-1(3â30 μ mol/L)。OL3 可抑制人和小鼠 DPP-4,其 IC50 值分别为 18.44 μmol/L 和 69.98 μmol/L 。在 Caco-2 细胞中观察到 OL3 的低渗透性。口服OL3(150毫克/千克)治疗ICR小鼠,1小时后血清中OL3浓度为101.10纳克/毫升,服药后5.5小时降至13.38纳克/毫升,证实OL3在体内的吸收率很低。在ICR小鼠和肥胖/ob小鼠中,口服OL3可显著降低血糖水平,这是激活TGR5刺激肠道分泌GLP-1和抑制DPP-4裂解血浆中GLP-1的协同效应。在ICR小鼠中,口服OL3不会引起胆囊充盈。OL3 是一种低吸收的 TGR5 激动剂,可降低血糖而不会引起胆囊充盈。这项研究为开发治疗 2 型糖尿病的强效 TGR5 激动剂提供了一种新策略,这种激动剂以肠道为靶点,可避免全身副作用。