Gene therapy of diabetes using a novel GLP-1/IgG1-Fc fusion construct normalizes glucose levels in db/db mice

M Kumar, Y Hunag, Y Glinka, GJ Prud'Homme, Q Wang - Gene therapy, 2007 - nature.com
M Kumar, Y Hunag, Y Glinka, GJ Prud'Homme, Q Wang
Gene therapy, 2007nature.com
Abstract Glucagon-like peptide (GLP-1), a major physiological incretin, plays numerous
important roles in modulating blood glucose homeostasis and has been proposed for the
treatment of type 2 diabetes. The major obstacles for using native GLP-1 as a therapeutic
agent are that it must be delivered by a parenteral route and has a short half-life. In an
attempt to develop a strategy to prolong the physiological t 1/2 and enhance the potency of
GLP-1, a fusion protein consisting of active human GLP-1 and mouse IgG 1 heavy chain …
Abstract
Glucagon-like peptide (GLP-1), a major physiological incretin, plays numerous important roles in modulating blood glucose homeostasis and has been proposed for the treatment of type 2 diabetes. The major obstacles for using native GLP-1 as a therapeutic agent are that it must be delivered by a parenteral route and has a short half-life. In an attempt to develop a strategy to prolong the physiological t 1/2 and enhance the potency of GLP-1, a fusion protein consisting of active human GLP-1 and mouse IgG 1 heavy chain constant regions (GLP-1/Fc) was generated. A plasmid encoding an IgK leader peptide-driven secretable fusion protein of the active GLP-1 and IgG 1-Fc was constructed for mammalian expression. This plasmid allows for expression of bivalent GLP-1 peptide ligands as a result of IgG-Fc homodimerization. In vitro studies employing purified GLP-1/Fc indicate that the fusion protein is functional and elevates cAMP levels in insulin-secreting INS-1 cells. In addition, it stimulates insulin secretion in a glucose concentration-dependent manner. Intramuscular gene transfer of the plasmid in db/db mice demonstrated that expression of the GLP-1/Fc peptide normalizes glucose tolerance by enhancing insulin secretion and suppressing glucagon release. This strategy of using a bivalent GLP-1/Fc fusion protein as a therapeutic agent is a novel approach for the treatment of diabetes.
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