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Animal Models

Comparison of the independent and combined metabolic effects of subchronic modulation of CCK and GIP receptor action in obesity-related diabetes

Abstract

OBJECTIVE:

Compromise of gastric inhibitory polypeptide (GIP) receptor action and activation of cholecystokinin (CCK) receptors represent mechanistically different approaches to the possible treatment of obesity-related diabetes. In the present study, we have compared the individual and combined effects of (Pro3)GIP[mPEG] and (pGlu-Gln)-CCK-8 as an enzymatically stable GIP receptor antagonist and CCK receptor agonist molecule, respectively.

RESULTS:

Twice-daily injections of (pGlu-Gln)-CCK-8 alone and in combination with (Pro3)GIP[mPEG] in high-fat-fed mice for 34 days significantly decreased the energy intake throughout the entire study (P<0.05 to P<0.01). Body weights were significantly depressed (P<0.05 to P<0.01) in all treatment groups from day 18 onwards. Administration of (pGlu-Gln)-CCK-8, (Pro3)GIP[mPEG] or a combination of both peptides significantly (P<0.01 to P<0.001) decreased the overall glycaemic excursion in response to both oral and intraperitoneal glucose challenge when compared with the controls. Furthermore, oral glucose tolerance returned to lean control levels in all treatment groups. The beneficial effects on glucose homeostasis were not associated with altered insulin levels in any of the treatment groups. In keeping with this, the estimated insulin sensitivity was restored to control levels by twice-daily treatment with (pGlu-Gln)-CCK-8, (Pro3)GIP[mPEG] or a combination of both peptides. The blood lipid profile on day 34 was not significantly different between the high-fat controls and all treated mice.

CONCLUSION:

These studies highlight the potential of (pGlu-Gln)-CCK-8 and (Pro3)GIP[mPEG] in the treatment of obesity-related diabetes, but there was no evidence of a synergistic effect of the combined treatment.

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References

  1. Gault VA, Flatt PR, O’Harte FP . Glucose-dependent insulinotropic polypeptide analogues and their therapeutic potential for the treatment of obesity-diabetes. Biochem Biophys Res Commun 2003; 308: 207–213.

    Article  CAS  Google Scholar 

  2. Creutzfeldt W . The entero-insular axis in type 2 diabetes--incretins as therapeutic agents. Exp Clin Endocrinol Diabetes 2001; 109: S288–S303.

    Article  CAS  Google Scholar 

  3. Irwin N, Flatt PR . Evidence for beneficial effects of compromised gastric inhibitory polypeptide action in obesity-related diabetes and possible therapeutic implications. Diabetologia 2009; 52: 1724–1731.

    Article  CAS  Google Scholar 

  4. Yip RG, Boylan MO, Kieffer TJ, Wolfe MM . Functional GIP receptors are present on adipocytes. Endocrinology 1998; 139: 4004–4007.

    Article  CAS  Google Scholar 

  5. Kim SJ, Nian C, McIntosh CH . GIP increases human adipocyte LPL expression through CREB and TORC2-mediated trans-activation of the LPL gene. J Lipid Res 2010; 51: 3145–3157.

    Article  CAS  Google Scholar 

  6. Irwin N, Flatt PR . Therapeutic potential for GIP receptor agonists and antagonists. Best Pract Res Clin Endocrinol Metab 2009; 23: 499–512.

    Article  CAS  Google Scholar 

  7. Miyawaki K, Yamada Y, Ban N, Ihara Y, Tsukiyama K, Zhou H et al. Inhibition of gastric inhibitory polypeptide signaling prevents obesity. Nat Med 2002; 8: 738–742.

    Article  CAS  Google Scholar 

  8. Gault VA, O’Harte FP, Harriott P, Flatt PR . Characterization of the cellular and metabolic effects of a novel enzyme-resistant antagonist of glucose-dependent insulinotropic polypeptide. Biochem Biophys Res Commun 2002; 290: 1420–1426.

    Article  CAS  Google Scholar 

  9. Woods SC, West DB, Stein LJ, McKay LD, Lotter EC, Porte SG et al. Peptides and the control of meal size. Diabetologia 1981; 20: S305–S313.

    Article  Google Scholar 

  10. Isken F, Pfeiffer AF, Nogueiras R, Osterhoff MA, Ristow M, Thorens B et al. Deficiency of glucose-dependent insulinotropic polypeptide receptor prevents ovariectomy-induced obesity in mice. Am J Physiol Endocrinol Metab 2008; 295: E350–E355.

    Article  CAS  Google Scholar 

  11. Hansotia T, Maida A, Flock G, Yamada Y, Tsukiyama K, Seino Y et al. Extrapancreatic incretin receptors modulate glucose homeostasis, body weight, and energy expenditure. J Clin Invest 2007; 117: 143–152.

    Article  CAS  Google Scholar 

  12. Ding KH, Zhong Q, Xie D, Chen HX, Della-Fera MA, Bollag RJ et al. Effects of glucose-dependent insulinotropic peptide on behavior. Peptides 2006; 27: 2750–2755.

    Article  CAS  Google Scholar 

  13. Fulurija A, Lutz TA, Sladko K, Osto M, Wielinga PY, Bachmann MF et al. Vaccination against GIP for the treatment of obesity. PLoS One 2008; 3: e3163.

    Article  Google Scholar 

  14. Montgomery IA, Irwin N, Flatt PR . Active immunization against (Pro3)GIP improves metabolic status in high-fat-fed mice. Diabetes Obes Metab 2010; 12: 744–751.

    Article  CAS  Google Scholar 

  15. Irwin N, Hunter K, Flatt PR . Comparison of the metabolic effects of GIP receptor antagonism and PYY(3-36) receptor activation in high fat fed mice. Peptides 2007; 28: 2192–2198.

    Article  CAS  Google Scholar 

  16. Irwin N, Hunter K, Flatt PR . Comparison of independent and combined chronic metabolic effects of GIP and CB1 receptor blockade in high-fat fed mice. Peptides 2008; 29: 1036–1041.

    Article  CAS  Google Scholar 

  17. Irwin N, Hunter K, Frizzell N, Flatt PR . Antidiabetic effects of sub-chronic administration of the cannabinoid receptor (CB1) antagonist, AM251, in obese diabetic (ob/ob) mice. Eur J Pharmacol 2008; 581: 226–233.

    Article  CAS  Google Scholar 

  18. Lee HK, Choi EB, Pak CS . The current status and future perspectives of studies of cannabinoid receptor 1 antagonists as anti-obesity agents. Curr Top Med Chem 2009; 9: 482–503.

    Article  CAS  Google Scholar 

  19. Ivy AC, Oldberg E . A hormone mechanism for gallbladder contraction and evacuation. Am J Physiol 1928; 65: 599–613.

    Article  Google Scholar 

  20. Verbaeys I, León-Tamariz F, Buyse J, De Cuyper M, Pottel H, Van Boven M et al. PEGylated cholecystokinin prolongs satiation in rats: dose dependency and receptor involvement. Br J Pharmacol 2007; 152: 396–403.

    Article  CAS  Google Scholar 

  21. Cantor P, Rehfeld JF . Cholecystokinin in pig plasma: release of components devoid of a bioactive COOH-terminus. Am J Physiol 1989; 256: G53–G61.

    CAS  PubMed  Google Scholar 

  22. Rehfeld JF, Friis-Hansen L, Goetze JP, Hansen TV . The biology of cholecystokinin and gastrin peptides. Curr Top Med Chem 2007; 7: 1154–1165.

    Article  CAS  Google Scholar 

  23. O'Harte FP, Mooney MH, Kelly CM, Flatt PR . Glycated cholecystokinin-8 has an enhanced satiating activity and is protected against enzymatic degradation. Diabetes 1998; 47: 1619–1624.

    Article  CAS  Google Scholar 

  24. Irwin N, Frizelle P, Montgomery IA, Moffett RC, O’Harte FPM, Flatt PR . Beneficial effects of the novel choleycystokinin agonist (pGlu-Gln)-CCK-8 in animal models of obesity-diabetes. Diabetologia 2012; 55: 2747–2758.

    Article  CAS  Google Scholar 

  25. McClean PL, Irwin N, Hunter K, Gault VA, Flatt PR . (Pro(3))GIP[mPEG]: novel, long-acting, mPEGylated antagonist of gastric inhibitory polypeptide for obesity-diabetes (diabesity) therapy. Br J Pharmacol 2008; 155: 690–701.

    Article  CAS  Google Scholar 

  26. Kerr BD, Irwin N, O’Harte FP, Bailey CJ, Flatt PR, Gault VA . Fatty acid derivatised analogues of glucose-dependent insulinotropic polypeptide with improved antihyperglycaemic and insulinotropic properties. Biochem Pharmacol 2009; 78: 1008–1016.

    Article  CAS  Google Scholar 

  27. Flatt PR, Bailey CJ . Abnormal plasma glucose and insulin responses in heterozygous lean (ob/+) mice. Diabetologia 1981; 20: 573–577.

    Article  CAS  Google Scholar 

  28. Weickert MO, Möhlig M, Spranger J, Schöfl C, Loeffelholz CV, Riepl RL et al. Effects of euglycemic hyperinsulinemia and lipid infusion on circulating cholecystokinin. J Clin Endocrinol Metab 2008; 93: 2328–2333.

    Article  CAS  Google Scholar 

  29. Rehfeld JF . Incretin physiology beyond glucagon-like peptide 1 and glucose-dependent insulinotropic polypeptide: cholecystokinin and gastrin peptides. Acta Physiol (Oxf) 2011; 201: 405–411.

    Article  CAS  Google Scholar 

  30. Eckel RH, Fujimoto WY, Brunzell JD . Gastric inhibitory polypeptide enhanced lipoprotein lipase activity in cultured preadipocytes. Diabetes 1979; 28: 1141–1142.

    Article  CAS  Google Scholar 

  31. Zhou H, Yamada Y, Tsukiyama K, Miyawaki K, Hosokawa M, Nagashima K et al. Gastric inhibitory polypeptide modulates adiposity and fat oxidation under diminished insulin action. Biochem Biophys Res Commun 2005; 335: 937–942.

    Article  CAS  Google Scholar 

  32. Ahrén B, Pettersson M, Uvnäs-Moberg K, Gutniak M, Efendic S . Effects of cholecystokinin (CCK)-8, CCK-33, and gastric inhibitory polypeptide (GIP) on basal and meal-stimulated pancreatic hormone secretion in man. Diabetes Res Clin Pract 1991; 13: 153–161.

    Article  Google Scholar 

  33. Lo CM, Obici S, Dong HH, Haas M, Lou D, Kim DH et al. Impaired insulin secretion and enhanced insulin sensitivity in cholecystokinin-deficient mice. Diabetes 2011; 60: 2000–2007.

    Article  CAS  Google Scholar 

  34. Marks V . The metabolic syndrome. Nurs Stand 2003; 17: 37–44.

    Article  Google Scholar 

Download references

Acknowledgements

These studies were supported by the SAAD Trading and Contracting Company and the Department of Education and Learning, Northern Ireland.

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Correspondence to N Irwin.

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Competing interests

NI, FPMO’H and PRF hold shares in Diabetica Ltd, which has patents for the exploitation of peptide therapeutics.

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Irwin, N., Montgomery, I., O'Harte, F. et al. Comparison of the independent and combined metabolic effects of subchronic modulation of CCK and GIP receptor action in obesity-related diabetes. Int J Obes 37, 1058–1063 (2013). https://doi.org/10.1038/ijo.2012.179

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