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Diabetes Obes Metab ; 20(1): 60-68, 2018 01.
Article in English | MEDLINE | ID: mdl-28598027

ABSTRACT

AIM: To investigate the effects of the novel glucose-dependent insulinotropic polypeptide (GIP) analogue, ZP4165, on body weight and glycaemic control in rodents, and to investigate if ZP4165 modulates the anti-obesity and anti-hyperglycaemic effects of a glucagon-like peptide-1 (GLP-1) agonist (liraglutide). METHODS: The acute insulinotropic effect of ZP4165 was investigated in rats during an oral glucose tolerance test. The long-term effects of ZP4165 on body weight and glycaemic control, either alone or in combination with liraglutide, were assessed in diet-induced obese mice and diabetic db/db mice. RESULTS: ZP4165 showed insulinotropic action in rats. The GIP analogue did not alter the body weight of obese mice but enhanced GLP-1-induced weight loss. In diabetic mice, 4 weeks' dosing with ZP4165 reduced glycated haemoglobin levels vs vehicle by an extent similar to the GLP-1 agonist. CONCLUSIONS: ZP4165 potentiated the anti-obesity effect of a GLP-1 agonist in obese mice and improved glycaemic control in diabetic mice. These studies support further investigation of dual-incretin therapy as a more effective treatment option than mono GLP-1 medication for type 2 diabetes mellitus and obesity.


Subject(s)
Anti-Obesity Agents/therapeutic use , Diabetes Mellitus, Type 2/drug therapy , Gastric Inhibitory Polypeptide/analogs & derivatives , Gastric Inhibitory Polypeptide/therapeutic use , Hyperglycemia/prevention & control , Hypoglycemic Agents/therapeutic use , Obesity/drug therapy , Receptors, Gastrointestinal Hormone/agonists , Animals , Anti-Obesity Agents/blood , Anti-Obesity Agents/pharmacokinetics , Anti-Obesity Agents/pharmacology , Diabetes Mellitus, Type 2/blood , Diabetes Mellitus, Type 2/metabolism , Drug Design , Drug Therapy, Combination , Gastric Inhibitory Polypeptide/pharmacokinetics , Gastric Inhibitory Polypeptide/pharmacology , Glucagon-Like Peptide-1 Receptor/agonists , Glucagon-Like Peptide-1 Receptor/genetics , Glucagon-Like Peptide-1 Receptor/metabolism , HEK293 Cells , Half-Life , Humans , Hypoglycemic Agents/blood , Hypoglycemic Agents/pharmacokinetics , Hypoglycemic Agents/pharmacology , Incretins/pharmacology , Incretins/therapeutic use , Liraglutide/pharmacology , Liraglutide/therapeutic use , Male , Mice, Inbred C57BL , Mice, Mutant Strains , Obesity/blood , Obesity/metabolism , Rats, Sprague-Dawley , Receptors, Gastrointestinal Hormone/genetics , Receptors, Gastrointestinal Hormone/metabolism , Receptors, Glucagon/genetics , Receptors, Glucagon/metabolism , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Weight Loss/drug effects
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