Acylation of the incretin peptide exendin-4 directly impacts GLP-1 receptor signalling and trafficking
File(s)319.full.pdf (4.14 MB)
Published version
Author(s)
Type
Journal Article
Abstract
The glucagon-like peptide-1 receptor (GLP-1R) is a class B G protein-coupled receptor and mainstay therapeutic target for the treatment of type 2 diabetes and obesity. Recent reports have highlighted how biased agonism at the GLP-1R affects sustained glucose-stimulated insulin secretion through avoidance of desensitisation and downregulation. A number of GLP-1R agonists (GLP-1RAs) feature a fatty acid moiety to prolong their pharmacokinetics via increased albumin binding, but the potential for these chemical changes to influence GLP-1R function has rarely been investigated beyond potency assessments for cyclic adenosine monophosphate (cAMP). Here we directly compare the prototypical GLP-1RA exendin-4 with its C-terminally acylated analogue, exendin-4-C16. We examine relative propensities of each ligand to recruit and activate G proteins and β-arrestins, endocytic and post-endocytic trafficking profiles, and interactions with model and cellular membranes in HEK293 and HEK293T cells. Both ligands had similar cAMP potency but exendin-4-C16 showed ~2.5-fold bias towards G protein recruitment and a ~60% reduction in β-arrestin-2 recruitment efficacy compared to exendin-4, as well as reduced GLP-1R endocytosis and preferential targeting towards recycling pathways. These effects were associated with reduced movement of the GLP-1R extracellular domain measured using a conformational biosensor approach, and a ~70% increase in insulin secretion in INS-1 832/3 cells. Interactions with plasma membrane lipids were enhanced by the acyl chain. Exendin-4-C16 showed extensive albumin binding and was highly effective for lowering of blood glucose in mice over at least 72 hours. Our study highlights the importance of a broad approach to the evaluation of GLP-1RA pharmacology.
Date Issued
2021-10-01
Date Acceptance
2021-07-14
Citation
Molecular Pharmacology, 2021, 100 (4), pp.319-334
ISSN
0026-895X
Publisher
American Society for Pharmacology and Experimental Therapeutics (ASPET)
Start Page
319
End Page
334
Journal / Book Title
Molecular Pharmacology
Volume
100
Issue
4
Copyright Statement
© 2020 The Authors. This is an open access article under the terms of the Creative Commons Attribution CC BY License, which permits use, distribution, and reproduction in any medium, provided that the original work is properly cited.
License URL
Sponsor
Imperial College Healthcare NHS Trust- BRC Funding
Medical Research Council (MRC)
Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
The Academy of Medical Sciences
Society for Endocrinology
European Foundation for the Study of Diabetes
British Society for Neuroendocrinology
Medical Research Council
Grant Number
RDA05 79560
MR/R010676/1
RDA29
RDC04
N/A
N/A
98102
N/A
MR/S031537/1
Subjects
Science & Technology
Life Sciences & Biomedicine
Pharmacology & Pharmacy
PROTEIN-COUPLED RECEPTORS
BIOSENSORS REVEAL
GLP-1 RECEPTOR
CHOLESTEROL
GLUCOSE
BINDING
DIMERIZATION
GENERATION
PROMOTES
MICELLE
0601 Biochemistry and Cell Biology
1109 Neurosciences
1115 Pharmacology and Pharmaceutical Sciences
Pharmacology & Pharmacy
Publication Status
Published
Date Publish Online
2021-07-27