Evaluation of efficacy- versus affinity-driven agonism with biased GLP-1R ligands P5 and exendin-F1
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Published version
Author(s)
Type
Journal Article
Abstract
The glucagon-like peptide-1 receptor (GLP-1R) is an important regulator of glucose homeostasis and has been successfully targeted for the treatment of type 2 diabetes. Recently described biased GLP-1R agonists with selective reductions in β-arrestin versus G protein coupling show improved metabolic actions in vivo. However, two prototypical G protein-favouring GLP-1R agonists, P5 and exendin-F1, are reported to show divergent effects on insulin secretion. In this study we aimed to resolve this discrepancy by performing a side-by-side characterisation of these two ligands across a variety of in vitro and in vivo assays. Exendin-F1 showed reduced acute efficacy versus P5 for several readouts, including recruitment of mini-G proteins, G protein-coupled receptor kinases (GRKs) and β-arrestin-2. Maximal responses were also lower for both GLP-1R internalisation and the presence of active GLP-1R-mini-Gs complexes in early endosomes with exendin-F1 treatment. In contrast, prolonged insulin secretion in vitro and sustained anti-hyperglycaemic efficacy in mice were both greater with exendin-F1 than with P5. We conclude that the particularly low acute efficacy of exendin-F1 and associated reductions in GLP-1R downregulation appear to be more important than preservation of endosomal signalling to allow sustained insulin secretion responses. This has implications for the ongoing development of affinity- versus efficacy-driven biased GLP-1R agonists as treatments for metabolic disease.
Date Issued
2021-08
Date Acceptance
2021-06-11
Citation
Biochemical Pharmacology, 2021, 190, pp.1-12
ISSN
0006-2952
Publisher
Elsevier BV
Start Page
1
End Page
12
Journal / Book Title
Biochemical Pharmacology
Volume
190
Copyright Statement
© 2021 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
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
MRC Programme Grant
Wellcome Trust
Identifier
https://www.sciencedirect.com/science/article/pii/S0006295221002690?via%3Dihub
Grant Number
RDA05 79560
MR/R010676/1
RDA29
RDC04
N/A
N/A
98102
N/A
MR/R022259/1
212625/Z/18/Z
Subjects
Biased agonism
Endocytosis
Exendin-4
GLP-1R
β-arrestin
Pharmacology & Pharmacy
0601 Biochemistry and Cell Biology
1115 Pharmacology and Pharmaceutical Sciences
Publication Status
Published
Article Number
114656
Date Publish Online
2021-06-12