2018
DOI: 10.1038/s41598-018-35869-4
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Engineering of a GLP-1 analogue peptide/anti-PCSK9 antibody fusion for type 2 diabetes treatment

Abstract: Type 2 diabetes (T2D) is a complex and progressive disease requiring polypharmacy to manage hyperglycaemia and cardiovascular risk factors. However, most patients do not achieve combined treatment goals. To address this therapeutic gap, we have developed MEDI4166, a novel glucagon-like peptide-1 (GLP-1) receptor agonist peptide fused to a proprotein convertase subtilisin/kexin type 9 (PCSK9) neutralising antibody that allows for glycaemic control and low-density lipoprotein cholesterol (LDL-C) lowering in a si… Show more

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Cited by 16 publications
(10 citation statements)
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References 47 publications
(51 reference statements)
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“…The combination of GLP-1 and anti-PCSK9 antibodies, like the GLP-1/FGF21 combinations, has great promise in diabetic patients at risk of cardiovascular disease due to effects on hypercholesterolemia. A pharmaceutically-optimized GLP-1/anti-PCSK9 antibody was reported to have potent weight lowering efficacy in obese rodents and to have potent effects to lower cholesterol in cynomolgous monkeys [949]. In a recent phase I clinical study, treatment of overweight and obese patients with GLP-1/anti-PCSK9 decreased LDL cholesterol but failed to improve glucose metabolism [950].…”
Section: Pharmacological Use Of Glp-1 Analogs To Treat Obesity and DImentioning
confidence: 99%
“…The combination of GLP-1 and anti-PCSK9 antibodies, like the GLP-1/FGF21 combinations, has great promise in diabetic patients at risk of cardiovascular disease due to effects on hypercholesterolemia. A pharmaceutically-optimized GLP-1/anti-PCSK9 antibody was reported to have potent weight lowering efficacy in obese rodents and to have potent effects to lower cholesterol in cynomolgous monkeys [949]. In a recent phase I clinical study, treatment of overweight and obese patients with GLP-1/anti-PCSK9 decreased LDL cholesterol but failed to improve glucose metabolism [950].…”
Section: Pharmacological Use Of Glp-1 Analogs To Treat Obesity and DImentioning
confidence: 99%
“…Several distinct pharmacophores can be attached to the dendrimer surface to design heterogenic multivalent compounds that display synergistic polypharmacology. For example, PCSK9 inhibitors and GLP‐1 analogues have been investigated as a co‐treatment for Type 2 diabetes, [50,51] and PCSK9 inhibitors have recently been shown to enhance the efficacy of immune checkpoint therapeutics such as PD‐1 inhibitors for treating cancer [52] . Dendrimers can also be designed to address other limitations of peptides such as short circulating half‐lives in vivo .…”
Section: Resultsmentioning
confidence: 99%
“…The complementarity-determining regions (CDRs) located close to the N-terminus of the antibody is responsible for antigen recognition. Incorporation of penetratin at the N-terminus of anti-HER2 mAb may have blocked its HER2 binding ability by generating steric hindrance or directly interfering with the folding of CDR structure (Chodorge et al, 2018). As a result,…”
Section: Flow Cytometry To Characterize the Specific Binding Of Wild-mentioning
confidence: 99%