Allosteric ligands of the glucagon-like peptide 1 receptor (GLP-1R) differentially modulate endogenous and exogenous peptide responses in a pathway-selective …

C Koole, D Wootten, J Simms, C Valant, R Sridhar… - Molecular …, 2010 - ASPET
C Koole, D Wootten, J Simms, C Valant, R Sridhar, OL Woodman, LJ Miller, RJ Summers
Molecular pharmacology, 2010ASPET
The glucagon-like peptide-1 (GLP-1) receptor is a key regulator of insulin secretion and a
major therapeutic target for treatment of diabetes. However, GLP-1 receptor function is
complex, with multiple endogenous peptides that can interact with the receptor, including full-
length (1–37) and truncated (7–37) forms of GLP-1 that can each exist in an amidated form
and the related peptide oxyntomodulin. We have investigated two GLP-1 receptor allosteric
modulators, Novo Nordisk compound 2 (6, 7-dichloro2-methylsulfonyl-3-tert …
The glucagon-like peptide-1 (GLP-1) receptor is a key regulator of insulin secretion and a major therapeutic target for treatment of diabetes. However, GLP-1 receptor function is complex, with multiple endogenous peptides that can interact with the receptor, including full-length (1–37) and truncated (7–37) forms of GLP-1 that can each exist in an amidated form and the related peptide oxyntomodulin. We have investigated two GLP-1 receptor allosteric modulators, Novo Nordisk compound 2 (6,7-dichloro2-methylsulfonyl-3-tert-butylaminoquinoxaline) and quercetin, and their ability to modify binding and signaling (cAMP formation, intracellular Ca2+ mobilization, and extracellular signal-regulated kinase 1/2 phosphorylation) of each of the naturally occurring endogenous peptide agonists, as well as the clinically used peptide mimetic exendin-4. We identified and quantified stimulus bias across multiple endogenous peptides, with response profiles for truncated GLP-1 peptides distinct from those of either the full-length GLP-1 peptides or oxyntomodulin, the first demonstration of such behavior at the GLP-1 receptor. Compound 2 selectively augmented cAMP signaling but did so in a peptide-agonist dependent manner having greatest effect on oxyntomodulin, weaker effect on truncated GLP-1 peptides, and negligible effect on other peptide responses; these effects were principally driven by parallel changes in peptide agonist affinity. In contrast, quercetin selectively modulated calcium signaling but with effects only on truncated GLP-1 peptides or exendin and not oxyntomodulin or full-length peptides. These data have significant implications for how GLP-1 receptor targeted drugs are screened and developed, whereas the allosterically driven, agonist-selective, stimulus bias highlights the potential for distinct clinical efficacy depending on the properties of individual drugs.
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