Chronic metabolic effects of novel gut-oriented small-molecule GPR119 agonists in diet-induced obese mice

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2024

Biomed Pharmacother. 2024 Dec:181:117675. doi: 10.1016/j.biopha.2024.117675. Epub 2024 Nov 19.

Chronic metabolic effects of novel gut-oriented small-molecule GPR119 agonists in diet-induced obese mice

Mohan Patil, Dinesh Thapa, Leon N Warne, Ricky R Lareu, Elena Dallerba, Jerome Lian, Massimiliano Massi, Rodrigo Carlessi, Marco Falasca

Curtin Medical School and Curtin Health Innovation Research Institute, Curtin University, Bentley, Perth, WA 6102, Australia; College of Science, Health, Engineering, Murdoch University, Perth, WA, Australia. School of Molecular and Life Sciences, Curtin University, Perth, WA 6845, Australia. Harry Perkins Institute of Medical Research, QEII Medical Centre and Centre for Medical Research, The University of Western Australia, Nedlands, WA 6009, Australia. Department of Medicine and Surgery, University of Parma, Parma 43125, Italy.

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Abstract

The pharmacological activation of G-protein coupled receptor-119 (GPR119) modulates glucose, energy, and hepatic lipid homeostasis in type-2 diabetes (T2D). We developed synthetic small-molecule GPR119 agonists targeting gastrointestinal receptors. This study investigates the chronic metabolic effects of lead candidates, ps297 and ps318, individually and in combination with sitagliptin, a dipeptidyl peptidase-IV (DPP-IV) inhibitor, in high-fat diet (HFD)-induced obese (DIO) mice. In a 10-week dose-escalation protocol, DIO mice were orally treated with the investigational agents alone (10-90 mg/kg/day) and in combination with sitagliptin (20 mg/kg/day). Weekly body weight, food intake, and random blood glucose levels were monitored during the treatment phase. Post-treatment, an intraperitoneal glucose tolerance test (ipGTT), estimation of plasma biomarkers and haematological assessment were conducted. The treatment's effect on hepatic steatosis was studied by estimating liver biomarkers and histological examinations. Ten-week sitagliptin combination therapy with the investigational entities restored incretins, insulin, and other metabolic hormonal secretions, accompanied by improved glucose homeostasis and retarded weight gain. Interestingly, monotherapy with investigational agents improved liver health by reducing liver weight, liver enzymes, and inflammation. Hepatic effects were further enhanced by co-administration of sitagliptin, evident by amelioration in hepatic steatosis endpoints such as liver weight, plasma liver enzyme concentrations, hepatic triglycerides (TG), total cholesterol (CHO), hydroxyproline content, and cytokine levels. Histopathological investigations confirmed regression in hepatic steatosis in the combination groups. These findings demonstrate the therapeutic potential of novel gut-oriented GPR119 agonists in combination with a DPP-IV inhibitor to ameliorate metabolic dysfunction-associated steatohepatitis (MASH), warranting further mechanistic investigations.

Keywords: DPP-IV inhibitor; Hepatic steatosis; Obesity; Synthetic GPR119 agonists; Type-2 diabetes.

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