Dual melanocortin‐4 receptor and GLP‐1 receptor agonism amplifies metabolic benefits in diet‐induced obese mice

Abstract We assessed the efficacy of simultaneous agonism at the glucagon‐like peptide‐1 receptor (GLP‐1R) and the melanocortin‐4 receptor (MC4R) for the treatment of obesity and diabetes in rodents. Diet‐induced obese (DIO) mice were chronically treated with either the long‐acting GLP‐1R agonist li...

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Main Authors: Christoffer Clemmensen, Brian Finan, Katrin Fischer, Robby Zachariah Tom, Beata Legutko, Laura Sehrer, Daniela Heine, Niklas Grassl, Carola W Meyer, Bart Henderson, Susanna M Hofmann, Matthias H Tschöp, Lex HT Van der Ploeg, Timo D Müller
Format: Article
Language:English
Published: Springer Nature 2015-02-01
Series:EMBO Molecular Medicine
Subjects:
Online Access:https://doi.org/10.15252/emmm.201404508
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author Christoffer Clemmensen
Brian Finan
Katrin Fischer
Robby Zachariah Tom
Beata Legutko
Laura Sehrer
Daniela Heine
Niklas Grassl
Carola W Meyer
Bart Henderson
Susanna M Hofmann
Matthias H Tschöp
Lex HT Van der Ploeg
Timo D Müller
author_facet Christoffer Clemmensen
Brian Finan
Katrin Fischer
Robby Zachariah Tom
Beata Legutko
Laura Sehrer
Daniela Heine
Niklas Grassl
Carola W Meyer
Bart Henderson
Susanna M Hofmann
Matthias H Tschöp
Lex HT Van der Ploeg
Timo D Müller
author_sort Christoffer Clemmensen
collection DOAJ
description Abstract We assessed the efficacy of simultaneous agonism at the glucagon‐like peptide‐1 receptor (GLP‐1R) and the melanocortin‐4 receptor (MC4R) for the treatment of obesity and diabetes in rodents. Diet‐induced obese (DIO) mice were chronically treated with either the long‐acting GLP‐1R agonist liraglutide, the MC4R agonist RM‐493 or a combination of RM‐493 and liraglutide. Co‐treatment of DIO mice with RM‐493 and liraglutide improves body weight loss and enhances glycemic control and cholesterol metabolism beyond what can be achieved with either mono‐therapy. The superior metabolic efficacy of this combination therapy is attributed to the anorectic and glycemic actions of both drugs, along with the ability of RM‐493 to increase energy expenditure. Interestingly, compared to mice treated with liraglutide alone, hypothalamic Glp‐1r expression was higher in mice treated with the combination therapy after both acute and chronic treatment. Further, RM‐493 enhanced hypothalamic Mc4r expression. Hence, co‐dosing with MC4R and GLP‐1R agonists increases expression of each receptor, indicative of minimized receptor desensitization. Together, these findings suggest potential opportunities for employing combination treatments that comprise parallel MC4R and GLP‐1R agonism for the treatment of obesity and diabetes.
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spelling doaj.art-c1558d4a607f4a25a4ebf5a0ff08660d2024-10-28T08:58:52ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842015-02-017328829810.15252/emmm.201404508Dual melanocortin‐4 receptor and GLP‐1 receptor agonism amplifies metabolic benefits in diet‐induced obese miceChristoffer Clemmensen0Brian Finan1Katrin Fischer2Robby Zachariah Tom3Beata Legutko4Laura Sehrer5Daniela Heine6Niklas Grassl7Carola W Meyer8Bart Henderson9Susanna M Hofmann10Matthias H Tschöp11Lex HT Van der Ploeg12Timo D Müller13Institute for Diabetes and Obesity & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)Institute for Diabetes and Obesity & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)Institute for Diabetes and Obesity & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)Institute for Diabetes and Regeneration Research & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)Institute for Diabetes and Obesity & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)Institute for Diabetes and Obesity & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)Institute for Diabetes and Obesity & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)Institute for Diabetes and Obesity & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)Institute for Diabetes and Obesity & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)RhythmInstitute for Diabetes and Regeneration Research & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)Institute for Diabetes and Obesity & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)RhythmInstitute for Diabetes and Obesity & Helmholtz Diabetes Center, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH)Abstract We assessed the efficacy of simultaneous agonism at the glucagon‐like peptide‐1 receptor (GLP‐1R) and the melanocortin‐4 receptor (MC4R) for the treatment of obesity and diabetes in rodents. Diet‐induced obese (DIO) mice were chronically treated with either the long‐acting GLP‐1R agonist liraglutide, the MC4R agonist RM‐493 or a combination of RM‐493 and liraglutide. Co‐treatment of DIO mice with RM‐493 and liraglutide improves body weight loss and enhances glycemic control and cholesterol metabolism beyond what can be achieved with either mono‐therapy. The superior metabolic efficacy of this combination therapy is attributed to the anorectic and glycemic actions of both drugs, along with the ability of RM‐493 to increase energy expenditure. Interestingly, compared to mice treated with liraglutide alone, hypothalamic Glp‐1r expression was higher in mice treated with the combination therapy after both acute and chronic treatment. Further, RM‐493 enhanced hypothalamic Mc4r expression. Hence, co‐dosing with MC4R and GLP‐1R agonists increases expression of each receptor, indicative of minimized receptor desensitization. Together, these findings suggest potential opportunities for employing combination treatments that comprise parallel MC4R and GLP‐1R agonism for the treatment of obesity and diabetes.https://doi.org/10.15252/emmm.201404508diabetesGlp‐1rliraglutideMc4robesity
spellingShingle Christoffer Clemmensen
Brian Finan
Katrin Fischer
Robby Zachariah Tom
Beata Legutko
Laura Sehrer
Daniela Heine
Niklas Grassl
Carola W Meyer
Bart Henderson
Susanna M Hofmann
Matthias H Tschöp
Lex HT Van der Ploeg
Timo D Müller
Dual melanocortin‐4 receptor and GLP‐1 receptor agonism amplifies metabolic benefits in diet‐induced obese mice
EMBO Molecular Medicine
diabetes
Glp‐1r
liraglutide
Mc4r
obesity
title Dual melanocortin‐4 receptor and GLP‐1 receptor agonism amplifies metabolic benefits in diet‐induced obese mice
title_full Dual melanocortin‐4 receptor and GLP‐1 receptor agonism amplifies metabolic benefits in diet‐induced obese mice
title_fullStr Dual melanocortin‐4 receptor and GLP‐1 receptor agonism amplifies metabolic benefits in diet‐induced obese mice
title_full_unstemmed Dual melanocortin‐4 receptor and GLP‐1 receptor agonism amplifies metabolic benefits in diet‐induced obese mice
title_short Dual melanocortin‐4 receptor and GLP‐1 receptor agonism amplifies metabolic benefits in diet‐induced obese mice
title_sort dual melanocortin 4 receptor and glp 1 receptor agonism amplifies metabolic benefits in diet induced obese mice
topic diabetes
Glp‐1r
liraglutide
Mc4r
obesity
url https://doi.org/10.15252/emmm.201404508
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