In vivo expression of GLP-1/IgG-Fc fusion protein enhances beta-cell mass and protects against streptozotocin-induced diabetes

Gene Ther. 2007 Jun;14(12):981-8. doi: 10.1038/sj.gt.3302944. Epub 2007 Apr 5.

Abstract

Glucagon-like peptide 1 (GLP-1) and its analogue exendin-4 (Ex4) have displayed potent glucose homeostasis-modulating characteristics in type 2 diabetes (T2D). However, there are few reports of effectiveness in type 1 diabetes (T1D) therapy, where there is massive loss of beta cells. We previously described a novel GLP-1 analogue consisting of the fusion of active GLP-1 and IgG heavy chain constant regions (GLP-1/IgG-Fc), and showed that in vivo expression of the protein, via electroporation-enhanced intramuscular plasmid-based gene transfer, normalized blood glucose levels in T2D-prone db/db mice. In the present study, GLP-1/IgG-Fc and Ex4/IgG-Fc were independently tested in multiple low-dose streptozotocin-induced T1D. Both GLP-1/IgG-Fc and Ex4/IgG-Fc effectively reduced fed blood glucose levels in treated mice and ameliorated diabetes symptoms, where as control IgG-Fc had no effect. Treatment with GLP-1/IgG-Fc or Ex4/IgG-Fc improved glucose tolerance and increased circulating insulin and GLP-1 levels. It also significantly enhanced islet beta-cell mass, which is likely a major factor in the amelioration of diabetes. This suggests that GLP-1/IgG-Fc gene therapy may be applicable to diseases where there is either acute or chronic beta-cell injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Glucose / analysis
  • Cell Size
  • Diabetes Mellitus, Experimental
  • Diabetes Mellitus, Type 1 / blood
  • Diabetes Mellitus, Type 1 / pathology
  • Diabetes Mellitus, Type 1 / therapy*
  • Electroporation
  • Exenatide
  • Gene Expression
  • Genetic Therapy / methods*
  • Glucagon-Like Peptide 1 / blood
  • Glucagon-Like Peptide 1 / genetics*
  • Glucose Tolerance Test
  • Immunoglobulin Fc Fragments / genetics*
  • Immunoglobulin G / genetics
  • Injections, Intramuscular
  • Insulin / blood
  • Insulin-Secreting Cells / pathology*
  • Mice
  • Mice, Inbred Strains
  • Peptides / genetics
  • Recombinant Fusion Proteins / administration & dosage*
  • Recombinant Fusion Proteins / genetics
  • Venoms / genetics

Substances

  • Blood Glucose
  • Immunoglobulin Fc Fragments
  • Immunoglobulin G
  • Insulin
  • Peptides
  • Recombinant Fusion Proteins
  • Venoms
  • Glucagon-Like Peptide 1
  • Exenatide