Ghrelin, an acylated
peptide secreted from the stomach, acts as a short-term signal of nutrient depletion.
Ghrelin is an endogenous
ligand for the GH
secretagogue receptor 1a, a
G protein-coupled receptor expressed in the hypothalamus and pituitary. We used a synthetic
oligonucleotide,
NOX-B11-2, capable of specific high-affinity binding to bioactive
ghrelin to determine whether
ghrelin neutralization would alter indices of energy balance in vivo. This novel type of
ghrelin-blocking agent, called an
RNA Spiegelmer (SPM), is a
polyethylene glycol-modified l-
RNA oligonucleotide, the nonnatural configuration of which confers in vivo stability.
NOX-B11-2 blocked
ghrelin mediated activation of GH
secretagogue receptor 1a in cell culture (IC50 approximately 5 nm). We explored the effects of acute
NOX-B11-2 administration on
ghrelin-induced feeding in mice.
NOX-B11-2 (66 mg/kg, sc) blocked
ghrelin-induced feeding and was without effect on feeding evoked by an orally active nonpeptide
ghrelin receptor agonist. We demonstrated that selective
ghrelin blockade effectively promoted
weight loss in diet-induced obese (DIO) mice. Chronic infusion of
NOX-B11-2 (33 mg/kg.d, sc) to DIO mice evoked
body weight loss for 13 d and reduced food intake and fat mass relative to control SPM-infused mice. In a 7-d study, DIO mice infused with
NOX-B11-2 (33 mg/kg.d, sc) showed
body weight loss, compared with animals receiving control SPM. This effect was directly mediated by SPM neutralization of
ghrelin because
NOX-B11-2 administration to
ghrelin-deficient mice resulted in no
weight loss. The decreased
obesity observed in SPM-treated DIO mice provides validation for
ghrelin neutralization as a potential antiobesity
therapy.