GLP-1 analogs suffer from the main disadvantage of a short in vivo half-life.
Lithocholic acid (LCA), one of the four main
bile acids in the human body, possesses a high
albumin binding rate. We therefore envisioned that a LCA-based
peptide delivery system could extend the half-life of
GLP-1 analogs by facilitating the noncovalent binding of
peptides to
human serum albumin. On the basis of our previously identified Xenopus
GLP-1 analogs (1-3), a series of LCA-modified Xenopus
GLP-1 conjugates were designed (4a-4r), and the bioactivity studies of these conjugates were performed to identify compounds with balanced in vitro receptor activation potency and plasma stability. 4c, 4i, and 4r were selected, and their LCA side chains were optimized to further increase their stability, affording 5a-5c. Compound 5b showed a more increased
albumin affinity and prolonged in vitro stability than that of 4i and
liraglutide. In db/ db mice, 5b exhibited comparable
hypoglycemic and insulinotropic activity to
liraglutide and
semaglutide. Importantly, the enhanced
albumin affinity of 5b resulted in a prolonged in vivo
antidiabetic duration. Finally, chronic treatment investigations of 5b demonstrated the
therapeutic effects of 5b on HbA1c,
body weight,
blood glucose, and pancreatic endocrine deficiencies on db/ db mice. Our studies revealed 5b as a promising
antidiabetic candidate. Furthermore, our study suggests the derivatization of Xenopus
GLP-1 analogs with LCA represents an effective strategy to develop potent long-acting
GLP-1 receptor agonists for the treatment of
type 2 diabetes.