DA-1241 is a novel small molecule
G protein-coupled receptor 119 (GPR119) agonist in early clinical development for type 2 diabetic patients. This study aimed to elucidate the pharmacological characteristics of
DA-1241 for its
hypoglycemic action.
DA-1241 potently and selectively activated GPR119 with enhanced maximum efficacy.
DA-1241 increased intracellular cAMP in HIT-T15
insulinoma cells (EC50, 14.7 nM) and increased insulin secretion (EC50, 22.3 nM) in association with enhanced human
insulin promoter activity. Accordingly, postprandial plasma
insulin levels were increased in mice after single
oral administration of
DA-1241. Postprandial
glucose excursion was significantly reduced by single
oral administration of
DA-1241 in wild-type mice but not in GPR119 knockout mice.
GLP-1 secretion was increased by
DA-1241 treatment in mice. Thus, upon combined
sitagliptin and
DA-1241 treatment in high-fat diet/
streptozotocin (HFD/STZ)-induced diabetic mice, plasma active
GLP-1 levels were synergistically increased. Accordingly,
blood glucose and
triglyceride levels were significantly lowered both by
DA-1241 and
sitagliptin alone and in combination. Immunohistochemical analysis revealed that β-cell mass with reduced PDX1 levels in the islets from HFD/STZ diabetic mice was significantly preserved by
DA-1241, whereas increased
glucagon and BiP levels were significantly suppressed. In HIT-T15
insulinoma cells subjected to ER stress, decreased cell viability was significantly rescued by treatment with
DA-1241. Additionally, increased apoptosis was largely attenuated by
DA-1241 by inhibiting BiP and CHOP expression through suppression of
p38 MAPK. In conclusion, these studies provide evidence that
DA-1241 can be a promising
antidiabetic drug by potentially preserving pancreatic functions through suppressing ER stress and increasing PDX1 expression.