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WO2019101035A1 - Glucagon analogue for treating metabolic diseases - Google Patents

Glucagon analogue for treating metabolic diseases Download PDF

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Publication number
WO2019101035A1
WO2019101035A1 PCT/CN2018/116166 CN2018116166W WO2019101035A1 WO 2019101035 A1 WO2019101035 A1 WO 2019101035A1 CN 2018116166 W CN2018116166 W CN 2018116166W WO 2019101035 A1 WO2019101035 A1 WO 2019101035A1
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glucagon analog
glucagon
glp
gcg
formula
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PCT/CN2018/116166
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French (fr)
Chinese (zh)
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黄岩山
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浙江道尔生物科技有限公司
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    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/22Hormones
    • A61K38/26Glucagons
    • AHUMAN NECESSITIES
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    • A61K47/59Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyureas or polyurethanes
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    • A61K47/64Drug-peptide, drug-protein or drug-polyamino acid conjugates, i.e. the modifying agent being a peptide, protein or polyamino acid which is covalently bonded or complexed to a therapeutically active agent
    • A61K47/643Albumins, e.g. HSA, BSA, ovalbumin or a Keyhole Limpet Hemocyanin [KHL]
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    • A61K47/64Drug-peptide, drug-protein or drug-polyamino acid conjugates, i.e. the modifying agent being a peptide, protein or polyamino acid which is covalently bonded or complexed to a therapeutically active agent
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    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
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    • A61P3/04Anorexiants; Antiobesity agents
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    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • C07K1/107General methods for the preparation of peptides, i.e. processes for the organic chemical preparation of peptides or proteins of any length by chemical modification of precursor peptides
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    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
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    • C07K14/605Glucagons
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Definitions

  • the invention relates to the field of biopharmaceuticals, in particular to a glucagon analog for treating metabolic diseases, a preparation method thereof and use thereof.
  • GLP-1R GLP-1 receptor
  • Duraglutide trade name:
  • Albiglutide trade name
  • liraglutide trade name and For the treatment of obesity and diabetes, respectively
  • Exenatide trade name
  • lixisenatide Luthisenatide, trade name
  • Semaglutide Semaglutide
  • Duraglutide, albudide, liraglutide and somaglutide are all analogs of native glucagon-like peptide-1 (GLP-1), which are separately IgG after GLP-1 sequence mutation.
  • GLP-1 native glucagon-like peptide-1
  • the FC fragment, human albumin and fatty acid are fused or crosslinked to obtain a highly active and stable GLP-1R agonist.
  • Exenatide (Exendin-4) is a 39-amino acid small peptide derived from the salivary gland of the lizard (Heloderma suspectum). Although Exendin-4 is a potent agonist of GLP-1R, it is more active than native GLP-1 and GLP-1 analogs. Although these agonists of GLP-1R can effectively lower blood sugar and control appetite, the effect on weight loss is not too significant.
  • Liraglutide (trade name) Although it has been approved for the treatment of obesity, its weight loss is actually only 5.6 kg. The current weight loss for obesity drugs is generally around 5–10% (compared to placebo), ie the overall average weight loss ratio does not exceed 10% of the patient's body weight (Rudolph L. Leibel et al, Biologic Responses to Weight Loss) And Weight Regain: Report From an American Diabetes Association Research Symposium, Diabetes, 64(7): 2299-2309, 2015).
  • GCG GLP-1/Glucagon
  • Oxyntomodulin (OXM) and PYY are important for promoting energy metabolism, suppressing appetite, and controlling body weight (Tricia Tan etc., J Clin Endocrinol Metab, 2017, 102(7): 2364–2372) effect.
  • These polypeptides can be simply mixed for clinical use in terms of clinical needs. However, due to the difference in the in vivo stability and degradation rate of these different kinds of polypeptides, the final in vivo efficacy is uncontrollable, and it is actually difficult to simply mix these polypeptides and use them as a combination drug.
  • the current development of a new generation of diabetes drugs is mainly to try to concentrate these agonist activities in one molecule, such as GLP-1R/GIPR and GLP-1R/GCGR double-effect agonists, and even GLP-1R/GIPR/GCGR three-effects.
  • Agonist Chakradhar, Shraddha. All in one: researchers to create a combination drugs for diabetes and obesity. Nature Medicine, 22(7): 694-695, 2016).
  • Oxyntomodulin a polypeptide naturally occurring in humans with dual activities of GLP-1 and GCG (Diabetes, 2005, 54: 2390-2395).
  • the activity of OXM is not high (having about 10% of GCG activity and about 1% of GLP-1 activity), and its stability and half-life are very poor in vivo. Therefore, OXM itself cannot be directly used in clinical practice, and it is often necessary to introduce non-natural. Amino acids, various modifications, etc. to enhance their activity and stability in vivo.
  • OPKO Biologics' Mod-6030 is a long-acting OXM with a degradable PEG modification at the N-term (Oren Hershkovitz: Presentation Number: SAT-787. The Endocrine Society's 95th Annual Meeting and Expo, June 15–18, 2013-San Francisco) .
  • TT401 (LY2944876) is another PEG-modified OXM analog (Chakradhar, Shraddha. "All in one: researchers to create combination drugs for diabetes and obesity.” Nature Medicine, vol. 22, no. 7, 2016: 694- 5).
  • PSA-OXM is an OXM analog modified with polysialic acid (Vorobiev I et al, Biochimie, 2013, 95(2): 264-70).
  • the clinical expected delivery cycle is once a day (fatty acid modification) or once a week (PEG modification).
  • PEG modification polyethylene glycol
  • the first is the issue of safety, especially the issue of immunogenicity.
  • the hypoglycemic and weight-loss drugs need to be used for a long time, and the safety requirements are extremely high.
  • the prior art schemes often introduce more mutation sites, and often introduce non-natural amino acids and other modifications. These mutations and the introduction of unnatural amino acids increase the risk of potential immunogenicity. In general, the higher homology with human sequences, the lower the risk of immunogenicity in humans.
  • the GLP-1 receptor agonist Taspoglutide which was developed by Roche and Epson, introduced only two unnatural amino acids, Aib, with an antibody production rate of 49%.
  • MEDI0382 introduced 9 mutation sites, the mutation rate reached about 30%; likewise, Andreas Evers et al (J Med Chem .2017 May 25;60(10):4293-4303) Introduced 9 mutation sites based on the structure of Exendin-4, the mutation rate reached about 23%, and the fatty acid chain modification was carried out.
  • GLP-1R/GCGR double-acting agonist or GLP-1R/GCG/GIPR triple-acting agonist modified on Exendin-4 is disclosed, for example, in PCT applications WO2015155139A1, WO2015155140A1 and WO201515541A1.
  • WO201515541A1 discloses a hybrid peptide having GLP-1R/GCGR/GIPR triple-acting agonistic activity, and it is considered that the three-way agonistic active peptide has a good hypoglycemic weight-loss effect; however, WO2015155139A1 and WO2015155140A1 are for avoiding GIPR.
  • the risk of hypoglycemia caused by agonistic activity is prepared as a GLP-1R/GCGR double-acting agonist, which in turn has a better hypoglycemic weight loss effect.
  • the receptor belongs to the GPCR family, and the peptide has a peptide length of only 30-40 amino acids, a single site mutation or several bits.
  • the change in activity of different receptors after simultaneous mutation is very difficult to predict, so it is extremely difficult to obtain the desired multiple agonistic activity hybrid peptide.
  • Oxyntomodulin only has 8 amino acids of KRNRNNIA at the C-terminus of Glucagon, and its GCGR agonistic activity is lost by about 90% (Alessandro Pocai et al., Glucagon-Like Peptide 1/Glucagon Receptor Dual Agonism Reverses Obesity in Mice, Diabetes; 58 ( 10): 2258-2266, 2009; Henderson SJ et al, Robust anti-obesity and metabolic effects of a dual GLP-1/Glucagon antibody peptide agonist in rodents and non-human primates, Diabetes Obes Metab, 2016).
  • the complexity of signaling downstream of GPCR receptors such as GCGR and GLP-1R also increases the difficulty of designing an ideal multiplex active hybrid peptide.
  • the receptors of GCGR and GLP-1R have multiple signaling pathways in the cell, including downstream proteins such as G protein (G ⁇ s, G ⁇ i, G ⁇ q, etc.) and inhibitory proteins ( ⁇ -arrestin-1 and ⁇ -arrestin-2).
  • G protein G ⁇ s, G ⁇ i, G ⁇ q, etc.
  • inhibitory proteins ⁇ -arrestin-1 and ⁇ -arrestin-2
  • a number of different signal transduction channels, the physiological effects of activation of different channels are not the same, and even the relationship between channel activity and physiological function is not clear.
  • different biased-agonist structures can be obtained, resulting in different physiological effects (Marlies V. et al., J Am Chem Soc., 138(45): 14970-14979, 2016; Hongkai Zhang et al., Nat Commun., 6:8918, 2015).
  • glucagon analog which exhibits GLP-1R/GCGR/GIPR triple receptor agonistic activity.
  • Native GCG has approximately 1% GLP-1R agonistic activity relative to native GLP-1, but does not have GIPR agonistic activity.
  • the glucagon analog of the present invention can exhibit GLP-1R/GCGR/GIPR triple receptor agonistic activity.
  • a first aspect of the present invention provides a glucagon analog (GCG analog) having a structure as shown in Formula I or Formula II
  • the structure of the formula I is: HSQGTFTSD-X 10 -SKYLD-X 16 -X 17 -AA-X 20 -X 21 -FX 23 -QWLMN-X 29 -X z (SEQ ID NO.1),
  • the structure shown in II is:
  • HSQGTFTSD-X 10 -SKYLD-X 16 -X 17 -AA-X 20 -X 21 -FX 23 -QWLMN-X 29 -X z -NH 2 (SEQ ID NO. 2), wherein X 10 is selected from Y, Any one of K or L, X 16 is selected from any one of S, E or A, X 17 is selected from any one of Q, E, A or R, and X 20 is selected from any one of Q, R or K; X 21 Any one selected from D, L or E; X 23 is selected from any one of V or I; X 29 is T or a deletion, and X z is selected from GGPSSGAPPPS (SEQ ID NO.
  • SEQ ID NO. 65 GGPSSGAPPS (SEQ ID NO. 66) , GPSSGAPPPS (SEQ ID NO. 67), GPSSGAPPS (SEQ ID NO. 68), PSSGAPPPS (SEQ ID NO. 69), PSSGAPPS (SEQ ID NO. 70), SSGAPPPS (SEQ ID NO. 71) or SSGAPPS (SEQ ID Any of NO.72).
  • HSQGTFTSD-X 10 -SKYLD-X 16 -X 17 -AA-X 20 -X 21 -FX 23 -QWLMN-X 29 -X z -NH 2 (SEQ ID NO.2) means the hyperglycemia of the pancreas The C-terminus of the analog was subjected to amidation modification.
  • the amino acid sequence of the glucagon analog of the present invention is as shown in any one of SEQ ID NO. 6-28 and SEQ ID NO. 47-53.
  • the glucagon analog has the structural formula:
  • X 16 is selected from any one of S or E
  • X 17 is selected from any one of Q or E
  • X 29 is T or a deletion
  • X z is selected from GGPSSGAPPPS (SEQ ID NO. 65), GGPSSGAPPS (SEQ ID NO. 66), GPSSGAPPPS (SEQ ID NO. 67), GPSSGAPPS (SEQ ID NO. 68), PSSGAPPPS (SEQ ID NO. 69), PSSGAPPS (SEQ ID NO. 70), SSGAPPPS (SEQ ID NO. 71) or SSGAPPS ( Any of SEQ ID NO. 72).
  • HSQGTFTSD-Y-SKYLD-X 16 -X 17 -AAQDFVQWLMN-X 29 -X z -NH 2 (SEQ ID NO. 4) means that the C-terminus of the glucagon analog is amidated.
  • the above glucagon analog has GCGR agonistic activity similar to or superior to native glucagon, and has GLP-1R agonistic activity similar to or superior to native GLP-1, and an additional increased GIPR agonistic activity.
  • the preferred glucagon analog is added to GPSSGAPPPS at the C-terminus based on native glucagon, at least 2-3 amino acids are mutated and no unnatural amino acid is introduced, nor is any modification required. It can retain or enhance the agonistic activity of GLP-1R and GCGR, and also has an additional GIPR agonistic activity, and the product itself has good stability. Fewer mutation sites, without subsequent modifications, try to maintain the natural structure and reduce the potential for immunogenicity.
  • the glucagon analog of the invention has better enzyme stability, including neutral endopeptidase (NEP) and dipeptidyl peptidase-4 (DPP-4); and natural glucagon, GLP- 1, GIP has a longer in vivo half-life and duration of action.
  • NEP neutral endopeptidase
  • DPP-4 dipeptidyl peptidase-4
  • an isolated polynucleotide is provided, the isolated polynucleotide encoding the aforementioned glucagon analog.
  • a recombinant expression vector comprising the isolated polynucleotide described above is provided.
  • a host cell comprising the aforementioned recombinant expression vector or the above-described isolated polynucleotide integrated with exogenous in the genome is provided.
  • a method for producing the aforementioned glucagon analog which is selected from any one of the following:
  • the glucagon analogs of the invention can be prepared by standard peptide synthesis methods, for example, by standard solid or liquid phase methods, stepwise or by fragment assembly, and isolation and purification of the final peptide compound product, or by Recombination and synthesis methods are arbitrarily combined.
  • the glucagon analog of the present invention can be preferably synthesized by a solid phase or liquid phase peptide synthesis method.
  • glucagon analog in the manufacture of a medicament for the treatment of a metabolic related disorder.
  • the glucagon analogs provided by the present invention can be used for the treatment of diabetes-related metabolic syndromes, such as dyslipidemia, including high triglycerides, low HDL cholesterol and high LDL cholesterol; insulin resistance or glucose intolerance.
  • diabetes-related metabolic syndromes such as dyslipidemia, including high triglycerides, low HDL cholesterol and high LDL cholesterol; insulin resistance or glucose intolerance.
  • Metabolic syndrome is associated with an increased risk of coronary heart disease and other conditions associated with vascular plaque accumulation, such as stroke and peripheral vascular disease, becoming atherosclerotic cardiovascular disease (ASCVD).
  • Patients with metabolic syndrome can progress from being in an early stage of insulin resistance to fully mature type 2 diabetes, and the risk of ASCVD is further increased.
  • the relationship between insulin resistance, metabolic syndrome, and vascular disease may involve one or more common pathogenesis, including insulin-stimulated vasodilation, insulin resistance due to increased oxidative stress.
  • Reduced sexual relevance, as well as abnormalities in fat cell-derived hormones such as adiponectin (Lteif, Mather, Can. J. Cardiol. 20 (Supp. B): 66B-76B, 2004).
  • the glucagon analogs of the invention are also useful in the treatment of obesity.
  • the glucagon analogs of the invention treat obesity by reducing appetite, reducing food intake, reducing fat levels in a patient, and increasing energy expenditure.
  • the glucagon analogs of the invention are useful for the treatment of nonalcoholic fatty liver disease (NAFLD).
  • NAFLD refers to a broad spectrum of liver disease ranging from simple fatty liver (steatosis) to nonalcoholic steatosis hepatitis (NASH) to cirrhosis (reversible late scar formation of the liver). All stages of NAFLD show accumulation of fat in liver cells. Simple fatty liver is an abnormal accumulation of certain types of fats and triglycerides in liver cells, but no inflammation or scar formation. In NASH, fat accumulation is associated with varying degrees of liver inflammation (hepatitis) and scar formation (fibrosis). Inflammatory cells destroy liver cells (hepatocyte necrosis).
  • steatosis refers to fat infiltration
  • hepatitis refers to inflammation in the liver
  • necrosis refers to damaged liver cells.
  • NASH can eventually lead to liver scar formation (fibrosis) and then to irreversible late scar formation (cirrhosis), and cirrhosis caused by NASH is the last and most serious stage within the NAFLD spectrum.
  • a method of treating a metabolic-related disease comprising the step of administering the aforementioned glucagon analog to a subject.
  • the invention uses the glucagon analog for the treatment of obesity, metabolic syndrome, non-alcoholic hepatitis, and the like.
  • the researchers of the present invention have found that the glucagon analogs of the present invention are sufficiently water soluble and have improved chemical stability at neutral or slightly acidic pH.
  • an IPGTT experiment was performed. Mice administered the glucagon analog of the present invention exhibited extremely stable blood glucose fluctuations after glucose injection. Furthermore, the glucagon analog of the present invention induced a significant decrease in body weight after administration in DIO mice. At the same time, various indicators related to blood lipids decreased significantly.
  • the invention further provides a method of promoting weight loss or preventing weight gain comprising administering the glucagon analog in a subject.
  • composition comprising the aforementioned glucagon analog or a culture of the aforementioned host cell, and a pharmaceutically acceptable carrier.
  • a ninth aspect of the invention the use of the aforementioned glucagon analog in the preparation of a fusion protein is provided.
  • a fusion protein comprising the aforementioned glucagon analog is provided in the structure of the fusion protein.
  • the structure of the fusion protein further contains a long-acting unit.
  • the long acting unit is selected from the group consisting of covalently linked fatty acids, polyethylene glycol or derivatives thereof, albumin, transferrin and immunoglobulins and fragments.
  • a modified polypeptide comprising the aforementioned glucagon analog is provided in the structure.
  • the glucagon analog is modified by a fatty acid, polyethylene glycol or a derivative thereof; the modified polypeptide is covalently or non-covalently associated with albumin, transferrin and immunization The combination of globulin and fragment.
  • glucagon analog of the present invention may be modified, for example, polyethylene glycol or a derivative thereof, a hydroxyethyl starch derivative or a fatty acid may be covalently linked.
  • a lysine residue can be introduced at a position where the glucagon analog of the present invention is expected to not affect receptor binding/activation, covalently linked to the gamma-valley
  • the amino spacer was modified by adding palmitic acid to the ⁇ -amino group.
  • the present invention has the following beneficial effects:
  • the glucagon analog of the present invention has GLP-1/GCG/GIP triple receptor agonistic activity and better enzyme stability, including neutral endopeptidase (NEP) and dipeptidyl peptidase Resistance of 4 (DPP-4); therefore, it has a longer in vivo half-life and duration of action compared to native glucagon, GLP-1, GIP.
  • NEP neutral endopeptidase
  • DPP-4 dipeptidyl peptidase Resistance of 4
  • GCG analogs are commonly used (1) single-molecule hybrid peptide cross-linked fatty acid, PEG or FC, etc., administered once a day or more (Matthias H.
  • the present invention provides a sufficiently stable and highly active multi-effect GCG analog without cross-linking fatty acid, PEG albumin or immunoglobulin Fc fragment, and without mutating the second Ser to an unnatural amino acid, thereby Minimize potential immunogenicity risks and omit cumbersome chemical modification/crosslinking steps, simplifying the preparation process and increasing product consistency.
  • Figure 1 HPLC chromatogram of the polypeptide numbered C381 in an aqueous solution of pH 7.4.
  • Figure 2 HPLC chromatogram of the polypeptide numbered C493 in an aqueous solution of pH 4.5.
  • Figure 3 HPLC chromatogram of the polypeptide numbered C816 in aqueous pH 7.4.
  • Figure 4 HPLC chromatogram of the polypeptide numbered C002 in an aqueous solution of pH 7.4.
  • Figure 5 HPLC chromatogram of the polypeptide numbered C611 in aqueous pH 4.5 solution.
  • Figure 6 HPLC chromatogram of the polypeptide numbered C611 in an aqueous solution of pH 7.4.
  • Figure 7 HPLC chromatogram of C239 in aqueous pH 7.4.
  • Figure 8A is a graph of residual activity versus time.
  • Figure 8B is a graph showing residual activity as a function of time.
  • Figure 9A is a graph showing the detection of GLP-1R agonistic activity by several exemplary glucagon analogs.
  • Figure 9B is a graph showing the GLP-1R agonistic activity of several exemplary glucagon analogs.
  • Figure 9C is a graph showing the detection of GCGR agonistic activity by several exemplary glucagon analogs.
  • Figure 9D is a graph showing the detection of GCGR agonistic activity by several exemplary glucagon analogs.
  • Figure 9E cAMP levels produced by glucagon analogs and control stimulated GIPR for different concentration gradients.
  • Figure 9F cAMP levels produced by glucagon analogs and control stimulated GIPR for different concentration gradients.
  • Figure 9G cAMP content produced by stimulation of GIPR for glucagon analogs and controls at different concentration gradients.
  • Figure 9H cAMP levels produced by glucagon analogs and control stimulated GIPR for different concentration gradients.
  • Figure 10 Results of in vitro cellular insulin secretion assay.
  • Figure 11A is a graph showing blood glucose changes in IPGTT experiments in normal ICR mice.
  • Figure 11B is a graph showing blood glucose changes in IPGTT experiments for normal ICR mice.
  • FIG. 11C Comparison of area under the blood glucose curve (AUC).
  • Figure 12A is a graph showing the relationship between body weight change (%) and time (days) in diet-induced obesity (DIO) mice.
  • Figure 12B is a graph showing the relationship between body weight change (%) and time (days) in diet-induced obesity (DIO) mice.
  • Figure 12C is a graph showing the relationship between body weight change (%) and time (days) in diet-induced obesity (DIO) mice.
  • Figure 12D Comparison of body weight loss in DIO mice.
  • the glucagon analog provided by the present invention mutates the arginine (R) at position 18 to alanine (A). Mutation of the 18-alanine attenuates GCGR agonistic activity by about 30% (Joseph Chabenne et al, A Glucagon analog chemically stabilized for immediate treatment of life-threatening hypoglycemia, Molecular Metabolism, 3: 293-300, 2014). However, after extensive screening by the present inventors, it was found that specific amino acid mutations were made at specific sites, such as combination with specific amino acid mutations at positions 16 and 17, and CEX or similar sequences were added at the C-terminus, even at 18 positions. When mutated to A, there was no significant decrease in GCGR activity. More importantly, the 18-position A mutation significantly increased the GLP-1 and GIPR agonistic activity of the glucagon analog, thereby making the glucagon analog of the present invention an effective trispecific active peptide.
  • the trispecific active peptide of the present invention has potency of agonizing GLP-1R, GCGR and GIPR, and each activity has an extremely high activity retention rate relative to GLP-1, GCG and GIP.
  • most of the tri-active peptides introduce multiple amino acid mutations on the basis of natural polypeptides, and even unnatural amino acids can become stable three-way agonists.
  • multi-site introduction mutations are more likely to obtain hybrid polypeptides having higher GLP-1R, GCGR and GIPR activities, and the introduction of non-natural amino acids is more likely to obtain polypeptides with high stability.
  • the level of activity and stability in vitro is only a prerequisite for clinical drugs, and attention needs to be paid to safety. Introducing too many mutation sites or unnatural amino acids tends to pose a higher risk of immunogenicity.
  • Natural GLP-1, glucagon Glucagon, or Oxyntomodulin are not truly clinical drugs due to poor serum stability and too short in vivo half-life. And the only peptide amino acid Essinide (Exenatide, only 39 amino acids) ) It can be successfully listed because of the stability improvement. In one of the embodiments of the invention, the preferred glucagon analog exhibits a very high stability.
  • Example 6 of the present invention the natural human Glucagon (C001) was extremely low in immunogenicity in rats.
  • the glucagon analog is less than 3 amino acids relative to the native Glucagon mutation, the antibody titer is less than ⁇ 1:200, and as the number of mutated amino acids increases, the antibody titer increases, indicating potential immunity. The original risk is increased.
  • the glucagon analog obtained by the present invention has low immunogenicity when introduced into no more than 3 mutation sites, and achieves an ideal activity and stability standard, which has never been reported. of.
  • the preferred glucagon analog has a good effect of lowering blood glucose, inhibiting adipose tissue formation, and reducing body weight.
  • GIP and GLP-1 and Glucagon belong to the same family of incretins, they have not been widely developed into drugs.
  • One reason is that some patients with type 2 diabetes lose sensitivity to GIP, and another reason is that in rodents, GIPR activation has potential obesity (Miyawaki, K. et al., Inhibition of gastric inhibitory polypeptide signaling prevents obesity.Nat.Med. 8, 738–742, 2002).
  • preferred glucagon analogs having a higher GIPR agonistic activity clearly have a more significant weight loss effect.
  • Example 9 of another animal of the invention preferred GCG analogs exhibit similar weight-reducing effects as the corresponding GCG analogs of the same amino acid sequence and modified with fatty acids.
  • diabetes includes type 1 diabetes, type 2 diabetes, gestational diabetes, and other symptoms that cause hyperglycemia.
  • the term is used to mean that the pancreas does not produce enough insulin due to metabolic disorders, or that the cells of the body fail to respond appropriately to insulin, and thus the decrease in the efficiency of absorption of glucose by tissue cells results in the accumulation of glucose in the blood.
  • Type 1 diabetes also known as insulin-dependent diabetes and juvenile onset diabetes, is caused by beta cell destruction and usually leads to absolute insulin deficiency.
  • Type 2 diabetes also known as non-insulin-dependent diabetes and adult-onset diabetes, is generally associated with insulin resistance.
  • obese means an excess of adipose tissue, and when energy intake exceeds energy expenditure, excess calories are stored in fat, resulting in obesity.
  • BMI body mass index
  • receptor agonist can be defined as a polypeptide, protein or other small molecule that binds to a receptor and elicits a usual response to a natural ligand.
  • Incretin is a gut hormone that regulates blood sugar by enhancing glucose-stimulated insulin secretion (Drucker. D J, Nauck, MA, Lancet 368: 1696-705, 2006). To date, there are two known incretins: glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP).
  • Preproglucagon is a 158 amino acid precursor polypeptide that is differentially processed in tissues to form a variety of structurally related proglucagon-derived peptides, including glucagon (Glucagon). ), glucagon-like peptide-1 (GLP-1), glucagon-like peptide-2 (GLP-2), and Oxyntomodulin (OXM).
  • GIP is a 42 amino acid mature peptide obtained by proteolytic processing of a 133 amino acid precursor (pre-pro-GIP) involved in various biological functions including glucose homeostasis, insulin secretion, gastric emptying and intestine Growth and food intake regulation.
  • Glucagon-like peptide-1 (GLP-1) is an incretin hormone secreted by intestinal L-cells of 30 or 31 amino acids, with GLP-1 (7-36) and GLP-1 (7- 37) Two active forms. GLP-1 is released into the circulation after a meal and exerts biological activity by activating the GLP-1 receptor. GLP-1 has many biological effects, including glucose-dependent insulin secretion, inhibition of glucagon production, delay of gastric emptying and appetite suppression (Tharakan G, Tan T, Bloom S. Emerging therapies in the treatment of 'diabesity ':beyond GLP-1.Trends Pharmacol Sci 2011; 32(1): 8-15.) et al.
  • Native GLP-1 limits its therapeutic potential due to its rapid degradation by dipeptidyl peptidase-4 (DPP-4), neutral endopeptidase (NEP), plasma kallikrein or plasmin. Since native GLP-1 has an ultra-short half-life of only about 2 minutes in the body, there has been a method of improving the efficacy by using chemical modification and/or formulation to treat diabetes and obesity (Lorenz M, Evers A, Wagner M) .Recent progress and future options in the development of GLP-1 receptor agonists for the treatment of diabesity.Bioorg Med Chem Lett 2013;23(14):4011-8.Tomlinson B,Hu M,Zhang Y,Chan P,Liu ZM .An overview of new GLP-1 receptor agonists for type 2 diabetes. Expert Opin Investig Drugs 2016;25(2):145-58).
  • DPP-4 dipeptidyl peptidase-4
  • NEP neutral endopeptidase
  • Oxyntomodulin is a 37 amino acid small peptide comprising the complete 29 amino acid sequence of glucagon.
  • Glutathione is a dual agonist of GLP-1R and GCGR that is secreted together with GLP-1 by intestinal L-cells after a meal. Similar to glucagon, oxyntomodulin produces significant weight loss in humans and rodents. The weight loss activity of oxyntomodulin has been compared to equimolar doses of selective GLP-1R agonists in obese mice.
  • oxyntomodulin has an antihyperglycemic effect compared to a selective GLP-1R agonist, which is capable of significantly reducing body weight and having lipid lowering activity (The glucagon receptor is involved in mediating the body weight-lowering effects Of oxyntomodulin, Kosinski JR et al, Obesity (Silver Spring), 20): 1566-71, 2012).
  • a selective GLP-1R agonist The glucagon receptor is involved in mediating the body weight-lowering effects Of oxyntomodulin, Kosinski JR et al, Obesity (Silver Spring), 20: 1566-71, 2012.
  • subcutaneous administration of natural oxyntomodulin reduced body weight by 1.7 kg in four weeks.
  • Oxytocin is also shown to reduce human food intake and increase energy expenditure (Subcutaneous oxyntomodulin reduces body weight in overweight and obese subjects: a double-blind, randomized, controlled trial, Wynne K et al, Diabetes, 54: 2390- 5,2005; Oxyntomodulin increases energy expenditure in addition to decreasing energy intake in overweight and obese humans: a14 andomized controlled trial; Wynne K et al, Int J Obes (Lond), 30: 1729-36, 2006).
  • oxyntomodulin has a shorter half-life.
  • GLP-1R GLP-1 receptor
  • GCGR glucagon receptor
  • the mutation is mutated (the oxyntomodulin analog), and most of them use the second serine Ser mutation to ⁇ -aminoisobutyric acid (Aib) or D-Ser, which is resistant by introducing non-natural amino acids. Enzymatic hydrolysis of DPP-IV. Although the oxyntomodulin analogue showed initial hypoglycemic and lipid-lowering effects, its mechanism of action was still inaccurate. The oxyntomodulin receptor has not been found and is currently only knocked out by GCGR or GLP-1R. Mouse or cell assays have demonstrated that oxyntomodulin binds to these two receptors.
  • Glucagon is a 29 amino acid peptide corresponding to amino acids 53-81 of proglucagon, and the sequence is shown in SEQ ID NO. 5 (CGFanelli et al., Nutrition, Metabolism & Cardiovascular Diseases). (2006) 16, S28-S34). Glucagon receptor activation has been shown to increase energy expenditure and reduce food intake in both rodents and humans (Habegger KM et al, The metabolic actions of glucagon revisited, Nat. Rev. Endocrinol. 2010, 6, 689-697). And these effects are stable and sustained in rodents.
  • Glucagon has many physiological effects, such as by stimulating glycogenolysis and gluconeogenesis, increasing blood glucose levels under hypoglycemia, regulating hepatic ketone production, regulating bile acid metabolism, and satiety through the vagus nerve.
  • Glucagon has been used in acute hypoglycemia, and glucagon receptor activation reduces food intake and promotes lipolysis and weight loss in animals and humans.
  • Glucose-dependent insulinotropic peptide is a 42 amino acid polypeptide that is released from small intestinal K cells after food intake. Its main function is to inhibit gastric acid secretion and enhance glucose-stimulated insulin secretion, so it is called gastric inhibitory peptide. (gastric inhibitory peptide) / glucose-dependent insulinotropic peptide.
  • GLP-1 receptor (GLP-1R) agonist can be defined as a polypeptide, protein or other small molecule that binds to GLP-1R and is capable of eliciting a characteristic response similar or similar to native GLP-1.
  • GLP-1R agonists activate GLP-1R in whole or in part, which in turn causes a series of downstream signaling pathways in the cell to produce corresponding cellular activities: such as beta cells secreting insulin; typical GLP-1R agonists include native GLP-1 And mutants thereof, analogs such as exenatide, liraglutide and the like.
  • a "glucagon receptor (GCGR) agonist” can be defined as a polypeptide, protein or other small molecule that binds to GCGR and is capable of eliciting the same or similar characteristic response as native glucagon.
  • GCGR agonists activate GCGR in whole or in part, which in turn induces a series of downstream signaling pathways in cells that produce corresponding cellular activities such as hepatocyte glycogenolysis, saccharification, fatty acid oxidation, and ketogenic effects.
  • the GLP-1R/GCGR double-acting agonist of the present invention includes a protein or polypeptide capable of simultaneously agonizing GLP-1R and GCGR.
  • Oxyntomodulin-based double-effect agonists as reported by Alessandro Pocai et al. (Alessandro Pocai et al, Glucagon-Like Peptide 1/Glucagon Receptor Dual Agonism Reverses Obesity in Mice, Diabetes; 58(10): 2258-2266, 2009), or Richard D Glucagon-based double-effect agonist (US9018164B2) reported by DiMarchi et al.
  • GLP-1R/GCGR/GIPR Triple-acting Agonist The GLP-1R/GCGR/GIPR triple-acting agonist of the present invention includes a protein or polypeptide capable of simultaneously agonizing GLP-1R, GCGR and GIPR, or "trispecific activation" Agent".
  • Trispecific Active Peptide A preferred trispecific active peptide in the present invention refers to a polypeptide having both GLP-1R/GCGR/GIPR agonistic activity, or a "triple-acting active peptide”. .
  • EC 50 concentration for 50% of maximal effect refers to the concentration required for a drug or substance to stimulate 50% of its corresponding biological response.
  • concentration for 50% of maximal effect refers to the concentration required for a drug or substance to stimulate 50% of its corresponding biological response.
  • LDL Low-density lipoprotein
  • High-density protein Helps clear LDL on the arteries, acts as a scavenger, clears LDL from the artery and returns to the liver.
  • Triglyceride Another type of fat used to store excess energy in the diet.
  • High levels of triglycerides in the blood are associated with atherosclerosis.
  • High triglycerides can be caused by overweight and obesity, lack of exercise, smoking, excessive alcohol consumption, and high carbohydrate intake (more than 60% of total calories).
  • Sometimes basic or genetic diseases are the cause of high triglycerides.
  • People with high triglycerides typically have high total cholesterol levels, including high LDL cholesterol and low HDL cholesterol, and many people with heart disease or diabetes also have high triglyceride levels.
  • GPCR G Protein-Coupled Receptor, which is an important protein in cell signaling, and its topological conformation is a 7-transmembrane receptor. When an extracellular ligand acts on the receptor, the intramembrane portion of the receptor binds to the G protein to activate the G protein.
  • G protein can transmit extracellular information in two ways: the first way is to open the transmembrane ion channel, allowing the outside ions to enter; the second way is to activate the second messenger, such as cAMP, IP 3 /DAG. Calcium ions are generally considered to be third messengers downstream of cAMP, IP 3 /DAG.
  • COMU 1-[(1-(Cyano-2-ethoxy-2-oxoethylaminooxy)dimethylaminomorpholinomethylene)]methylammonium hexafluorophosphate
  • DIPEA diisopropylethylamine
  • HATU 2-(7-oxobenzotriazole)-N,N,N',N'-tetramethyluron hexafluorophosphate
  • the experimental methods, detection methods, and preparation methods disclosed in the present invention employ molecular biology, biochemistry, chromatin structure and analysis, analytical chemistry, cell culture, recombinant DNA technology, and related fields conventional in the art. Conventional technology. These techniques are well described in the prior literature, see Sambrook et al.
  • MOLECULAR CLONING A LABORATORY MANUAL, Second edition, Cold Spring Harbor Laboratory Press, 1989 and Third edition, 2001; Ausubel et al, CURRENT PROTOCOLS IN MOLECULAR BIOLOGY, John Wiley & Sons, New York, 1987 and periodic updates; the series METHODS IN ENZYMOLOGY, Academic Press, San Diego; Wolffe, CHROMATIN STRUCTURE AND FUNCTION, Third edition, Academic Press, San Diego, 1998; METHODS IN ENZYMOLOGY, Vol. Chromatin (PM Wassarman and AP Wolffe, eds.), Academic Press, San Diego, 1999; and METHODS IN MOLECULAR BIOLOGY, Vol. 119, Chromatin Protocols (PBBecker, ed.) Humana Press, Totowa, 1999, and the like.
  • solid phase peptide synthesis can be performed on a CEM Liberty peptide synthesizer using standard Fmoc methods.
  • the resin was washed with EtOH (3 ⁇ 10 mL) and Et 2 O (3 ⁇ 10 mL) and dried at room temperature to constant weight.
  • the resin was added to TFA/TIS/phenol/EDT/water (82.5/5/5/2.5/5, v/v, 40 mL) for 2 h in an ice bath, the crude peptide was cleaved from the resin, filtered, and the procedure was repeated three times. The filtrates were combined, and most of the TFA was removed under reduced pressure, which was crystallised from diethyl ether.
  • the C-terminal amide-terminated polypeptide was synthesized by the above method; the other peptides were synthesized by Wangle Resin (0.4 mmol/g, 1 g), and the resin was swollen and directly added with Fmoc-amino acid for coupling reaction, Fmoc protection, polypeptide
  • the steps of cleavage, purification, and operation are the same as those of the C-terminal amide-end polypeptide.
  • the synthesis and purification of polypeptides with fatty acid modifications is conventional and can be found in Finan B et al. (Finan B et al, A rationally designed monomeric peptide triagonist corrects obesity and diabetes in rodents. Nat Med.
  • Chhabr et al. Appraisal of New Variants of Dde Amine Protecting Group for Solid Phase Peptide Synthesis. Tetrahedron Lett. 1998, 39(12), 1603–1606).
  • the purified peptide was analyzed by LC/MS, and the results of the analysis are shown in Table 2.
  • 14 and 15 are mass spectrograms of exemplary glucagon analogs numbered C495 and C382, respectively.
  • the mass spectrometry conditions are as follows:
  • X in the table is aminoisobutyric acid, and K' indicates that this position is a lysine residue and is covalently linked to a fatty acid having the following structure:
  • the purpose of this example was to investigate the chemical stability of various glucagon analogs obtained in the preparation of Example 1 in aqueous solution.
  • the polypeptide to be tested (glucagon analog) and the control substance were prepared in a 20 mM phosphate buffer PB or acetate buffer at a corresponding pH, and the final concentration of the polypeptide was 0.2 mg/ml and a sterile filter (0.22 ⁇ m) was used. , Millipore SLGP033RB) for filtration sterilization.
  • the prepared polypeptide solution was allowed to stand at 40 ° C for 7 days. It was then centrifuged at 4500 rpm for 20 minutes and the supernatant (t7) was analyzed using RP-HPLC-UV. The amount of residual intact peptide was determined, and the sample (t0) which was not incubated was analyzed in parallel. Comparing the peak areas of the target compounds at t0 and t7, the "residual peptide %" was obtained according to the following equation:
  • Residual peptide content % [(peptide peak area t7) ⁇ 100] / peptide peak area t0.
  • Figures 1-7 exemplarily show liquid phase HPLC analytical spectra of several glucagon analogs such as C381.
  • Relative activity The activity value at 0 hours was 100%, and the value measured at the subsequent time point was obtained. Analysis of experimental results: Serum stability can be obtained from Table 4 and Figures 8A and 8B.
  • N.D. means lower than the lower limit of detection
  • the luciferase reporter assay was used for GLP-1R agonistic activity assay (Jonathan W Day et al: Nat Chem Biol. 2009 Oct; 5(10): 749-57).
  • the human GLP-1R gene was cloned into the mammalian cell expression plasmid pCDNA3.1, and the recombinant expression plasmid pCDNA3.1-GLP-1R was constructed, and the full-length gene of luciferase was cloned into the pCRE plasmid to obtain pCRE-Luc. Recombinant plasmid.
  • the pcDNA3.1-GLP-1R and pCRE-Luc plasmids were transfected into CHO cells at a ratio of 1:10, and the stably transfected expression strains were screened.
  • the cells were cultured in a 9-cm cell culture dish in DMEM/F12 medium containing 10% FBS and 300 ⁇ g/ml G418. When the confluency was about 90%, the culture supernatant was discarded, and after 2 ml trypsin digestion for 3 min, Add 2 ml of DMEM/F12 medium containing 10% FBS and 300 ⁇ g/ml G418, transfer to a 15 ml centrifuge tube, centrifuge at 1000 rpm for 5 min, discard the supernatant, and add 2 ml of DMEM containing 10% FBS and 300 ⁇ g/ml G418. /F12 medium was resuspended and counted.
  • the cells were diluted to 1 ⁇ 10 5 / ml with DMEM/F12 medium containing 10% FBS, 100 ⁇ l per well in a 96-well plate, ie 1 ⁇ 10 4 /well, and then replaced with DMEM/ containing 0.2% FBS. F12 medium culture. After discarding the supernatant in the 96-well plate, the purified recombinant protein was diluted to a specified concentration in DMEM/F12 medium containing 0.1% FBS, and added to the cell culture well, 100 ⁇ l/well, and stimulated for 6 hours. Detection. Detection was carried out according to the instructions of the lucifersae reporter kit (Ray Biotech, Cat: 68-LuciR-S200). Figures 9A and 9B show the results of GLP-1R agonistic activity assay.
  • the luciferase reporter assay is also used for GCGR agonistic activity assays.
  • the human GCGR gene was cloned into the mammalian cell expression plasmid pcDNA3.1 to construct a recombinant expression plasmid pCDNA3.1-GCGR, and the transfected HEK 293T and stably transformed cell lines were screened as above.
  • Figures 9C and 9D show the results of GCGR agonistic activity assay.
  • the pcDNA3.1-GIPR plasmid was transfected into CHO cells and screened for positive stable cell lines. Approximately 200,000 cells/well were seeded in 96-well cell culture plates, cultured overnight, and washed with Hanks' balanced salt solution, and the protein to be tested was diluted to a specified concentration of 200 ⁇ M 3-isobutyl-1-methylxanthine. (IBMX) was added to the cells, cultured at 37 ° C for 20 min, the culture supernatant was discarded, the lysate was added to lyse the cells, and cAMP content was determined by cAMP Parameter assay kit (American R&D Company, article number: SKGE002B). The results are shown in Figures 9E-H.
  • Rat BRIN-BD11 cells were used to determine insulin release induced by active protein stimulation, but with minor modifications, ie in a 24-well plate (Orange Scientific, Brainel) Add 1.0 ⁇ 106 cells to each well in 'Alleud, Belgium, incubate at 37 ° C overnight, centrifuge to remove the supernatant, and add 1.0 ml of KRB (115 mM NaCl, 4.7 mM KCl, 1.28 mM CaCl 2 , 1.2 mM MgSO 4 , per well).
  • KRB 115 mM NaCl, 4.7 mM KCl, 1.28 mM CaCl 2 , 1.2 mM MgSO 4 , per well.
  • mice 7-week-old Balb/c mice, 6 in each group, were collected from the tail vein of each rat before administration to obtain 50 ul of serum as a blank control.
  • a corresponding glucagon analog (30 nmol/kg in PBS buffer) was injected daily for 28 consecutive days. On the 45th day, blood was collected from the eyelids and the serum was coagulated.
  • the antibody titer was determined by direct ELISA.
  • the corresponding polypeptide coated with the enzyme plate, the mouse serum was diluted 1:50; 1:200, 1:1000, 1:5000 into the enzyme plate, and the goat anti-mouse secondary antibody was the detection antibody. Before the administration of each mouse, the serum was a negative control.
  • the average value of the OD 450 value of the test sample was greater than 2.1 times the average value of the OD 450 value of the negative control serum, and the result was judged as positive (+), and vice versa (negative). -), the highest dilution that results in a positive is the antibody titer.
  • media control acetate buffer, 20 mM acetic acid, 250 mM mannitol, pH 5.0
  • Glucagon analog (30nmol/kg in PBS buffer) and vehicle control, liraglutide ( trade name) 40 nmol/kg, diluted into PBS buffer).
  • DIO mouse model Male C57BL/6J male mice, approximately 7 weeks old, were fed a high fat diet (60% kcal from fat) for about 16 weeks (23 weeks total) and tested at a body weight of approximately 45 g. DIO mice were randomly divided into groups, with 6 rats in each group. There was no difference in basal body weight. Each group of mice was injected subcutaneously with each glucagon analog (30nmol/kg, PBS) or PBS for the same time. Rupeptide (trade name) 30 nmol/kg), administered twice a day, weighing to 30 days per day.
  • DIO mice were randomly divided into groups, with 6 rats in each group. There was no difference in basal body weight. Each group of mice was injected subcutaneously with each GCG analog (30 nmol/kg in PBS) or PBS, and the control group liraglutide (trade name). 30 nmol/kg, diluted to PBS) was administered twice a day, and the fatty acidified GCG analog (30 nmol/kg in PBS) was administered once a day and weighed to 30 days per day.
  • Figure 13 is the percentage of final body weight loss in DIO mice after administration of each glucagon analog.
  • the GCG analogs C381, C464 and C493 shown in the figure have the same weight loss effect as the corresponding amino acid sequence and the fatty acid modified corresponding GCG analog, while C225 and C163 have no significant weight loss effect without fatty acidification.
  • the present invention effectively overcomes various shortcomings in the prior art and obtains a group of three-way agonists with potential clinical value.

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Abstract

A glucagon analogue for treating metabolic diseases, the structure formula is as follows: H-X2-X3-GTFTSD-X10-SKYLD-X16-X17-AAQ-DFVQWLMN-X29-Xz or H-S-Q-GTFTSD-Y-SKYLD-X16-X17-AAQ-DFVQWLMN-X29-Xz-NH2. The described glucagon analogue has a GLP-1/GCG/GIP triple receptor agonist activity and better enzyme resistant stability for neutral endopeptidase (NEP) and dipeptidyl peptidase-4(DPP-4), and has a longer half-life in vivo and duration of action compared with natural glucagon, GLP-1 and GIP.

Description

一种治疗代谢疾病的胰高血糖素类似物Glucagon analog for treating metabolic diseases 技术领域Technical field
本发明涉及生物药物领域,特别是涉及一种治疗代谢疾病的胰高血糖素类似物及其制备方法和用途。The invention relates to the field of biopharmaceuticals, in particular to a glucagon analog for treating metabolic diseases, a preparation method thereof and use thereof.
背景技术Background technique
糖尿病是一种严重的慢性病,当胰腺产生不了足够的胰岛素或者人体无法有效地利用所产生的胰岛素时,就会出现糖尿病。目前上市的蛋白类糖尿病药物主要是GLP-1受体(GLP-1R)激动剂,如杜拉鲁肽(Dulaglutide,商品名:
Figure PCTCN2018116166-appb-000001
)、阿必鲁肽(Albiglutide,商品名
Figure PCTCN2018116166-appb-000002
)、利拉鲁肽(Liraglutide,商品名
Figure PCTCN2018116166-appb-000003
Figure PCTCN2018116166-appb-000004
分别用于治疗肥胖和糖尿病)、艾塞那肽(Exenatide,商品名
Figure PCTCN2018116166-appb-000005
)、利西拉肽(Lixisenatide,商品名
Figure PCTCN2018116166-appb-000006
)及可能即将上市的索马鲁肽(Semaglutide)等。杜拉鲁肽、阿必鲁肽、利拉鲁肽及索马鲁肽都是天然胰高血糖素样肽-1(GLP-1)的类似物,在经过GLP-1序列突变后分别与IgG的FC片段、人白蛋白及脂肪酸融合或交联,获得活性高且稳定的GLP-1R激动剂。而艾塞那肽(Exenatide,即Exendin-4)则是一种来源于蜥蜴(Heloderma suspectum)唾腺的39个氨基酸小肽。Exendin-4虽然是GLP-1R的强效激动剂,但活性比天然GLP-1及GLP-1类似物都高。这些GLP-1R的激动剂虽然都能有效地降低血糖,控制食欲,但是对于减重的效果并不是太显著。其中利拉鲁肽(商品名
Figure PCTCN2018116166-appb-000007
)虽然被获批用于治疗肥胖,然而实际上其体重减轻大概只有5.6公斤。目前用于肥胖的药物减重一般在5–10%左右(与安慰剂相比),即整体上平均减重的比例不超过患者体重的10%(Rudolph L.Leibel等,Biologic Responses to Weight Loss and Weight Regain:Report From an American Diabetes Association Research Symposium,Diabetes,64(7):2299-2309,2015)。
Diabetes is a serious chronic disease that occurs when the pancreas does not produce enough insulin or the body cannot effectively use the insulin produced. The currently marketed protein-based diabetes drugs are mainly GLP-1 receptor (GLP-1R) agonists, such as Duraglutide (trade name:
Figure PCTCN2018116166-appb-000001
), Albiglutide (trade name)
Figure PCTCN2018116166-appb-000002
), liraglutide (Liraglutide, trade name
Figure PCTCN2018116166-appb-000003
and
Figure PCTCN2018116166-appb-000004
For the treatment of obesity and diabetes, respectively, Exenatide (trade name)
Figure PCTCN2018116166-appb-000005
), lixisenatide (Lixisenatide, trade name
Figure PCTCN2018116166-appb-000006
) and may be listed soon, such as Semaglutide. Duraglutide, albudide, liraglutide and somaglutide are all analogs of native glucagon-like peptide-1 (GLP-1), which are separately IgG after GLP-1 sequence mutation. The FC fragment, human albumin and fatty acid are fused or crosslinked to obtain a highly active and stable GLP-1R agonist. Exenatide (Exendin-4) is a 39-amino acid small peptide derived from the salivary gland of the lizard (Heloderma suspectum). Although Exendin-4 is a potent agonist of GLP-1R, it is more active than native GLP-1 and GLP-1 analogs. Although these agonists of GLP-1R can effectively lower blood sugar and control appetite, the effect on weight loss is not too significant. Liraglutide (trade name)
Figure PCTCN2018116166-appb-000007
Although it has been approved for the treatment of obesity, its weight loss is actually only 5.6 kg. The current weight loss for obesity drugs is generally around 5–10% (compared to placebo), ie the overall average weight loss ratio does not exceed 10% of the patient's body weight (Rudolph L. Leibel et al, Biologic Responses to Weight Loss) And Weight Regain: Report From an American Diabetes Association Research Symposium, Diabetes, 64(7): 2299-2309, 2015).
减肥手术(Bariatric surgery)可以显著改善肥胖症和治疗糖尿病,然而其应用并不广泛,因为大部分的患者出于手术风险及长期后遗症的考虑,并不愿意接受这种手术(Obesity and Diabetes,New Surgical and Nonsurgical Approaches,Springer出版社,2015)。研究发现,经外科减肥手术的患者肠降血糖素(Incretin)分泌会激增(Obesity and Diabetes,New Surgical and Nonsurgical Approaches,Springer出版社,2015)。临床前及临床研究也发现,同时给病人输注GLP-1/胰高血糖素(Glucagon,GCG)(Tricia M.Tan etc.,DIABETES,VOL.62:1131-1138,2013),或者GLP-1,胃泌酸调节素(Oxyntomodulin,OXM)和PYY,对于促进能 量代谢,抑制食欲,控制体重(Tricia Tan etc.,J Clin Endocrinol Metab,2017,102(7):2364–2372)都有明显效果。从临床需要而言,可以简单地把这些多肽直接混合用于临床。但是由于这些不同种类的多肽的体内稳定性及降解速度的差异,导致最终体内药效不可控,实际是很难简单将这些多肽混合后作为复方药物使用的。因此,目前新一代的糖尿病药物开发主要是设法把这些激动剂活性集中于一个分子中,如GLP-1R/GIPR和GLP-1R/GCGR双效激动剂,甚至GLP-1R/GIPR/GCGR三效激动剂(Chakradhar,Shraddha.All in one:researchers create combination drugs for diabetes and obesity.Nature Medicine,22(7):694-695,2016)。Bariatric surgery can significantly improve obesity and treat diabetes, but its use is not widespread, as most patients are reluctant to undergo such surgery for surgical risks and long-term sequelae (Obesity and Diabetes, New Surgical and Nonsurgical Approaches, Springer Press, 2015). The study found that incretin secretion increased dramatically in patients undergoing surgical bariatric surgery (Obesity and Diabetes, New Surgical and Nonsurgical Approaches, Springer, 2015). Preclinical and clinical studies have also found that patients are simultaneously infused with GLP-1/Glucagon (GCG) (Tricia M.Tan etc., DIABETES, VOL. 62: 1131-1138, 2013), or GLP- 1, Oxyntomodulin (OXM) and PYY, are important for promoting energy metabolism, suppressing appetite, and controlling body weight (Tricia Tan etc., J Clin Endocrinol Metab, 2017, 102(7): 2364–2372) effect. These polypeptides can be simply mixed for clinical use in terms of clinical needs. However, due to the difference in the in vivo stability and degradation rate of these different kinds of polypeptides, the final in vivo efficacy is uncontrollable, and it is actually difficult to simply mix these polypeptides and use them as a combination drug. Therefore, the current development of a new generation of diabetes drugs is mainly to try to concentrate these agonist activities in one molecule, such as GLP-1R/GIPR and GLP-1R/GCGR double-effect agonists, and even GLP-1R/GIPR/GCGR three-effects. Agonist (Chakradhar, Shraddha. All in one: researchers to create a combination drugs for diabetes and obesity. Nature Medicine, 22(7): 694-695, 2016).
目前这类药物的设计开发主要有以下几种方式:1.基于具有GLP-1/GCG双重活性的人体內源多肽胃泌酸调节素(Oxyntomodulin,OXM)的修饰开发。OXM是一种人体天然具有GLP-1与GCG双重活性的多肽(Diabetes,2005,54:2390–2395)。但是OXM的活性并不高(具有约10%的GCG活性和约1%的GLP-1活性),而且体内稳定性和半衰期都很差,因此OXM本身无法直接用于临床,往往需要通过引入非天然氨基酸,各种修饰等来提高其体内活性和稳定性。如OPKO Biologics的Mod-6030就是N端进行了可降解PEG修饰的长效OXM(Oren Hershkovitz:Presentation Number:SAT-787。The Endocrine Society's 95th Annual Meeting and Expo,June 15–18,2013-San Francisco)。TT401(LY2944876)则是另一种PEG修饰的OXM类似物(Chakradhar,Shraddha."All in one:researchers create combination drugs for diabetes and obesity."Nature Medicine,vol.22,no.7,2016:694-5)。PSA-OXM则是用多聚唾液酸(polysialic acid)修饰的OXM类似物(Vorobiev I等,Biochimie,2013,95(2):264-70)。但是限于OXM的低活性、稳定性差等原因,其临床效果并不好,大部分研究已经被放弃。2.利用肠降血糖素(incretin)序列上的同源性,在OXM、GLP-1和GCG等结构基础上通过多重突变,修饰,甚至引进非天然氨基酸来获得多重活性的稳定杂合肽(Matthias H.
Figure PCTCN2018116166-appb-000008
等,Unimolecular Polypharmacy for Treatment of Diabetes and Obesity,24:51–62,2016)。Matthias H.
Figure PCTCN2018116166-appb-000009
等的综述文章里详尽地介绍了目前处于临床或临床前的各种杂合肽形式。如Alessandro Pocai等报道的基于OXM的双效GLP-1R/GCGR激动剂(Glucagon-Like Peptide 1/Glucagon Receptor Dual Agonism Reverses Obesity in Mice,Diabetes;58(10):2258-2266,2009),或者Richard D.DiMarchi等报道的基于GCG的双效GLP-1R/GCGR激动剂(US9018164B2)甚至三效的GLP-1R/GCG/GIPR激动剂(US9150632)。这些多特异性的杂合肽大多基于GLP-1或GCG,通过序列突变来提高活性和抵抗蛋白酶水解,比如将L型氨基酸突变为D型氨基酸(如D-Ser)、或引入非天然氨基酸Aib来提高体内稳定性,同时进行脂肪酸链或聚乙二醇(PEG)修饰等来延长半衰期,临床预期给药周期为一天一次(脂肪酸修饰)或一周一次(PEG修饰)。 另外,Aisling M.Lynch等报道了将天然GCG的第二位Ser突变为D-Ser,并在C末端引入Exendin-4的C末端肽的GCG类似物(D-Ser2-glucagon-exe),并在DIO体内进行了药效实验,每天两次给药(Novel DPP IV-resistant C-terminally extended glucagon analogue exhibits weight-lowering and diabetes-protective effects in high-fat-fed mice mediated through glucagon and GLP-1 receptor activation,Diabetologia:57:1927–1936,2014),减重效果明显。
At present, the design and development of such drugs are mainly in the following ways: 1. The development of modification of human endogenous polypeptide Oxyntomodulin (OXM) based on dual activity of GLP-1/GCG. OXM is a polypeptide naturally occurring in humans with dual activities of GLP-1 and GCG (Diabetes, 2005, 54: 2390-2395). However, the activity of OXM is not high (having about 10% of GCG activity and about 1% of GLP-1 activity), and its stability and half-life are very poor in vivo. Therefore, OXM itself cannot be directly used in clinical practice, and it is often necessary to introduce non-natural. Amino acids, various modifications, etc. to enhance their activity and stability in vivo. For example, OPKO Biologics' Mod-6030 is a long-acting OXM with a degradable PEG modification at the N-term (Oren Hershkovitz: Presentation Number: SAT-787. The Endocrine Society's 95th Annual Meeting and Expo, June 15–18, 2013-San Francisco) . TT401 (LY2944876) is another PEG-modified OXM analog (Chakradhar, Shraddha. "All in one: researchers to create combination drugs for diabetes and obesity." Nature Medicine, vol. 22, no. 7, 2016: 694- 5). PSA-OXM is an OXM analog modified with polysialic acid (Vorobiev I et al, Biochimie, 2013, 95(2): 264-70). However, due to the low activity and poor stability of OXM, the clinical effect is not good, and most of the research has been abandoned. 2. Using the homology of incretin sequence to obtain multiple active stable hybrid peptides by multiple mutations, modifications, and even introduction of non-natural amino acids on the basis of structures such as OXM, GLP-1 and GCG ( Matthias H.
Figure PCTCN2018116166-appb-000008
Etc. Unimolecular Polypharmacy for Treatment of Diabetes and Obesity, 24: 51–62, 2016). Matthias H.
Figure PCTCN2018116166-appb-000009
The review articles in the article provide a detailed description of the various forms of hybrid peptides that are currently in clinical or clinical settings. OXM-based double-effect GLP-1R/GCGR agonists as reported by Alessandro Pocai et al. (Glucagon-Like Peptide 1/Glucagon Receptor Dual Agonism Reverses Obesity in Mice, Diabetes; 58(10): 2258-2266, 2009), or Richard D. DiMarchi et al. reported a GCG-based double-effect GLP-1R/GCGR agonist (US9018164B2) or even a three-way GLP-1R/GCG/GIPR agonist (US9150632). These multispecific hybrid peptides are mostly based on GLP-1 or GCG, which enhance activity and resist protease hydrolysis by sequence mutations, such as mutating L-form amino acids to D-amino acids (such as D-Ser), or introducing unnatural amino acids Aib. To improve the stability of the body, while fatty acid chain or polyethylene glycol (PEG) modification, etc. to extend the half-life, the clinical expected delivery cycle is once a day (fatty acid modification) or once a week (PEG modification). In addition, Aisling M. Lynch et al. reported a GCG analog (D-Ser2-glucagon-exe) that mutates the second Ser of native GCG to D-Ser and introduces the C-terminal peptide of Exendin-4 at the C-terminus, and Pharmacodynamic experiments in DIO, twice daily dosing (Novel DPP IV-resistant C-terminally extended glucagon analogue exhibits weight-lowering and diabetes-protective effects in high-fat-fed mice mediated through glucagon and GLP-1 receptor Activation, Diabetologia: 57: 1927–1936, 2014), the weight loss effect is obvious.
虽然研究开发具有GLP-1R、GCGR、GIPR多重激动活性的分子,是非常有临床前景的,但真正要获得一个理想的这类药物,实际上却是非常困难的。Although the development of molecules with multiple agonistic activities of GLP-1R, GCGR, and GIPR is very promising, it is actually very difficult to obtain an ideal drug of this kind.
首先是安全性问题,特别是免疫原性问题。降糖减肥类药物需要长期使用,对安全性要求极高。为了设计获得一个具有GLP-1、GCG及GIP高活性的并且体内稳定的多肽,现有的技术方案都往往都引入了较多的突变位点,并且经常引入非天然氨基酸及其他修饰。这些突变及非天然氨基酸的引入,都增加了潜在免疫原性的风险。一般情况下与人源序列具有越高的同源性,在人体中免疫原性风险就相对的越低。罗氏与益普生合作研发的GLP-1受体激动剂降糖药Taspoglutide(仅引入了2个非天然氨基酸Aib),抗体生成率达到了49%,目前已经暂停了所有临床Ⅲ期的研究(JULIO ROSENSTOCK等,The Fate of Taspoglutide,a Weekly GLP-1Receptor Agonist,Versus wice-Daily Exenatide for Type 2,DIABETES CARE,36:498-504,2013)。PHIL AMBERY等(THE ENDOCRINOLOGIST,SPRING,2017:12-13)在GCG的序列基础上筛选了500多个结构,才获得了一条候选肽MEDI0382。其中,为了保持较高的GLP-1与GCG双重活性和体内稳定性,与GCG相比,MEDI0382引进了9个突变位点,突变率达到了约30%;同样,Andreas Evers等(J Med Chem.2017May 25;60(10):4293-4303)在Exendin-4的结构基础上引入了9个突变位点,突变率达到了约23%,并进行了脂肪酸链修饰,才获得了同时具有较高GLP-1与GCG双重活性的杂合肽;Brian Finan等(Brian Finan等,Nat Med.21:27-36,2015)设计的GLP-1/GCG/GIP三活性肽是在GCG的C末端加入了GPSSGAPPPS序列,并引入了7个突变氨基酸,包括第二位突变为非天然氨基酸Aib。因此,现有的技术方案往往都引入了较多的突变位点,并且经常引入非天然氨基酸及其他修饰,才能获得同时具有GLP-1、GCG及GIP高活性的多肽。这些突变,修饰及非天然氨基酸的引入,都增加了潜在免疫原性的风险。而对于治疗糖尿病,肥胖这类疾病的药物,安全性是极其重要的。因此,开发一种不含非天然氨基酸,并且包含尽量少的突变氨基酸的高活性多效GLP-1/GCG多重激动剂,是非常有意义的。The first is the issue of safety, especially the issue of immunogenicity. The hypoglycemic and weight-loss drugs need to be used for a long time, and the safety requirements are extremely high. In order to design a polypeptide with high activity of GLP-1, GCG and GIP and stable in vivo, the prior art schemes often introduce more mutation sites, and often introduce non-natural amino acids and other modifications. These mutations and the introduction of unnatural amino acids increase the risk of potential immunogenicity. In general, the higher homology with human sequences, the lower the risk of immunogenicity in humans. The GLP-1 receptor agonist Taspoglutide, which was developed by Roche and Epson, introduced only two unnatural amino acids, Aib, with an antibody production rate of 49%. All clinical phase III studies have been suspended ( JULIO ROSENSTOCK et al, The Fate of Taspoglutide, a Weekly GLP-1 Receptor Agonist, Versus wice-Daily Exenatide for Type 2, DIABETES CARE, 36: 498-504, 2013). PHIL AMBERY et al. (THE ENDOCRINOLOGIST, SPRING, 2017: 12-13) screened more than 500 structures based on the sequence of GCG to obtain a candidate peptide MEDI0382. Among them, in order to maintain high GLP-1 and GCG dual activity and in vivo stability, compared with GCG, MEDI0382 introduced 9 mutation sites, the mutation rate reached about 30%; likewise, Andreas Evers et al (J Med Chem .2017May 25;60(10):4293-4303) Introduced 9 mutation sites based on the structure of Exendin-4, the mutation rate reached about 23%, and the fatty acid chain modification was carried out. Hybrid peptide with high GLP-1 and GCG dual activity; GLP-1/GCG/GIP triactive peptide designed by Brian Finan et al. (Brian Finan et al., Nat Med. 21:27-36, 2015) is at the C-terminus of GCG The GPSSGAPPPS sequence was added and seven mutant amino acids were introduced, including a second mutation to the unnatural amino acid Aib. Therefore, the existing technical solutions often introduce more mutation sites, and often introduce non-natural amino acids and other modifications to obtain polypeptides with high activity of GLP-1, GCG and GIP. These mutations, modifications, and introduction of unnatural amino acids increase the risk of potential immunogenicity. For drugs that treat diabetes and obesity, safety is extremely important. Therefore, it is of great interest to develop a highly active multi-effect GLP-1/GCG multiple agonist that contains no unnatural amino acids and contains as few mutant amino acids as possible.
另一方面,现有研究对如何组合这些肠降血糖素的活性以及活性之间的合适比例,始终还未有公论。如PCT申请WO2015155139A1、WO2015155140A1及WO201515541A1公开了 以Exendin-4为基础改造的GLP-1R/GCGR双效激动肽或GLP-1R/GCG/GIPR三效激动肽。其中WO201515541A1公开了一种具有GLP-1R/GCGR/GIPR三效激动活性的杂合肽,研究认为该三效激动活性的肽具有很好的降糖减肥效果;但是WO2015155139A1和WO2015155140A1则是为了避免GIPR激动活性导致的低血糖风险,制备成GLP-1R/GCGR双效激动肽,反而具有更好的降糖减肥效果。A.Seth等研究也认为引入GIP活性并不能增强GLP-1对血糖控制效果(A.Seth等,Co-administration of a lipidated GIPR agonist with a GLP-1 analogue provides no additional benefit on HbA1c% over GLP1 analogue in db/db mice,EASD virtual meeting,2015)。On the other hand, the existing research on how to combine the activity of these incretins and the appropriate ratio between the activities has not been widely discussed. GLP-1R/GCGR double-acting agonist or GLP-1R/GCG/GIPR triple-acting agonist modified on Exendin-4 is disclosed, for example, in PCT applications WO2015155139A1, WO2015155140A1 and WO201515541A1. Among them, WO201515541A1 discloses a hybrid peptide having GLP-1R/GCGR/GIPR triple-acting agonistic activity, and it is considered that the three-way agonistic active peptide has a good hypoglycemic weight-loss effect; however, WO2015155139A1 and WO2015155140A1 are for avoiding GIPR. The risk of hypoglycemia caused by agonistic activity is prepared as a GLP-1R/GCGR double-acting agonist, which in turn has a better hypoglycemic weight loss effect. A.Seth et al. also suggested that the introduction of GIP activity does not enhance the effect of GLP-1 on blood glucose control (A.Seth et al, Co-administration of a lipidated GIPR agonist with a GLP-1 analogue provides no additional benefit on HbA1c% over GLP1 analogue In db/db mice, EASD virtual meeting, 2015).
再次,对于GLP-1、Exendin-4、GCG这类序列高度同源,受体同属于GPCR家族,肽链长度只有30-40个氨基酸左右的小肽而言,单个位点突变或者若干个位点同时突变之后对不同受体的活性变化是非常难以预测的,因此要想获得理想的多重激动活性杂合肽也是极其困难的。例如Joseph Chabenne等报道(Joseph Chabenne等,A glucagon analog chemically stabilized for immediate treatment of life-threatening hypoglycemia,Molecular Metabolism,3:293-300,2014)在对GCG进行丙氨酸扫描(Ala scan),GCG的各个位点独立地被丙氨酸取代后,相对残留活性保留跨度从0.2%-100%,并表示GCG的第1、2、3、4、6-12、14、15、22、23、25-27、29位突变都会使GCGR激动活性大幅减弱(文章中的表4)。然而我们也可以在其他的报道中看到在上述这些位点中取单个或若干个位点同时进行突变,用其他的氨基酸取代时,活性的变化并不总是与丙氨酸扫描的结果一致。如Jonathan W Day等(Jonathan W Day等,A new glucagon and GLP-1 co-agonist eliminates obesity in rodents,Nature Chemical Biology,5:749-757,2009)报道,对GCG的16位进行16S→G、16S→T、16S→H、16S→E等不同突变,其GCGR激动活性反而是提高的,这与Joseph Chabenne的丙氨酸扫描结果完全矛盾。其次,Joseph Chabenne研究认为在23位用丙氨酸取代,将导致GCGR激动活性几乎完全丧失(仅保留1.1%);但是Jonathan W Day等将23位突变成Ile,其GCG活性并没有下降。又比如丙氨酸扫描结果认为第二位S对保留GCG活性是非常重要的(突变为Ala时活性仅保留了1/3),但是Brian Finan等报道(Finan B等,A rationally designed monomeric peptide triagonist corrects obesity and diabetes in rodents.Nat Med.2015;21:27-36.),对GCG第二位氨基酸分别进行2 S→Aib、2 S→dSer、2 S→G、2 S→dAla替代突变,再组合其他位点的突变后,GCGR的相对激动活性反而提高为200%—640%。在我们的研究中也发现,把一些有利于提高GLP-1,GCG或GIP活性的突变组合引入时,很多时候其效果与单个位点突变时是完全不一致的。并且,GLP-1、Exendin-4、GCG或GIP这类多肽,在N及C末端增加或减少氨基酸都会影响其生物学活性。如N端去掉一个或两个氨基酸,GLP-1、GCG等的激动活性 就会完全丧失。如Oxyntomodulin只比Glucagon的C末端多了KRNRNNIA这8个氨基酸,其GCGR激动活性就丧失了90%左右(Alessandro Pocai等,Glucagon-Like Peptide 1/Glucagon Receptor Dual Agonism Reverses Obesity in Mice,Diabetes;58(10):2258-2266,2009;Henderson SJ等,Robust anti-obesity and metabolic effects of a dual GLP-1/Glucagon receptor peptide agonist in rodents and non-human primates,Diabetes Obes Metab,2016)。Again, for sequences such as GLP-1, Exendin-4, and GCG, which are highly homologous, the receptor belongs to the GPCR family, and the peptide has a peptide length of only 30-40 amino acids, a single site mutation or several bits. The change in activity of different receptors after simultaneous mutation is very difficult to predict, so it is extremely difficult to obtain the desired multiple agonistic activity hybrid peptide. For example, Joseph Chabenne et al. (Joseph Chabenne et al., A glucagon analog chemically stabilized for immediate treatment of life-threatening hypoglycemia, Molecular Metabolism, 3: 293-300, 2014) performed Ala scan on GCG, GCG After each site is independently substituted with alanine, the relative residual activity retention span is from 0.2% to 100%, and represents the 1, 2, 3, 4, 6-12, 14, 15, 22, 23, 25 of the GCG. Both the -27 and 29 mutations significantly attenuated the GCGR agonistic activity (Table 4 in the article). However, we can also see in other reports that single or several sites in these sites are simultaneously mutated. When substituted with other amino acids, the change in activity is not always consistent with the results of alanine scanning. . As reported by Jonathan W Day et al. (Jonathan W Day et al., A new glucagon and GLP-1 co-agonist eliminates obesity in rodents, Nature Chemical Biology, 5: 749-757, 2009), 16 bits of GCG are 16S→G, Different mutations such as 16S→T, 16S→H, 16S→E, etc., the GCGR agonistic activity is increased, which is completely contradictory to the alanine scan result of Joseph Chabenne. Second, the Joseph Chabenne study concluded that substitution with alanine at position 23 would result in almost complete loss of GCGR agonistic activity (only 1.1% retained); however, Jonathan W Day et al. mutated 23 to Ile with no decrease in GCG activity. Another example is the alanine scan, which suggests that the second S is very important for retaining GCG activity (only 1/3 of the activity is retained when the mutation is Ala), but Brian Finan et al. (Finan B et al., A rationally designed monomeric peptide triagonist Corrects obesity and diabetes in rodents. Nat Med. 2015;21:27-36.), 2 S→Aib, 2 S→dSer, 2 S→G, 2 S→dAla substitution mutations for the second amino acid of GCG, After combining the mutations at other sites, the relative agonistic activity of GCGR increased to 200%-640%. It has also been found in our study that when a combination of mutations that promote GLP-1, GCG or GIP activity is introduced, the effect is often completely inconsistent with a single site mutation. Moreover, polypeptides such as GLP-1, Exendin-4, GCG or GIP, which increase or decrease amino acids at the N and C terminals, affect their biological activities. If one or two amino acids are removed at the N-terminus, the agonistic activity of GLP-1, GCG, etc. is completely lost. For example, Oxyntomodulin only has 8 amino acids of KRNRNNIA at the C-terminus of Glucagon, and its GCGR agonistic activity is lost by about 90% (Alessandro Pocai et al., Glucagon-Like Peptide 1/Glucagon Receptor Dual Agonism Reverses Obesity in Mice, Diabetes; 58 ( 10): 2258-2266, 2009; Henderson SJ et al, Robust anti-obesity and metabolic effects of a dual GLP-1/Glucagon antibody peptide agonist in rodents and non-human primates, Diabetes Obes Metab, 2016).
又如Joseph R.Chabenne和Richard D.DiMarchi等曾报道,在Glucagon的C末端增加一段Exendin-4的C末端小肽cex(SEQ ID NO.67,GPSSGAPPPS)后,使得其GLP-1R激动活性从0.7%增至1.6%,提高了约2倍左右(Optimization of the Native Glucagon Sequence for Medicinal Purposes,J Diabetes Sci Technol.4(6):1322–1331,2010及专利US9018164B2),并且还损失了约50%的GCG活性。Evers A等也报道(Evers A,Design of Novel Exendin-Based Dual Glucagon-like Peptide-1(GLP-1)/Glucagon Receptor Agonists,J Med Chem.;60(10):4293-4303.2017)在GCG类似物的C末端加上cex序列后,GLP-1R激动活性反而下降了2/3左右,但是GCG的激动活性更是损失了90%以上(文章中表2,肽7和8)。因此,对于GLP-1,Glucagon这类30个氨基酸长度的小肽,序列的改变对其活性变化是极其敏感的;而对于双重活性多肽,由于涉及对两个不同受体的激动,其变化就更加复杂,根本无法预测任何一个氨基酸改变后对GLP-1R和GCGR激动活性会是什么样的后果。As reported by Joseph R. Chabenne and Richard D. DiMarchi, the C-terminal small peptide cex (SEQ ID NO. 67, GPSSGAPPPS) of Exendin-4 was added to the C-terminus of Glucagon to make its GLP-1R agonistic activity. 0.7% increased to 1.6%, an increase of about 2 times (Optimization of the Native Glucagon Sequence for Medicinal Purposes, J Diabetes Sci Technol. 4 (6): 1322–1331, 2010 and patent US9018164B2), and also lost about 50 % GCG activity. Evers A et al. (Evers A, Design of Novel Exendin-Based Dual Glucagon-like Peptide-1 (GLP-1)/Glucagon Receptor Agonists, J Med Chem.; 60(10): 4293-4303.2017) in GCG analogues After the C-terminus plus the cex sequence, the GLP-1R agonistic activity decreased by about 2/3, but the agonistic activity of GCG was more than 90% lost (Table 2, peptides 7 and 8 in the article). Therefore, for GLP-1, a small peptide of 30 amino acids in length such as Glucagon, the sequence change is extremely sensitive to changes in its activity; for dual active polypeptides, the change is due to the excitation of two different receptors. More complex, it is impossible to predict the consequences of GLP-1R and GCGR agonistic activity after any amino acid change.
GCGR、GLP-1R等GPCR受体下游信号传导的复杂性,也增加了设计一个理想的多重活性杂合肽的难度。GCGR、GLP-1R的受体在胞内存在多条信号传导通道,包括G蛋白(Gαs、Gαi、Gαq等)和抑制蛋白(β-arrestin-1和β-arrestin-2)等下游信号因子形成了多条不同的信号传导通道,不同通道的激活其生理效应是不一样的,甚至有些通道活性与生理学功能的关系并未明了。例如在GLP-1序列中引入不同的突变或者不同的氨基酸序列,就能得到不同偏向性激动(biased-agonist)的结构,从而产生不同的生理学效应(Marlies V.等,J Am Chem Soc.,138(45):14970-14979,2016;Hongkai Zhang等,Nat Commun.,6:8918,2015)。The complexity of signaling downstream of GPCR receptors such as GCGR and GLP-1R also increases the difficulty of designing an ideal multiplex active hybrid peptide. The receptors of GCGR and GLP-1R have multiple signaling pathways in the cell, including downstream proteins such as G protein (Gαs, Gαi, Gαq, etc.) and inhibitory proteins (β-arrestin-1 and β-arrestin-2). A number of different signal transduction channels, the physiological effects of activation of different channels are not the same, and even the relationship between channel activity and physiological function is not clear. For example, by introducing different mutations or different amino acid sequences into the GLP-1 sequence, different biased-agonist structures can be obtained, resulting in different physiological effects (Marlies V. et al., J Am Chem Soc., 138(45): 14970-14979, 2016; Hongkai Zhang et al., Nat Commun., 6:8918, 2015).
因此,虽然理论上说设计获得一条同时具有高GLP-1、Glucagon及GIP活性的多肽是非常有临床意义的,但是实际上也是非常困难的。如果能够设计一种活性平衡,但是又尽量少引入突变位点和非天然氨基酸,尽量接近天然序列使得其潜在免疫原性更低,并且稳定性提高,具有很好的血糖控制和体重控制的多重活性杂合肽,是非常有临床意义的。Therefore, although it is theoretically very useful to design a polypeptide that has both high GLP-1, Glucagon, and GIP activities, it is actually very difficult. If you can design an activity balance, but introduce minimal mutation sites and unnatural amino acids, try to be close to the natural sequence to make it less potential immunogenic, and improve stability, with good glycemic control and weight control multiple Active hybrid peptides are very clinically relevant.
发明内容Summary of the invention
鉴于以上所述现有技术的缺点,本发明的目的在于提供一种胰高血糖素类似物,该胰高 血糖素类似物表现出GLP-1R/GCGR/GIPR三受体激动活性。In view of the above-discussed deficiencies of the prior art, it is an object of the present invention to provide a glucagon analog which exhibits GLP-1R/GCGR/GIPR triple receptor agonistic activity.
天然GCG具有相对于天然GLP-1大约1%的GLP-1R激动活性,但并没有GIPR激动活性。而本发明的胰高血糖素类似物,可表现GLP-1R/GCGR/GIPR三受体激动活性。Native GCG has approximately 1% GLP-1R agonistic activity relative to native GLP-1, but does not have GIPR agonistic activity. The glucagon analog of the present invention can exhibit GLP-1R/GCGR/GIPR triple receptor agonistic activity.
为实现上述目的及其他相关目的,本发明的第一方面提供一种胰高血糖素类似物(GCG类似物),所述胰高血糖素类似物的结构中含有如式I或式II所示的结构,式I所示结构为:HSQGTFTSD-X 10-SKYLD-X 16-X 17-AA-X 20-X 21-F-X 23-QWLMN-X 29-X z(SEQ ID NO.1),式II所示结构为: To achieve the above and other related objects, a first aspect of the present invention provides a glucagon analog (GCG analog) having a structure as shown in Formula I or Formula II The structure of the formula I is: HSQGTFTSD-X 10 -SKYLD-X 16 -X 17 -AA-X 20 -X 21 -FX 23 -QWLMN-X 29 -X z (SEQ ID NO.1), The structure shown in II is:
HSQGTFTSD-X 10-SKYLD-X 16-X 17-AA-X 20-X 21-F-X 23-QWLMN-X 29-X z-NH 2(SEQ ID NO.2),其中,X 10选自Y,K或L之任一,X 16选自S、E或A之任一,X 17选自Q、E、A或R之任一,X 20选自Q、R或K之任一;X 21选自D、L或E之任一;X 23选自V或I之任一;X 29为T或缺失,X z选自GGPSSGAPPPS(SEQ ID NO.65)、GGPSSGAPPS(SEQ ID NO.66)、GPSSGAPPPS(SEQ ID NO.67)、GPSSGAPPS(SEQ ID NO.68)、PSSGAPPPS(SEQ ID NO.69)、PSSGAPPS(SEQ ID NO.70)、SSGAPPPS(SEQ ID NO.71)或SSGAPPS(SEQ ID NO.72)之任一。 HSQGTFTSD-X 10 -SKYLD-X 16 -X 17 -AA-X 20 -X 21 -FX 23 -QWLMN-X 29 -X z -NH 2 (SEQ ID NO. 2), wherein X 10 is selected from Y, Any one of K or L, X 16 is selected from any one of S, E or A, X 17 is selected from any one of Q, E, A or R, and X 20 is selected from any one of Q, R or K; X 21 Any one selected from D, L or E; X 23 is selected from any one of V or I; X 29 is T or a deletion, and X z is selected from GGPSSGAPPPS (SEQ ID NO. 65), GGPSSGAPPS (SEQ ID NO. 66) , GPSSGAPPPS (SEQ ID NO. 67), GPSSGAPPS (SEQ ID NO. 68), PSSGAPPPS (SEQ ID NO. 69), PSSGAPPS (SEQ ID NO. 70), SSGAPPPS (SEQ ID NO. 71) or SSGAPPS (SEQ ID Any of NO.72).
进一步地,当所述胰高血糖素类似物的结构式为:Further, when the glucagon analog has the structural formula:
HSQGTFTSD-X 10-SKYLD-X 16-X 17-AA-X 20-X 21-F-X 23-QWLMN-X 29-X z-NH 2(SEQ ID NO.2)时,是指所述胰高血糖素类似物的C端进行了酰胺化修饰。 HSQGTFTSD-X 10 -SKYLD-X 16 -X 17 -AA-X 20 -X 21 -FX 23 -QWLMN-X 29 -X z -NH 2 (SEQ ID NO.2) means the hyperglycemia of the pancreas The C-terminus of the analog was subjected to amidation modification.
如本发明的一些实施方式所列举,本发明胰高血糖素类似物的氨基酸序列如SEQ ID NO.6-28及SEQ ID NO.47-53之任一所示。As exemplified by some embodiments of the present invention, the amino acid sequence of the glucagon analog of the present invention is as shown in any one of SEQ ID NO. 6-28 and SEQ ID NO. 47-53.
进一步地,在一个优选的实施方案中,所述胰高血糖素类似物的结构式为:Further, in a preferred embodiment, the glucagon analog has the structural formula:
HSQGTFTSDYSKYLD-X 16-X 17-AAQ-DFVQWLMN-X 29-X z(SEQ ID NO.3)或HSQGTFTSDYSKYLD-X 16-X 17-AAQ-DFVQWLMN-X 29-X z-NH 2(SEQ ID NO.4) HSQGTFTSDYSKYLD-X 16 -X 17 -AAQ-DFVQWLMN-X 29 -X z (SEQ ID NO.3) or HSQGTFTSDYSKYLD-X 16 -X 17 -AAQ-DFVQWLMN-X 29 -X z -NH 2 (SEQ ID NO. 4)
其中,X 16选自S或E之任一,X 17选自Q或E之任一,X 29为T或缺失,X z选自GGPSSGAPPPS(SEQ ID NO.65)、GGPSSGAPPS(SEQ ID NO.66)、GPSSGAPPPS(SEQ ID NO.67)、GPSSGAPPS(SEQ ID NO.68)、PSSGAPPPS(SEQ ID NO.69)、PSSGAPPS(SEQ ID NO.70)、SSGAPPPS(SEQ ID NO.71)或SSGAPPS(SEQ ID NO.72)之任一。 Wherein X 16 is selected from any one of S or E, X 17 is selected from any one of Q or E, X 29 is T or a deletion, and X z is selected from GGPSSGAPPPS (SEQ ID NO. 65), GGPSSGAPPS (SEQ ID NO. 66), GPSSGAPPPS (SEQ ID NO. 67), GPSSGAPPS (SEQ ID NO. 68), PSSGAPPPS (SEQ ID NO. 69), PSSGAPPS (SEQ ID NO. 70), SSGAPPPS (SEQ ID NO. 71) or SSGAPPS ( Any of SEQ ID NO. 72).
进一步地,当所述胰高血糖素类似物的结构式为:Further, when the glucagon analog has the structural formula:
HSQGTFTSD-Y-SKYLD-X 16-X 17-AAQDFVQWLMN-X 29-X z-NH 2(SEQ ID NO.4)时,是指所述胰高血糖素类似物的C端进行酰胺化修饰。 HSQGTFTSD-Y-SKYLD-X 16 -X 17 -AAQDFVQWLMN-X 29 -X z -NH 2 (SEQ ID NO. 4) means that the C-terminus of the glucagon analog is amidated.
上述胰高血糖素类似物具有相似于或优于天然胰高血糖素的GCGR激动活性,和具有相 似于或优于天然GLP-1的GLP-1R激动活性,和额外增加的GIPR激动活性。The above glucagon analog has GCGR agonistic activity similar to or superior to native glucagon, and has GLP-1R agonistic activity similar to or superior to native GLP-1, and an additional increased GIPR agonistic activity.
在本发明的其中一个实施例中,优选的胰高血糖素类似物在天然胰高血糖素基础上C末端加入GPSSGAPPPS,最少仅突变2-3个氨基酸且不引入非天然氨基酸,也无需任何修饰,就能保留或提高GLP-1R与GCGR激动活性,而且还具有额外增加的GIPR激动活性,产物本身具有很好的稳定性。更少的突变位点,且不进行后续修饰,尽量保持了天然结构,减少了潜在的免疫原性风险。In one embodiment of the invention, the preferred glucagon analog is added to GPSSGAPPPS at the C-terminus based on native glucagon, at least 2-3 amino acids are mutated and no unnatural amino acid is introduced, nor is any modification required. It can retain or enhance the agonistic activity of GLP-1R and GCGR, and also has an additional GIPR agonistic activity, and the product itself has good stability. Fewer mutation sites, without subsequent modifications, try to maintain the natural structure and reduce the potential for immunogenicity.
已有文献报道在糖尿病治疗中,高水平的GIP会引起频繁的低血糖症状(T McLaughlin等人,J Clin Endocrinol Metab,95,1851-1855,2010;A Hadji-Georgopoulos,Jclin Endocrinol Metab,56,648-652,1983)。但是在小鼠动物模型试验中,本发明提供的具有GIPR激动活性的胰高血糖素类似物,能够平稳的控制血糖,并无低血糖症状。另有文献报道称,为了减少日常摄食、减轻体重、提高胰岛素敏感性及能量消耗,拮抗GIPR也是可取的方法(Irwin等,Diabetologia 2007,50,1532-1540;Althage等,J Biol Chem,2008,283(26):18365–18376)。而在小鼠动物模型试验中,本发明提供的GIP活性较高的胰高血糖素类似物,相对于GIP活性较低甚至无GIP活性的对比类似物,对肥胖小鼠的日常摄食控制、体重减轻及胰岛素敏感度提高都有更显著的效果。It has been reported in the literature that high levels of GIP cause frequent hypoglycemia in the treatment of diabetes (T McLaughlin et al, J Clin Endocrinol Metab, 95, 1851-1855, 2010; A Hadji-Georgopoulos, Jclin Endocrinol Metab, 56, 648- 652, 1983). However, in the mouse animal model test, the glucagon analog having the GIPR agonistic activity provided by the present invention can smoothly control blood sugar without hypoglycemia symptoms. In addition, it has been reported in the literature that it is also advisable to antagonize GIPR in order to reduce daily food intake, weight loss, insulin sensitivity and energy expenditure (Irwin et al, Diabetologia 2007, 50, 1532-1540; Althage et al, J Biol Chem, 2008, 283(26): 18365–18376). In the mouse animal model test, the glucagon analog having higher GIP activity provided by the present invention has a daily feeding control and body weight for obese mice relative to a comparative analog having a lower GIP activity or no GIP activity. Both mitigation and increased insulin sensitivity have a more pronounced effect.
本发明胰高血糖素类似物具有更好的耐酶稳定性,包括对中性内肽酶(NEP)以及二肽基肽酶-4(DPP-4);与天然胰高血糖素,GLP-1,GIP相比具有更长的体内半衰期和持续作用时间。The glucagon analog of the invention has better enzyme stability, including neutral endopeptidase (NEP) and dipeptidyl peptidase-4 (DPP-4); and natural glucagon, GLP- 1, GIP has a longer in vivo half-life and duration of action.
本发明的第二方面,提供一种分离的多核苷酸,所述分离的多核苷酸编码前述胰高血糖素类似物。In a second aspect of the invention, an isolated polynucleotide is provided, the isolated polynucleotide encoding the aforementioned glucagon analog.
本发明的第三方面,提供一种重组表达载体,包含前述分离的多核苷酸。In a third aspect of the invention, a recombinant expression vector comprising the isolated polynucleotide described above is provided.
本发明的第四方面,提供一种宿主细胞,所述细胞含有前述重组表达载体或基因组中整合有外源的前述分离的多核苷酸。In a fourth aspect of the invention, a host cell comprising the aforementioned recombinant expression vector or the above-described isolated polynucleotide integrated with exogenous in the genome is provided.
本发明的第五方面,提供前述胰高血糖素类似物的制备方法,选自以下之任一:According to a fifth aspect of the present invention, there is provided a method for producing the aforementioned glucagon analog, which is selected from any one of the following:
(1)利用化学合成方法合成所述胰高血糖素类似物;(1) synthesizing the glucagon analog by a chemical synthesis method;
(2)在合适的条件下培养前述宿主细胞,使之表达所述胰高血糖素类似物,而后分离及纯化获得所述胰高血糖素类似物。(2) cultivating the aforementioned host cell under appropriate conditions to express the glucagon analog, followed by isolation and purification to obtain the glucagon analog.
具体地,本发明的胰高血糖素类似物可通过标准肽合成方法进行制备,例如,通过标准固相或液相方法,逐步或通过片段组装,并分离和纯化最终的肽化合物产物,或通过重组和 合成方法任意组合。可优选通过固相或液相肽合成方法来合成本发明的胰高血糖素类似物。In particular, the glucagon analogs of the invention can be prepared by standard peptide synthesis methods, for example, by standard solid or liquid phase methods, stepwise or by fragment assembly, and isolation and purification of the final peptide compound product, or by Recombination and synthesis methods are arbitrarily combined. The glucagon analog of the present invention can be preferably synthesized by a solid phase or liquid phase peptide synthesis method.
本发明的第六方面,提供前述胰高血糖素类似物在制备治疗代谢相关疾病的药物中的用途。In a sixth aspect of the invention, there is provided the use of the aforementioned glucagon analog in the manufacture of a medicament for the treatment of a metabolic related disorder.
本发明提供的胰高血糖素类似物可以用于治疗糖尿病相关的代谢综合征,如血脂失调,包括甘油三酯过高、低HDL胆固醇及高LDL胆固醇;胰岛素抗性或葡萄糖耐受不良等。The glucagon analogs provided by the present invention can be used for the treatment of diabetes-related metabolic syndromes, such as dyslipidemia, including high triglycerides, low HDL cholesterol and high LDL cholesterol; insulin resistance or glucose intolerance.
代谢综合征与冠心病和血管斑块积累相关的其他病症风险增加相关,例如中风和外周血管疾病,成为粥样动脉硬化心血管病(ASCVD)。患有代谢综合征的患者可自处于早期的胰岛素抗性状态发展成完全成熟的二型糖尿病,并且ASCVD的风险进一步增加。不受限于任何特定理论,胰岛素抗性、代谢综合征及血管疾病之间的关系可以涉及一种或多种共同发病机制,包括胰岛素刺激的血管舒张障碍、由氧化应力增强所致的胰岛素抗性相关性可用性降低,以及脂肪细胞衍生激素(诸如脂联素)异常(Lteif,Mather,Can.J.Cardiol.20(增刊B):66B-76B,2004)。Metabolic syndrome is associated with an increased risk of coronary heart disease and other conditions associated with vascular plaque accumulation, such as stroke and peripheral vascular disease, becoming atherosclerotic cardiovascular disease (ASCVD). Patients with metabolic syndrome can progress from being in an early stage of insulin resistance to fully mature type 2 diabetes, and the risk of ASCVD is further increased. Without being bound by any particular theory, the relationship between insulin resistance, metabolic syndrome, and vascular disease may involve one or more common pathogenesis, including insulin-stimulated vasodilation, insulin resistance due to increased oxidative stress. Reduced sexual relevance, as well as abnormalities in fat cell-derived hormones such as adiponectin (Lteif, Mather, Can. J. Cardiol. 20 (Supp. B): 66B-76B, 2004).
本发明的胰高血糖素类似物还可用于治疗肥胖症。在一些方面中,本发明的胰高血糖素类似物通过降低食欲、减少食物摄取、降低患者体内脂肪水平、提高能量消耗等机制来治疗肥胖症。The glucagon analogs of the invention are also useful in the treatment of obesity. In some aspects, the glucagon analogs of the invention treat obesity by reducing appetite, reducing food intake, reducing fat levels in a patient, and increasing energy expenditure.
在一些潜在的实施方案中,本发明的胰高血糖素类似物可用于治疗非酒精性脂肪肝病(NAFLD)。NAFLD是指广谱肝脏疾病,范围自单纯脂肪肝(脂肪变性)至非酒精性脂肪变性肝炎(NASH)至肝硬化(肝脏的不可逆晚期瘢痕形成)。NAFLD的所有病期均表现出肝脏细胞中的脂肪累积。单纯脂肪肝为某类型的脂肪、甘油三酯在肝脏细胞中的异常积累,但无发炎或瘢痕形成。在NASH中,脂肪累积与不同程度的肝脏发炎(肝炎)和瘢痕形成(纤维化)相关。发炎性细胞可破坏肝脏细胞(肝细胞坏死)。在术语“脂肪变性肝炎”和“脂肪变性坏死”中,脂肪变性是指脂肪浸润,肝炎是指肝脏中的炎症,并且“坏死”是指经破坏的肝脏细胞。NASH可最终导致肝脏瘢痕形成(纤维化)且接着导致不可逆晚期瘢痕形成(肝硬化),由NASH导致的肝硬化为NAFLD谱内的最后且最严重的病期。In some potential embodiments, the glucagon analogs of the invention are useful for the treatment of nonalcoholic fatty liver disease (NAFLD). NAFLD refers to a broad spectrum of liver disease ranging from simple fatty liver (steatosis) to nonalcoholic steatosis hepatitis (NASH) to cirrhosis (reversible late scar formation of the liver). All stages of NAFLD show accumulation of fat in liver cells. Simple fatty liver is an abnormal accumulation of certain types of fats and triglycerides in liver cells, but no inflammation or scar formation. In NASH, fat accumulation is associated with varying degrees of liver inflammation (hepatitis) and scar formation (fibrosis). Inflammatory cells destroy liver cells (hepatocyte necrosis). In the terms "steatogenic hepatitis" and "fatty degeneration necrosis", steatosis refers to fat infiltration, hepatitis refers to inflammation in the liver, and "necrosis" refers to damaged liver cells. NASH can eventually lead to liver scar formation (fibrosis) and then to irreversible late scar formation (cirrhosis), and cirrhosis caused by NASH is the last and most serious stage within the NAFLD spectrum.
本发明的第七方面,提供一种治疗代谢相关疾病的方法,包括步骤:向对象施用前述胰高血糖素类似物。According to a seventh aspect of the invention, a method of treating a metabolic-related disease, comprising the step of administering the aforementioned glucagon analog to a subject.
在其中一个实施例中,本发明将所述胰高血糖素类似物用于治疗肥胖、代谢综合症及非酒精肝炎等。In one embodiment, the invention uses the glucagon analog for the treatment of obesity, metabolic syndrome, non-alcoholic hepatitis, and the like.
本发明的研究人员已经发现本发明的胰高血糖素类似物在中性pH或微弱酸性的pH下具有足够的水溶性且具有改善的化学稳定性。在其中一个实施例中,进行了IPGTT实验。施用 了本发明胰高血糖素类似物的小鼠在注射葡萄糖后,呈现出极平稳的血糖波动。此外,本发明的胰高血糖素类似物在DIO小鼠施用后,诱导了体重的显著降低。同时血脂相关的各种指标明显下降。The researchers of the present invention have found that the glucagon analogs of the present invention are sufficiently water soluble and have improved chemical stability at neutral or slightly acidic pH. In one of the examples, an IPGTT experiment was performed. Mice administered the glucagon analog of the present invention exhibited extremely stable blood glucose fluctuations after glucose injection. Furthermore, the glucagon analog of the present invention induced a significant decrease in body weight after administration in DIO mice. At the same time, various indicators related to blood lipids decreased significantly.
本发明进一步提供一种促进体重减少或者防止体重增加的方法,包括在对象中施用所述的胰高血糖素类似物。The invention further provides a method of promoting weight loss or preventing weight gain comprising administering the glucagon analog in a subject.
本发明的第八方面,提供一种组合物,含有前述胰高血糖素类似物或前述宿主细胞的培养物,以及药学上可接受的载体。In an eighth aspect of the invention, there is provided a composition comprising the aforementioned glucagon analog or a culture of the aforementioned host cell, and a pharmaceutically acceptable carrier.
本发明的第九方面,提供前述胰高血糖素类似物在制备融合蛋白中的用途。In a ninth aspect of the invention, the use of the aforementioned glucagon analog in the preparation of a fusion protein is provided.
本发明的第十方面,提供一种融合蛋白,所述融合蛋白的结构中含有前述胰高血糖素类似物。In a tenth aspect of the invention, a fusion protein comprising the aforementioned glucagon analog is provided in the structure of the fusion protein.
进一步地,所述融合蛋白的结构中还含有长效单元。Further, the structure of the fusion protein further contains a long-acting unit.
进一步地,所述长效单元选自共价连接脂肪酸、聚乙二醇或其衍生物,白蛋白,转铁蛋白和免疫球蛋白及片段。Further, the long acting unit is selected from the group consisting of covalently linked fatty acids, polyethylene glycol or derivatives thereof, albumin, transferrin and immunoglobulins and fragments.
本发明的第十一方面,提供一种被修饰的多肽,其结构中含有前述胰高血糖素类似物。In an eleventh aspect of the present invention, a modified polypeptide comprising the aforementioned glucagon analog is provided in the structure.
进一步地,所述的胰高血糖素类似物被脂肪酸、聚乙二醇或其衍生物所修饰;所述的被修饰的多肽以共价或者非共价方式与白蛋白,转铁蛋白和免疫球蛋白及片段相结合。Further, the glucagon analog is modified by a fatty acid, polyethylene glycol or a derivative thereof; the modified polypeptide is covalently or non-covalently associated with albumin, transferrin and immunization The combination of globulin and fragment.
本领域技术人员知晓,为了增加本发明胰高血糖素类似物的半衰期或稳定性可以对其进行修饰,例如可以将聚乙二醇或其衍生物、羟乙基淀粉衍生物或脂肪酸共价连接至本发明的胰高血糖素类似物。在一个具体的实施方案中,为了提高稳定性,可以在本发明的胰高血糖素类似物预期不会影响受体结合/活化的位置上引入赖氨酸残基,共价连接至γ-谷氨酸间隔物并在ε-氨基上加入棕榈酸进行修饰。It is known to those skilled in the art that in order to increase the half-life or stability of the glucagon analog of the present invention, it may be modified, for example, polyethylene glycol or a derivative thereof, a hydroxyethyl starch derivative or a fatty acid may be covalently linked. To the glucagon analog of the present invention. In a specific embodiment, to increase stability, a lysine residue can be introduced at a position where the glucagon analog of the present invention is expected to not affect receptor binding/activation, covalently linked to the gamma-valley The amino spacer was modified by adding palmitic acid to the ε-amino group.
与现有技术相比,本发明具有如下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
本发明的胰高血糖素类似物,具有GLP-1/GCG/GIP三受体激动活性,以及更好的耐酶稳定性,包括对中性内肽酶(NEP)以及二肽基肽酶-4(DPP-4)的抵抗;因此与天然胰高血糖素,GLP-1,GIP相比具有更长的体内半衰期和持续作用时间。综上所述,目前现有报道的GCG类似物普遍采用(1)单分子杂合肽交联脂肪酸、PEG或FC等,施行一天一次或以上的频率给药(Matthias H.
Figure PCTCN2018116166-appb-000010
等,Unimolecular Polypharmacy for Treatment of Diabetes and Obesity,24:51–62,2016);或者(2)将天然GCG的第二位Ser突变为D-Ser等非天然氨基酸抵抗DPP-IV降解(Novel DPP IV-resistant C-terminally extended glucagon analogue exhibits weight-lowering and diabetes-protective effects in high-fat-fed mice mediated through glucagon and GLP-1 receptor activation,Diabetologia:57:1927–1936,2014),每天给药两次。保持天然 氨基酸组成且通过每天两次给药的多重活性多肽目前尚未见报道。而本发明则是提供一种足够稳定、高活性的多效GCG类似物,无须交联脂肪酸、PEG白蛋白或免疫球蛋白Fc片段,且无需将第二位Ser突变为非天然氨基酸,因此能最大程度地减低潜在的免疫原性风险,且省略繁琐的化学修饰/交联步骤,简化制备过程,提高产物一致性。
The glucagon analog of the present invention has GLP-1/GCG/GIP triple receptor agonistic activity and better enzyme stability, including neutral endopeptidase (NEP) and dipeptidyl peptidase Resistance of 4 (DPP-4); therefore, it has a longer in vivo half-life and duration of action compared to native glucagon, GLP-1, GIP. In summary, currently reported GCG analogs are commonly used (1) single-molecule hybrid peptide cross-linked fatty acid, PEG or FC, etc., administered once a day or more (Matthias H.
Figure PCTCN2018116166-appb-000010
Etc., Unimolecular Polypharmacy for Treatment of Diabetes and Obesity, 24:51–62, 2016); or (2) Mutation of the second Ser of natural GCG to non-natural amino acids such as D-Ser to resist DPP-IV degradation (Novel DPP IV -resistant C-terminally extended glucagon analogue exhibits weight-lowering and diabetes-protective effects in high-fat-fed mice mediated through glucagon and GLP-1 receptor activation, Diabetologia: 57:1927–1936, 2014), administered twice daily . Multiple active polypeptides that retain the natural amino acid composition and are administered twice daily are not currently reported. The present invention provides a sufficiently stable and highly active multi-effect GCG analog without cross-linking fatty acid, PEG albumin or immunoglobulin Fc fragment, and without mutating the second Ser to an unnatural amino acid, thereby Minimize potential immunogenicity risks and omit cumbersome chemical modification/crosslinking steps, simplifying the preparation process and increasing product consistency.
附图说明DRAWINGS
图1:为编号为C381的多肽在pH 7.4水溶液中的HPLC谱图。Figure 1: HPLC chromatogram of the polypeptide numbered C381 in an aqueous solution of pH 7.4.
图2:为编号为C493的多肽在pH4.5水溶液中的HPLC谱图。Figure 2: HPLC chromatogram of the polypeptide numbered C493 in an aqueous solution of pH 4.5.
图3:为编号为C816的多肽在pH 7.4水溶液中的HPLC谱图。Figure 3: HPLC chromatogram of the polypeptide numbered C816 in aqueous pH 7.4.
图4:为编号为C002的多肽在pH 7.4水溶液中的HPLC谱图。Figure 4: HPLC chromatogram of the polypeptide numbered C002 in an aqueous solution of pH 7.4.
图5:为编号为C611的多肽在pH 4.5水溶液中的HPLC谱图。Figure 5: HPLC chromatogram of the polypeptide numbered C611 in aqueous pH 4.5 solution.
图6:为编号为C611的多肽在pH 7.4水溶液中的HPLC谱图。Figure 6: HPLC chromatogram of the polypeptide numbered C611 in an aqueous solution of pH 7.4.
图7:为C239在pH 7.4水溶液中的HPLC谱图。Figure 7: HPLC chromatogram of C239 in aqueous pH 7.4.
图8A:为残留活性随时间变化曲线图。Figure 8A is a graph of residual activity versus time.
图8B:为残留活性随时间变化曲线图。Figure 8B is a graph showing residual activity as a function of time.
图9A:为示例性的几种胰高血糖素类似物对GLP-1R激动活性检测图。Figure 9A is a graph showing the detection of GLP-1R agonistic activity by several exemplary glucagon analogs.
图9B:为示例性的几种胰高血糖素类似物对GLP-1R激动活性检测图。Figure 9B is a graph showing the GLP-1R agonistic activity of several exemplary glucagon analogs.
图9C:为示例性的几种胰高血糖素类似物对GCGR激动活性检测图。Figure 9C is a graph showing the detection of GCGR agonistic activity by several exemplary glucagon analogs.
图9D:为示例性的几种胰高血糖素类似物对GCGR激动活性检测图。Figure 9D is a graph showing the detection of GCGR agonistic activity by several exemplary glucagon analogs.
图9E:为不同浓度梯度下胰高血糖素类似物及对照刺激GIPR产生的cAMP含量。Figure 9E: cAMP levels produced by glucagon analogs and control stimulated GIPR for different concentration gradients.
图9F:为不同浓度梯度下胰高血糖素类似物及对照刺激GIPR产生的cAMP含量。Figure 9F: cAMP levels produced by glucagon analogs and control stimulated GIPR for different concentration gradients.
图9G:为不同浓度梯度下胰高血糖素类似物及对照刺激GIPR产生的cAMP含量。Figure 9G: cAMP content produced by stimulation of GIPR for glucagon analogs and controls at different concentration gradients.
图9H:为不同浓度梯度下胰高血糖素类似物及对照刺激GIPR产生的cAMP含量。Figure 9H: cAMP levels produced by glucagon analogs and control stimulated GIPR for different concentration gradients.
图10:为体外细胞胰岛素分泌测定结果。Figure 10: Results of in vitro cellular insulin secretion assay.
图11A:为正常ICR小鼠的IPGTT实验血糖变化曲线图。Figure 11A is a graph showing blood glucose changes in IPGTT experiments in normal ICR mice.
图11B:为正常ICR小鼠的IPGTT实验血糖变化曲线图。Figure 11B is a graph showing blood glucose changes in IPGTT experiments for normal ICR mice.
图11C:为血糖曲线下面积(AUC)比较结果。Figure 11C: Comparison of area under the blood glucose curve (AUC).
图12A:为饮食诱导肥胖(DIO)小鼠中体重变化(%)与时间(天)关系的图表。Figure 12A is a graph showing the relationship between body weight change (%) and time (days) in diet-induced obesity (DIO) mice.
图12B:为饮食诱导肥胖(DIO)小鼠中体重变化(%)与时间(天)关系的图表。Figure 12B is a graph showing the relationship between body weight change (%) and time (days) in diet-induced obesity (DIO) mice.
图12C:为饮食诱导肥胖(DIO)小鼠中体重变化(%)与时间(天)关系的图表。Figure 12C is a graph showing the relationship between body weight change (%) and time (days) in diet-induced obesity (DIO) mice.
图12D:为DIO小鼠中的体重减少情况比较图。Figure 12D: Comparison of body weight loss in DIO mice.
图13:为DIO小鼠中的体重减少情况比较图。Figure 13: Comparison of body weight loss in DIO mice.
图14:为C495质谱分析图。Figure 14: Analysis of the mass spectrum of C495.
图15:为C382质谱分析图。Figure 15: Analysis of the C382 mass spectrometry.
具体实施方式Detailed ways
除非下文另外定义,本发明所提及的所有技术和科学用语具有本发明所属领域的技术人员通常理解的意义。All technical and scientific terms mentioned herein have the meaning commonly understood by one of ordinary skill in the art to which this invention belongs, unless otherwise defined.
胰高血糖素类似物:Glucagon analogues:
本发明提供的胰高血糖素类似物将18位的精氨酸(R)突变为丙氨酸(A)。18位丙氨酸的突变会使GCGR激动活性下降约30%(Joseph Chabenne等,A Glucagon analog chemically stabilized for immediate treatment of life-threatening hypoglycemia,Molecular Metabolism,3:293-300,2014)。然而,经过本发明人大量的组合筛选后发现,在一些特定位点进行特定的氨基酸突变,如与16及17位的特定氨基酸突变组合后,并在C末端加入CEX或类似序列,即使18位突变成A,其GCGR活性也并无明显降低。更重要的是,18位A突变使胰高血糖素类似物的GLP-1和GIPR激动活性显著提升,从而使本发明的胰高血糖素类似物成为有效的三特异性活性肽。The glucagon analog provided by the present invention mutates the arginine (R) at position 18 to alanine (A). Mutation of the 18-alanine attenuates GCGR agonistic activity by about 30% (Joseph Chabenne et al, A Glucagon analog chemically stabilized for immediate treatment of life-threatening hypoglycemia, Molecular Metabolism, 3: 293-300, 2014). However, after extensive screening by the present inventors, it was found that specific amino acid mutations were made at specific sites, such as combination with specific amino acid mutations at positions 16 and 17, and CEX or similar sequences were added at the C-terminus, even at 18 positions. When mutated to A, there was no significant decrease in GCGR activity. More importantly, the 18-position A mutation significantly increased the GLP-1 and GIPR agonistic activity of the glucagon analog, thereby making the glucagon analog of the present invention an effective trispecific active peptide.
本发明的三特异性活性肽具有激动GLP-1R、GCGR及GIPR的效力,且各活性相对于GLP-1,GCG和GIP,其活性保留率极高。目前多数的三活性肽都在天然多肽的基础上引入多个氨基酸突变,甚至非天然氨基酸才能成为稳定的三效激动剂。在本发明的筛选过程中发现,多位点引入突变确实更容易获得GLP-1R、GCGR及GIPR活性较高的杂合多肽,另外非天然氨基酸的引入也更容易获得稳定性高的多肽。然而体外活性与稳定性的高低只是可以成为临床药物的一个前提条件,还需要关注安全性。引入过多的突变位点或非天然氨基酸,容易带来更高的免疫原性风险。The trispecific active peptide of the present invention has potency of agonizing GLP-1R, GCGR and GIPR, and each activity has an extremely high activity retention rate relative to GLP-1, GCG and GIP. At present, most of the tri-active peptides introduce multiple amino acid mutations on the basis of natural polypeptides, and even unnatural amino acids can become stable three-way agonists. In the screening process of the present invention, it was found that multi-site introduction mutations are more likely to obtain hybrid polypeptides having higher GLP-1R, GCGR and GIPR activities, and the introduction of non-natural amino acids is more likely to obtain polypeptides with high stability. However, the level of activity and stability in vitro is only a prerequisite for clinical drugs, and attention needs to be paid to safety. Introducing too many mutation sites or unnatural amino acids tends to pose a higher risk of immunogenicity.
血清稳定性实验:Serum stability test:
天然GLP-1、胰高血糖素Glucagon或胃泌酸调节素(Oxyntomodulin)都因血清稳定性太差及过短的体内半衰期而无法真正作为临床药物。而同样只有39个氨基酸的小肽艾塞那肽(Exenatide,商品名
Figure PCTCN2018116166-appb-000011
)却能因为稳定性提高而成功上市。在本发明的其中一个实施例中,优选的胰高血糖素类似物呈现出了非常高的稳定性。
Natural GLP-1, glucagon Glucagon, or Oxyntomodulin are not truly clinical drugs due to poor serum stability and too short in vivo half-life. And the only peptide amino acid Essinide (Exenatide, only 39 amino acids)
Figure PCTCN2018116166-appb-000011
) It can be successfully listed because of the stability improvement. In one of the embodiments of the invention, the preferred glucagon analog exhibits a very high stability.
免疫原性实验:Immunogenicity experiment:
在本发明的实施例6中,天然人源Glucagon(C001)在大鼠体内的免疫原性极低。胰高血糖素类似物相对于天然Glucagon突变不多于3个氨基酸时,抗体滴度均小于<1:200,而随着突变的氨基酸数量增加,抗体滴度也随着增加,表明潜在的免疫原性风险增高。对于治疗代谢相关疾病的药物,如糖尿病,肥胖等领域的药物,安全性的要求是极高的。而本发明获得的胰高血糖素类似物在引入不超过3个突变位点的情况下,具有较低的免疫原性,并达到了理想的活性与稳定性标准,这是从未有人报道过的。In Example 6 of the present invention, the natural human Glucagon (C001) was extremely low in immunogenicity in rats. When the glucagon analog is less than 3 amino acids relative to the native Glucagon mutation, the antibody titer is less than <1:200, and as the number of mutated amino acids increases, the antibody titer increases, indicating potential immunity. The original risk is increased. For drugs that treat metabolic-related diseases, such as diabetes, obesity, and other fields, the safety requirements are extremely high. However, the glucagon analog obtained by the present invention has low immunogenicity when introduced into no more than 3 mutation sites, and achieves an ideal activity and stability standard, which has never been reported. of.
动物体内药效学研究:Pharmacodynamic studies in animals:
在本发明的一个实施例中,优选的胰高血糖素类似物具有良好的降低血糖、抑制脂肪组织形成,减低体重的效果。尽管GIP与GLP-1及Glucagon同属于肠降血糖素(Incretin)一族,但是却并没有被广泛开发成药物的趋势。究其原因,一个是由于部分二型糖尿病患者对GIP失去敏感性,另一个原因是在啮齿类动物中,GIPR激动出现潜在的致肥胖现象(Miyawaki,K.等,Inhibition of gastric inhibitory polypeptide signaling prevents obesity.Nat.Med.8,738–742,2002)。然而在本发明的实施例中,优选的GIPR激动活性较高的胰高血糖素类似物明显具有更显著的减重效果。In one embodiment of the invention, the preferred glucagon analog has a good effect of lowering blood glucose, inhibiting adipose tissue formation, and reducing body weight. Although GIP and GLP-1 and Glucagon belong to the same family of incretins, they have not been widely developed into drugs. One reason is that some patients with type 2 diabetes lose sensitivity to GIP, and another reason is that in rodents, GIPR activation has potential obesity (Miyawaki, K. et al., Inhibition of gastric inhibitory polypeptide signaling prevents obesity.Nat.Med. 8, 738–742, 2002). However, in the examples of the present invention, preferred glucagon analogs having a higher GIPR agonistic activity clearly have a more significant weight loss effect.
在本发明的另一个动物体内实施例9中,优选的GCG类似物与相同氨基酸序列且经脂肪酸修饰的相应GCG类似物呈现相似的减重效果。In Example 9 of another animal of the invention, preferred GCG analogs exhibit similar weight-reducing effects as the corresponding GCG analogs of the same amino acid sequence and modified with fatty acids.
术语:the term:
术语“糖尿病”包括一型糖尿病、二型糖尿病、妊娠糖尿病以及引起高血糖症的其他症状。该术语用于指由于代谢紊乱,胰腺产生不了足够的胰岛素,或身体的细胞未能适当响应胰岛素,因此组织细胞吸收葡萄糖效率下降导致葡萄糖在血液中积累的症状。The term "diabetes" includes type 1 diabetes, type 2 diabetes, gestational diabetes, and other symptoms that cause hyperglycemia. The term is used to mean that the pancreas does not produce enough insulin due to metabolic disorders, or that the cells of the body fail to respond appropriately to insulin, and thus the decrease in the efficiency of absorption of glucose by tissue cells results in the accumulation of glucose in the blood.
一型糖尿病也称为胰岛素依赖性糖尿病和幼年发病型糖尿病,通过β细胞破坏引起,通常导致绝对胰岛素缺乏。 Type 1 diabetes, also known as insulin-dependent diabetes and juvenile onset diabetes, is caused by beta cell destruction and usually leads to absolute insulin deficiency.
二型糖尿病也称为非胰岛素依赖性糖尿病和成年发病型糖尿病,普遍与胰岛素抗性相关。 Type 2 diabetes, also known as non-insulin-dependent diabetes and adult-onset diabetes, is generally associated with insulin resistance.
术语“肥胖”意指脂肪组织的过量,当能量摄取超过能量消耗时,过量卡路里贮存于脂肪中,则导致肥胖。在本文中体重指数(BMI=体重(千克)除以身高(米)的平方)超过25的个体视为肥胖。The term "obesity" means an excess of adipose tissue, and when energy intake exceeds energy expenditure, excess calories are stored in fat, resulting in obesity. Individuals with a body mass index (BMI = body weight (kg) divided by height (m) square) of more than 25 are considered obese herein.
术语“受体激动剂”可以定义为与受体结合且引发天然配体的通常应答的多肽、蛋白或其他 小分子。肠降血糖素是通过增强葡萄糖刺激的胰岛素分泌来调控血糖的胃肠激素(Drucker.D J,Nauck,MA,Lancet 368:1696-705,2006)。迄今为止有两种已知的肠降血糖素:胰高血糖素样肽-1(GLP-1)和葡萄糖依赖性促胰岛素多肽(GIP)。前胰高血糖素原(preproglucagon)是158个氨基酸组成的前体多肽,其在组织中被差异性加工而形成多种结构上相关的胰高血糖素原衍生肽,包括胰高血糖素(Glucagon)、胰高血糖素样肽-1(GLP-1)、胰高血糖素样肽-2(GLP-2)和胃泌酸调节素(Oxyntomodulin,OXM)。GIP是由133个氨基酸的前体(pre-pro-GIP)通过蛋白水解加工得到的42个氨基酸的成熟肽,这些分子参与多种生物功能,包括葡萄糖体内平衡、胰岛素分泌、胃排空和肠生长以及食物摄取调节。The term "receptor agonist" can be defined as a polypeptide, protein or other small molecule that binds to a receptor and elicits a usual response to a natural ligand. Incretin is a gut hormone that regulates blood sugar by enhancing glucose-stimulated insulin secretion (Drucker. D J, Nauck, MA, Lancet 368: 1696-705, 2006). To date, there are two known incretins: glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). Preproglucagon is a 158 amino acid precursor polypeptide that is differentially processed in tissues to form a variety of structurally related proglucagon-derived peptides, including glucagon (Glucagon). ), glucagon-like peptide-1 (GLP-1), glucagon-like peptide-2 (GLP-2), and Oxyntomodulin (OXM). GIP is a 42 amino acid mature peptide obtained by proteolytic processing of a 133 amino acid precursor (pre-pro-GIP) involved in various biological functions including glucose homeostasis, insulin secretion, gastric emptying and intestine Growth and food intake regulation.
胰高血糖素样肽-1(GLP-1)是从肠L-细胞分泌的30或31个氨基酸的一种肠促胰岛素激素,有GLP-1(7-36)和GLP-1(7-37)两种活性形式。GLP-1在进餐后释放到循环中,并通过激活GLP-1受体发挥生物活性。GLP-1具有许多生物学作用,包括葡萄糖依赖性的促胰岛素分泌,抑制胰高血糖素生成,延缓胃排空和抑制食欲(Tharakan G,Tan T,Bloom S.Emerging therapies in the treatment of ‘diabesity’:beyond GLP-1.Trends Pharmacol Sci 2011;32(1):8-15.)等。天然GLP-1由于能够被二肽基肽酶-4(DPP-4),中性肽链内切酶(NEP),血浆激肽释放酶或纤溶酶等快速降解因而限制了其治疗潜力。由于天然GLP-1在体内仅有大约2分钟的超短半衰期,因此,出现了通过利用化学修饰和/或制剂形式来改善功效以治疗糖尿病和肥胖症的方法(Lorenz M,Evers A,Wagner M.Recent progress and future options in the development of GLP-1 receptor agonists for the treatment of diabesity.Bioorg Med Chem Lett 2013;23(14):4011-8.Tomlinson B,Hu M,Zhang Y,Chan P,Liu ZM.An overview of new GLP-1 receptor agonists for type 2 diabetes.Expert Opin Investig Drugs 2016;25(2):145-58)。Glucagon-like peptide-1 (GLP-1) is an incretin hormone secreted by intestinal L-cells of 30 or 31 amino acids, with GLP-1 (7-36) and GLP-1 (7- 37) Two active forms. GLP-1 is released into the circulation after a meal and exerts biological activity by activating the GLP-1 receptor. GLP-1 has many biological effects, including glucose-dependent insulin secretion, inhibition of glucagon production, delay of gastric emptying and appetite suppression (Tharakan G, Tan T, Bloom S. Emerging therapies in the treatment of 'diabesity ':beyond GLP-1.Trends Pharmacol Sci 2011; 32(1): 8-15.) et al. Native GLP-1 limits its therapeutic potential due to its rapid degradation by dipeptidyl peptidase-4 (DPP-4), neutral endopeptidase (NEP), plasma kallikrein or plasmin. Since native GLP-1 has an ultra-short half-life of only about 2 minutes in the body, there has been a method of improving the efficacy by using chemical modification and/or formulation to treat diabetes and obesity (Lorenz M, Evers A, Wagner M) .Recent progress and future options in the development of GLP-1 receptor agonists for the treatment of diabesity.Bioorg Med Chem Lett 2013;23(14):4011-8.Tomlinson B,Hu M,Zhang Y,Chan P,Liu ZM .An overview of new GLP-1 receptor agonists for type 2 diabetes. Expert Opin Investig Drugs 2016;25(2):145-58).
胃泌酸调节素(Oxyntomodulin)是37个氨基酸的小肽,其包含胰高血糖素完整的29个氨基酸序列。胃泌酸调节素是GLP-1R和GCGR的双重激动剂,在进餐后通过肠L-细胞与GLP-1一起分泌。与胰高血糖素类似,胃泌酸调节素在人和啮齿动物中产生显着的体重减轻。胃泌酸调节素的减肥活性已在肥胖小鼠中与等摩尔剂量的选择性GLP-1R激动剂进行比较。已经发现,与选择性的GLP-1R激动剂相比,胃泌酸调节素具有抗高血糖作用,能够显著的减轻体重和具有降脂活性(The glucagon receptor is involved in mediating the body weight-lowering effects of oxyntomodulin,Kosinski JR等,Obesity(Silver Spring),20):1566-71,2012)。在超重和肥胖患者中,皮下施用天然胃泌酸调节素在四周内减少体重1.7公斤。胃泌酸调节素也被证明可以减少人类的食物摄取和增加能量消耗(Subcutaneous oxyntomodulin reduces body weight in overweight and obese subjects:a double-blind,randomized, controlled trial,Wynne K等,Diabetes,54:2390-5,2005;Oxyntomodulin increases energy expenditure in addition to decreasing energy intake in overweight and obese humans:a14andomized controlled trial;Wynne K等,Int J Obes(Lond),30:1729-36,2006)。但是同样由于分子量偏小及DPP-IV的降解,胃泌酸调节素具有较短的半衰期。目前GLP-1受体(GLP-1R)和胰高血糖素受体(GCGR)的双效激动剂普遍都是基于胃泌酸调节素的,并且为了改善胃泌酸调节素的短效及酶解的缺陷而做了突变(胃泌酸调节素类似物),且大都采用第二位丝氨酸Ser突变为α-氨基异丁酸(Aib)或D-Ser的方法,通过引入非天然氨基酸来抵抗DPP-IV的酶解。胃泌酸调节素类似物虽然表现出了初步的降糖及减脂效果,但是其作用机制仍不确切,胃泌酸调节素受体一直没有发现,目前仅仅是通过GCGR或GLP-1R敲除的小鼠或者细胞试验验证胃泌酸调节素能与这2种受体结合而起作用。Oxyntomodulin is a 37 amino acid small peptide comprising the complete 29 amino acid sequence of glucagon. Glutathione is a dual agonist of GLP-1R and GCGR that is secreted together with GLP-1 by intestinal L-cells after a meal. Similar to glucagon, oxyntomodulin produces significant weight loss in humans and rodents. The weight loss activity of oxyntomodulin has been compared to equimolar doses of selective GLP-1R agonists in obese mice. It has been found that oxyntomodulin has an antihyperglycemic effect compared to a selective GLP-1R agonist, which is capable of significantly reducing body weight and having lipid lowering activity (The glucagon receptor is involved in mediating the body weight-lowering effects Of oxyntomodulin, Kosinski JR et al, Obesity (Silver Spring), 20): 1566-71, 2012). In overweight and obese patients, subcutaneous administration of natural oxyntomodulin reduced body weight by 1.7 kg in four weeks. Oxytocin is also shown to reduce human food intake and increase energy expenditure (Subcutaneous oxyntomodulin reduces body weight in overweight and obese subjects: a double-blind, randomized, controlled trial, Wynne K et al, Diabetes, 54: 2390- 5,2005; Oxyntomodulin increases energy expenditure in addition to decreasing energy intake in overweight and obese humans: a14 andomized controlled trial; Wynne K et al, Int J Obes (Lond), 30: 1729-36, 2006). However, due to the small molecular weight and degradation of DPP-IV, oxyntomodulin has a shorter half-life. Currently, double-acting agonists of GLP-1 receptor (GLP-1R) and glucagon receptor (GCGR) are generally based on oxyntomodulin, and in order to improve the short-acting and enzymes of oxyntomodulin The mutation is mutated (the oxyntomodulin analog), and most of them use the second serine Ser mutation to α-aminoisobutyric acid (Aib) or D-Ser, which is resistant by introducing non-natural amino acids. Enzymatic hydrolysis of DPP-IV. Although the oxyntomodulin analogue showed initial hypoglycemic and lipid-lowering effects, its mechanism of action was still inaccurate. The oxyntomodulin receptor has not been found and is currently only knocked out by GCGR or GLP-1R. Mouse or cell assays have demonstrated that oxyntomodulin binds to these two receptors.
胰高血糖素(Glucagon)是29个氨基酸的肽,其对应于前胰高血糖素原的53-81位氨基酸,序列如SEQ ID NO.5所示(C.G.Fanelli等,Nutrition,Metabolism & Cardiovascular Diseases(2006)16,S28-S34)。胰高血糖素受体激活已显示在啮齿类动物和人两者中增加能量消耗且减少食物摄入(Habegger K.M.等人,The metabolic actions of glucagon revisited,Nat.Rev.Endocrinol.2010,6,689-697)并且这些效应在啮齿类动物中是稳定和持续的。胰高血糖素具有许多生理效应,例如通过刺激糖原分解和糖异生,增加低血糖状况下的血糖水平,调节肝酮生成,调节胆汁酸代谢和通过迷走神经的饱腹效应。胰高血糖素已经用于急性低血糖症,胰高血糖素受体激活减少食物摄取并促进动物和人的脂肪分解和体重减轻。Glucagon is a 29 amino acid peptide corresponding to amino acids 53-81 of proglucagon, and the sequence is shown in SEQ ID NO. 5 (CGFanelli et al., Nutrition, Metabolism & Cardiovascular Diseases). (2006) 16, S28-S34). Glucagon receptor activation has been shown to increase energy expenditure and reduce food intake in both rodents and humans (Habegger KM et al, The metabolic actions of glucagon revisited, Nat. Rev. Endocrinol. 2010, 6, 689-697). And these effects are stable and sustained in rodents. Glucagon has many physiological effects, such as by stimulating glycogenolysis and gluconeogenesis, increasing blood glucose levels under hypoglycemia, regulating hepatic ketone production, regulating bile acid metabolism, and satiety through the vagus nerve. Glucagon has been used in acute hypoglycemia, and glucagon receptor activation reduces food intake and promotes lipolysis and weight loss in animals and humans.
葡萄糖依赖性促胰岛素样肽(GIP)是具有42个氨基酸的多肽,其在食物摄取之后从小肠K细胞释放,其主要作用为抑制胃酸分泌和加强葡萄糖刺激的胰岛素分泌,故称为抑胃肽(gastric inhibitory peptide)/葡萄糖依赖性促胰岛素多肽(glucose-dependent insulinotropic peptide)。Glucose-dependent insulinotropic peptide (GIP) is a 42 amino acid polypeptide that is released from small intestinal K cells after food intake. Its main function is to inhibit gastric acid secretion and enhance glucose-stimulated insulin secretion, so it is called gastric inhibitory peptide. (gastric inhibitory peptide) / glucose-dependent insulinotropic peptide.
“GLP-1受体(GLP-1R)激动剂”可以定义为与GLP-1R结合且能够引发与天然GLP-1相同或类似的特征性反应的多肽、蛋白或其他小分子。GLP-1R激动剂通过完全或部分激活GLP-1R,继而引起一系列细胞内的下游信号通路反应,产生相应的细胞活性:如β细胞分泌胰岛素;典型的GLP-1R激动剂包括天然GLP-1及其突变体、类似物,如艾塞那肽、利拉鲁肽(Liraglutide)等。A "GLP-1 receptor (GLP-1R) agonist" can be defined as a polypeptide, protein or other small molecule that binds to GLP-1R and is capable of eliciting a characteristic response similar or similar to native GLP-1. GLP-1R agonists activate GLP-1R in whole or in part, which in turn causes a series of downstream signaling pathways in the cell to produce corresponding cellular activities: such as beta cells secreting insulin; typical GLP-1R agonists include native GLP-1 And mutants thereof, analogs such as exenatide, liraglutide and the like.
“胰高血糖素受体(GCGR)激动剂”可以定义为与GCGR结合且能够引发与天然胰高血糖素(glucagon)相同或类似特征性反应的多肽、蛋白或其他小分子。GCGR激动剂通过完全或部分激活GCGR,继而引起一系列细胞内的下游信号通路反应,产生相应的细胞活性:如 肝细胞糖原分解、糖质新生、脂肪酸氧化及生酮作用等。A "glucagon receptor (GCGR) agonist" can be defined as a polypeptide, protein or other small molecule that binds to GCGR and is capable of eliciting the same or similar characteristic response as native glucagon. GCGR agonists activate GCGR in whole or in part, which in turn induces a series of downstream signaling pathways in cells that produce corresponding cellular activities such as hepatocyte glycogenolysis, saccharification, fatty acid oxidation, and ketogenic effects.
GLP-1R/GCGR双效激动剂:本发明的GLP-1R/GCGR双效激动剂包括能同时激动GLP-1R和GCGR的蛋白或多肽。如Alessandro Pocai等报道的基于Oxyntomodulin的双效激动剂(Alessandro Pocai等,Glucagon-Like Peptide 1/Glucagon Receptor Dual Agonism Reverses Obesity in Mice,Diabetes;58(10):2258-2266,2009),或者Richard D.DiMarchi等报道的基于glucagon的双效激动剂(US9018164B2)。GLP-1R/GCGR double-acting agonist: The GLP-1R/GCGR double-acting agonist of the present invention includes a protein or polypeptide capable of simultaneously agonizing GLP-1R and GCGR. Oxyntomodulin-based double-effect agonists as reported by Alessandro Pocai et al. (Alessandro Pocai et al, Glucagon-Like Peptide 1/Glucagon Receptor Dual Agonism Reverses Obesity in Mice, Diabetes; 58(10): 2258-2266, 2009), or Richard D Glucagon-based double-effect agonist (US9018164B2) reported by DiMarchi et al.
GLP-1R/GCGR/GIPR三效激动剂:本发明的GLP-1R/GCGR/GIPR三效激动剂包括能同时激动GLP-1R、GCGR和GIPR的蛋白或多肽,或称为“三特异性激动剂”。GLP-1R/GCGR/GIPR Triple-acting Agonist: The GLP-1R/GCGR/GIPR triple-acting agonist of the present invention includes a protein or polypeptide capable of simultaneously agonizing GLP-1R, GCGR and GIPR, or "trispecific activation" Agent".
三特异性活性肽:本发明中的经优选的三特异性活性肽是指同时具有GLP-1R/GCGR/GIPR激动活性的多肽,或称为“三效活性肽”。。Trispecific Active Peptide: A preferred trispecific active peptide in the present invention refers to a polypeptide having both GLP-1R/GCGR/GIPR agonistic activity, or a "triple-acting active peptide". .
EC 50(concentration for 50% of maximal effect)是指某一药物或者物质在刺激其相应的生物学反应的50%时所需的浓度。EC50值越低,表明该药物或物质的刺激或激动能力越强,例如,更直观地可表现为引起的细胞内信号越强,从而诱导某激素产生的能力越佳。 EC 50 (concentration for 50% of maximal effect) refers to the concentration required for a drug or substance to stimulate 50% of its corresponding biological response. The lower the EC50 value, the stronger the stimulating or stimulating ability of the drug or substance, for example, the more intuitively, the stronger the intracellular signal that is caused, the better the ability to induce the production of a hormone.
低密度脂蛋白(LDL):属于血浆脂蛋白的一种,是血液中胆固醇的主要载体。其倾向于将胆固醇沉积在动脉壁上。白细胞试图消化低密度脂蛋白,但在这个过程中却将它们变成毒素。越来越多的白细胞被吸引到发生变化的区域,致使动脉壁发炎。随着时间的推移,这些斑块沉积物可以积聚在动脉壁上,使得通道变得非常窄和缺乏韧性。如果太多的斑块累积,则动脉可以完全阻塞。当LDL与胆固醇形成的复合物(LDL-C)在动脉壁上产生太多斑块时,血液将不能自由流过动脉。斑块随时可能会在动脉中突然塌陷,导致血管堵塞,最终引发心脏病。Low-density lipoprotein (LDL): a type of plasma lipoprotein that is the main carrier of cholesterol in the blood. It tends to deposit cholesterol on the arterial wall. White blood cells try to digest low-density lipoproteins, but in the process they turn them into toxins. More and more white blood cells are attracted to the changing areas, causing inflammation of the arterial wall. Over time, these plaque deposits can accumulate on the arterial wall, making the channel very narrow and lacking toughness. If too many plaques accumulate, the artery can be completely blocked. When the complex of LDL and cholesterol (LDL-C) produces too many plaques on the arterial wall, blood will not flow freely through the artery. Plaques can suddenly collapse in the arteries at any time, causing blood vessels to clog and eventually lead to heart disease.
高密度蛋白(HDL):有助于清除动脉上的LDL,起到清道夫的作用,将LDL从动脉上清走并回到肝脏。High-density protein (HDL): Helps clear LDL on the arteries, acts as a scavenger, clears LDL from the artery and returns to the liver.
甘油三酯(TG):是另一种类型的脂肪,用于储存饮食过多的能量。血液中高水平的甘油三酯与动脉粥样硬化有关。高甘油三酯可以由超重和肥胖,身体缺乏运动,吸烟,过量的酒精消耗和高碳水化合物(超过总卡路里的60%)摄入引起。有时基础疾病或遗传疾病是高甘油三酯的原因。具有高甘油三酯的人通常具有高的总胆固醇水平,包括高LDL胆固醇和低HDL胆固醇,许多患有心脏病或糖尿病的人也具有高甘油三酯水平。Triglyceride (TG): Another type of fat used to store excess energy in the diet. High levels of triglycerides in the blood are associated with atherosclerosis. High triglycerides can be caused by overweight and obesity, lack of exercise, smoking, excessive alcohol consumption, and high carbohydrate intake (more than 60% of total calories). Sometimes basic or genetic diseases are the cause of high triglycerides. People with high triglycerides typically have high total cholesterol levels, including high LDL cholesterol and low HDL cholesterol, and many people with heart disease or diabetes also have high triglyceride levels.
GPCR:G蛋白偶联受体(G Protein-Coupled Receptor),它是细胞信号传导中的重要蛋白质,其拓扑构象为7次跨膜的受体。当膜外的配体作用于该受体时,该受体的膜内部分与G蛋白相互结合,激活G蛋白。G蛋白可通过两种途径,传递细胞外的信息:第一种方式是打 开跨膜离子通道,让外界的离子进入;第二种方式是激活第二信使,如cAMP、IP 3/DAG等。钙离子通常被认为是cAMP、IP 3/DAG下游的第三信使。 GPCR: G Protein-Coupled Receptor, which is an important protein in cell signaling, and its topological conformation is a 7-transmembrane receptor. When an extracellular ligand acts on the receptor, the intramembrane portion of the receptor binds to the G protein to activate the G protein. G protein can transmit extracellular information in two ways: the first way is to open the transmembrane ion channel, allowing the outside ions to enter; the second way is to activate the second messenger, such as cAMP, IP 3 /DAG. Calcium ions are generally considered to be third messengers downstream of cAMP, IP 3 /DAG.
缩写abbreviation
COMU:1-[(1-(氰基-2-乙氧基-2-氧代亚乙基氨基氧基)二甲基氨基吗啉代亚甲基)]甲铵六氟磷酸盐COMU: 1-[(1-(Cyano-2-ethoxy-2-oxoethylaminooxy)dimethylaminomorpholinomethylene)]methylammonium hexafluorophosphate
DCM:二氯甲烷DCM: dichloromethane
DMF:N,N-二甲基甲酰胺DMF: N,N-dimethylformamide
DIPEA:二异丙基乙胺DIPEA: diisopropylethylamine
EtOH:乙醇EtOH: ethanol
Et 2O:乙醚 Et 2 O: ether
HATU:2-(7-氧化苯并三氮唑)-N,N,N',N'-四甲基脲六氟磷酸酯HATU: 2-(7-oxobenzotriazole)-N,N,N',N'-tetramethyluron hexafluorophosphate
MeCN;乙腈MeCN; acetonitrile
NMP:N-甲基吡咯烷酮NMP: N-methylpyrrolidone
TFA:三氟乙酸TFA: trifluoroacetic acid
TIS:三异丙基硅烷TIS: Triisopropylsilane
以下通过特定的具体实例说明本发明的实施方式,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,本说明书中的各项细节也可以基于不同观点与应用,在没有背离本发明的精神下进行各种修饰或改变。The embodiments of the present invention are described below by way of specific examples, and those skilled in the art can readily understand other advantages and effects of the present invention from the disclosure of the present disclosure. The present invention may be embodied or applied in various other specific embodiments, and various modifications and changes can be made without departing from the spirit and scope of the invention.
在进一步描述本发明具体实施方式之前,应理解,本发明的保护范围不局限于下述特定的具体实施方案;还应当理解,本发明实施例中使用的术语是为了描述特定的具体实施方案,而不是为了限制本发明的保护范围。Before the present invention is further described, it is to be understood that the scope of the present invention is not limited to the specific embodiments described below; It is not intended to limit the scope of the invention.
除非另外定义,本发明中使用的所有技术和科学术语与本技术领域技术人员通常理解的意义相同。除实施例中使用的具体方法、设备、材料外,根据本技术领域的技术人员对现有技术的掌握及本发明的记载,还可以使用与本发明实施例中所述的方法、设备、材料相似或等同的现有技术的任何方法、设备和材料来实现本发明。Unless otherwise defined, all technical and scientific terms used in the present invention have the same meaning meaning In addition to the specific methods, devices, and materials used in the embodiments, the methods, devices, and materials described in the embodiments of the present invention may also be used according to the prior art and the description of the present invention by those skilled in the art. Any method, apparatus, and material of the prior art, similar or equivalent, is used to practice the invention.
除非另外说明,本发明中所公开的实验方法、检测方法、制备方法均采用本技术领域常规的分子生物学、生物化学、染色质结构和分析、分析化学、细胞培养、重组DNA技术及相关领域的常规技术。这些技术在现有文献中已有完善说明,具体可参见Sambrook等 MOLECULAR CLONING:A LABORATORY MANUAL,Second edition,Cold Spring Harbor Laboratory Press,1989 and Third edition,2001;Ausubel等,CURRENT PROTOCOLS IN MOLECULAR BIOLOGY,John Wiley & Sons,New York,1987 and periodic updates;the series METHODS IN ENZYMOLOGY,Academic Press,San Diego;Wolffe,CHROMATIN STRUCTURE AND FUNCTION,Third edition,Academic Press,San Diego,1998;METHODS IN ENZYMOLOGY,Vol.304,Chromatin(P.M.Wassarman and A.P.Wolffe,eds.),Academic Press,San Diego,1999;和METHODS IN MOLECULAR BIOLOGY,Vol.119,Chromatin Protocols(P.B.Becker,ed.)Humana Press,Totowa,1999等。Unless otherwise stated, the experimental methods, detection methods, and preparation methods disclosed in the present invention employ molecular biology, biochemistry, chromatin structure and analysis, analytical chemistry, cell culture, recombinant DNA technology, and related fields conventional in the art. Conventional technology. These techniques are well described in the prior literature, see Sambrook et al. MOLECULAR CLONING: A LABORATORY MANUAL, Second edition, Cold Spring Harbor Laboratory Press, 1989 and Third edition, 2001; Ausubel et al, CURRENT PROTOCOLS IN MOLECULAR BIOLOGY, John Wiley & Sons, New York, 1987 and periodic updates; the series METHODS IN ENZYMOLOGY, Academic Press, San Diego; Wolffe, CHROMATIN STRUCTURE AND FUNCTION, Third edition, Academic Press, San Diego, 1998; METHODS IN ENZYMOLOGY, Vol. Chromatin (PM Wassarman and AP Wolffe, eds.), Academic Press, San Diego, 1999; and METHODS IN MOLECULAR BIOLOGY, Vol. 119, Chromatin Protocols (PBBecker, ed.) Humana Press, Totowa, 1999, and the like.
实施例1:胰高血糖素类似物的一般制备及纯化方法Example 1: General preparation and purification method of glucagon analog
采用现有技术,例如现有文献(
Figure PCTCN2018116166-appb-000012
V.等人,Beilstein J.Org.Chem.,10:1197–1212(2014);Palomo,J.M.,RSC Adv.,4:32658-32672(2014);Behrendt,R.等人,J.Pept.Sci.,22:4-27(2015))中的多肽固相合成及修饰方法来制备本专利所涉及的各多肽。
Using existing technologies, such as existing literature (
Figure PCTCN2018116166-appb-000012
V. et al., Beilstein J. Org. Chem., 10: 1197–1212 (2014); Palomo, JM, RSC Adv., 4: 32658-32672 (2014); Behrendt, R. et al., J. Pept. The polypeptide solid phase synthesis and modification methods in Sci., 22: 4-27 (2015)) are used to prepare each polypeptide involved in the present patent.
具体地,可用标准Fmoc法在CEM Liberty肽合成仪上进行固相肽合成。Specifically, solid phase peptide synthesis can be performed on a CEM Liberty peptide synthesizer using standard Fmoc methods.
在使用之前将Rink Amide TentaGel S Ram树脂(0.25mmol/g,1g)在NMP(10mL)中溶胀,加入到固相合成装置中,树脂中加入哌啶/DMF(20%,10mL)反应30min进行脱Fmoc保护,抽干,用DMF洗涤(5×10mL),抽干。加入第一个Fmoc-氨基酸溶液(0.2M,NMP/DMF/DCM,1:1:1,5mL)以及COMU/NMP(0.5M,2mL)和DIPEA/DMF(2.0M;1mL),室温反应1h,茚三酮检测树脂无色透明,抽干,用DMF(5×10mL)洗涤。然后加入哌啶/DMF(20%,10mL)反应30min进行脱Fmoc保护,抽干,用DMF洗涤(5×10mL),抽干。重复上述加入Fmoc-氨基酸进行反应和哌啶/DMF进行脱Fmoc保护的步骤直至完成最后一个组氨酸的偶联。Rink Amide TentaGel S Ram resin (0.25 mmol/g, 1 g) was swollen in NMP (10 mL) before use, and added to a solid phase synthesis apparatus, and piperidine/DMF (20%, 10 mL) was added to the resin for 30 min. Deprotected by Fmoc, drained, washed with DMF (5×10 mL) and dried. Add the first Fmoc-amino acid solution (0.2M, NMP/DMF/DCM, 1:1:1, 5mL) and COMU/NMP (0.5M, 2mL) and DIPEA/DMF (2.0M; 1mL), react at room temperature for 1h The ninhydrin detection resin was colorless and transparent, drained, and washed with DMF (5×10 mL). Then, piperidine/DMF (20%, 10 mL) was added and reacted for 30 min for Fmoc protection, drained, washed with DMF (5×10 mL), and dried. The above procedure of adding Fmoc-amino acid for the reaction and piperidine/DMF for Fmoc protection was repeated until the coupling of the last histidine was completed.
将树脂用EtOH(3×10mL)和Et 2O(3×10mL)洗涤并在室温下干燥至恒重。树脂加入TFA/TIS/苯酚/EDT/水(82.5/5/5/2.5/5,v/v,40mL)冰浴反应2h,将粗肽从树脂上切割下来,过滤,重复该步骤三次。将滤液合并,减压除去大部分TFA,用乙醚沉淀,离心,沉淀用乙醚洗涤三次,室温下干燥至恒重得到粗肽。使用配备有C-18柱和部分收集器的瓦里安SD-1型制备液相色谱仪,用流动相A(0.1%TFA,水溶液)和流动相B(0.1%TFA,90%MeCN,水溶液)的梯度洗脱,通过制备型反相HPLC将粗肽纯化至纯度大于97%,所得肽列于表1。其中,C端酰胺结尾的多肽采用上述方法进行合成;其余多肽采用Wangle Resin(0.4mmol/g,1g)进行固相合成,树脂溶胀后直接加入Fmoc-氨基酸进行偶联反应,脱Fmoc保护,多肽切割,纯化,操作步骤与C端酰胺结尾多肽合成步骤相同。带有脂肪酸修饰的多肽合成与纯化 为常规技术,并可参见Finan B等(Finan B等,A rationally designed monomeric peptide triagonist corrects obesity and diabetes in rodents.Nat Med.2015;21:27-36.)或Chhabr等(Chhabr等,Appraisal of New Variants of Dde Amine Protecting Group for Solid Phase Peptide Synthesis.Tetrahedron Lett.1998,39(12),1603–1606)的文章所述。 The resin was washed with EtOH (3×10 mL) and Et 2 O (3×10 mL) and dried at room temperature to constant weight. The resin was added to TFA/TIS/phenol/EDT/water (82.5/5/5/2.5/5, v/v, 40 mL) for 2 h in an ice bath, the crude peptide was cleaved from the resin, filtered, and the procedure was repeated three times. The filtrates were combined, and most of the TFA was removed under reduced pressure, which was crystallised from diethyl ether. Prepare a liquid chromatograph using a Varian SD-1 model equipped with a C-18 column and a partial collector, using mobile phase A (0.1% TFA, aqueous solution) and mobile phase B (0.1% TFA, 90% MeCN, aqueous solution) Gradient elution of the crude peptide was purified by preparative reverse phase HPLC to a purity greater than 97%. The resulting peptides are listed in Table 1. Among them, the C-terminal amide-terminated polypeptide was synthesized by the above method; the other peptides were synthesized by Wangle Resin (0.4 mmol/g, 1 g), and the resin was swollen and directly added with Fmoc-amino acid for coupling reaction, Fmoc protection, polypeptide The steps of cleavage, purification, and operation are the same as those of the C-terminal amide-end polypeptide. The synthesis and purification of polypeptides with fatty acid modifications is conventional and can be found in Finan B et al. (Finan B et al, A rationally designed monomeric peptide triagonist corrects obesity and diabetes in rodents. Nat Med. 2015; 21: 27-36.) or Chhabr et al. (Chhabr et al., Appraisal of New Variants of Dde Amine Protecting Group for Solid Phase Peptide Synthesis. Tetrahedron Lett. 1998, 39(12), 1603–1606).
经过纯化后的肽通过LC/MS分析,分析结果如表2。其中,图14、15分别为示例性的编号为C495和C382的胰高血糖素类似物质谱分析图。质谱条件如下:The purified peptide was analyzed by LC/MS, and the results of the analysis are shown in Table 2. 14 and 15 are mass spectrograms of exemplary glucagon analogs numbered C495 and C382, respectively. The mass spectrometry conditions are as follows:
仪器:Waters ZQ 2000Instrument: Waters ZQ 2000
质谱(Probe):ESIMass Spectrometry (Probe): ESI
喷雾器流速(Nebulizer Gas Flow):1.5L/minNebulizer Gas Flow: 1.5L/min
CDL:-20.0vCDL: -20.0v
CDL温度:250℃CDL temperature: 250 ° C
加热块温度(Block Temp):200℃Block Temperature: 200 ° C
质谱电压(Probe Bias):+4.5kvSpectrum Bias: +4.5kv
检测器(Detector):1.5kvDetector: 1.5kv
流动相流速(T.Flow):0.2ml/minMobile phase flow rate (T.Flow): 0.2 ml/min
缓冲液浓度(B.Conc.):50%H2O/50%ACNBuffer concentration (B.Conc.): 50% H2O/50% ACN
表1Table 1
编号Numbering 序列sequence SEQ ID NO.SEQ ID NO.
C001C001 HSQGTFTSDYSKYLDSRRAQDFVQWLMNT-NH2HSQGTFTSDYSKYLDSRRAQDFVQWLMNT-NH2 55
C326C326 HSQGTFTSDYSKYLDSQAAQDFVQWLMNGGPSSGAPPS-NH2HSQGTFTSDYSKYLDSQAAQDFVQWLMNGGPSSGAPPS-NH2 66
C327C327 HSQGTFTSDYSKYLDSQAAQDFVQWLMNGGPSSGAPPS-OHHSQGTFTSDYSKYLDSQAAQDFVQWLMNGGPSSGAPPS-OH 77
C231C231 HSQGTFTSDYSKYLDSQAAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDSQAAQDFVQWLMNTGPSSGAPPPS-NH2 88
C232C232 HSQGTFTSDYSKYLDSQAAQDFVQWLMNTGPSSGAPPPS-OHHSQGTFTSDYSKYLDSQAAQDFVQWLMNTGPSSGAPPPS-OH 99
C365C365 HSQGTFTSDYSKYLDSEAAQDFVQWLMN GGPSSGAPPPS-NH2HSQGTFTSDYSKYLDSEAAQDFVQWLMN GGPSSGAPPPS-NH2 1010
C366C366 HSQGTFTSDYSKYLDSEAAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDSEAAQDFVQWLMNTGPSSGAPPPS-NH2 1111
C381C381 HSQGTFTSDYSKYLDSQAAQDFVQWLMNGGPSSGAPPPS-NH2HSQGTFTSDYSKYLDSQAAQDFVQWLMNGGPSSGAPPPS-NH2 1212
C382C382 HSQGTFTSDYSKYLDSQAAQDFVQWLMNGGPSSGAPPPS-OHHSQGTFTSDYSKYLDSQAAQDFVQWLMNGGPSSGAPPPS-OH 1313
C392C392 HSQGTFTSDYSKYLDEEAAQDFVQWLMNTGPSSGAPPS-OHHSQGTFTSDYSKYLDEEAAQDFVQWLMNTGPSSGAPPS-OH 1414
C393C393 HSQGTFTSDYSKYLDEEAAQDFVQWLMNTGPSSGAPPS-NH2HSQGTFTSDYSKYLDEEAAQDFVQWLMNTGPSSGAPPS-NH2 1515
C355C355 HSQGTFTSDYSKYLDEEAAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDEEAAQDFVQWLMNTGPSSGAPPPS-NH2 1616
C356C356 HSQGTFTSDYSKYLDEEAAQDFVQWLMNTGPSSGAPPPS-OHHSQGTFTSDYSKYLDEEAAQDFVQWLMNTGPSSGAPPPS-OH 1717
C463C463 HSQGTFTSDYSKYLDEEAAQDFVQWLMNGGPSSGAPPS-NH2HSQGTFTSDYSKYLDEEAAQDFVQWLMNGGPSSGAPPS-NH2 1818
C462C462 HSQGTFTSDYSKYLDEEAAQDFVQWLMNGGPSSGAPPS-OHHSQGTFTSDYSKYLDEEAAQDFVQWLMNGGPSSGAPPS-OH 1919
C464C464 HSQGTFTSDYSKYLDEEAAQDFVQWLMNGGPSSGAPPPS-NH2HSQGTFTSDYSKYLDEEAAQDFVQWLMNGGPSSGAPPPS-NH2 2020
C465C465 HSQGTFTSDYSKYLDEEAAQDFVQWLMNGGPSSGAPPPS-OHHSQGTFTSDYSKYLDEEAAQDFVQWLMNGGPSSGAPPPS-OH 21twenty one
C372C372 HSQGTFTSDYSKYLDEQAAQDFVQWLMNTSSGAPPS-NH2HSQGTFTSDYSKYLDEQAAQDFVQWLMNTSSGAPPS-NH2 22twenty two
C369C369 HSQGTFTSDYSKYLDEQAAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDEQAAQDFVQWLMNTGPSSGAPPPS-NH2 23twenty three
C494C494 HSQGTFTSDYSKYLDEQAAQDFVQWLMNGGPSSGAPPS-NH2HSQGTFTSDYSKYLDEQAAQDFVQWLMNGGPSSGAPPS-NH2 24twenty four
C493C493 HSQGTFTSDYSKYLDEQAAQDFVQWLMNGGPSSGAPPPS-NH2HSQGTFTSDYSKYLDEQAAQDFVQWLMNGGPSSGAPPPS-NH2 2525
C495C495 HSQGTFTSDYSKYLDEQAAQDFVQWLMNGGPSSGAPPPS-OHHSQGTFTSDYSKYLDEQAAQDFVQWLMNGGPSSGAPPPS-OH 2626
C358C358 HSQGTFTSDYSKYLDEQAAQDFVQWLMNTSSGAPPPS-NH2HSQGTFTSDYSKYLDEQAAQDFVQWLMNTSSGAPPPS-NH2 2727
C359C359 HSQGTFTSDYSKYLDEQAAQDFVQWLMNTSSGAPPPS-OHHSQGTFTSDYSKYLDEQAAQDFVQWLMNTSSGAPPPS-OH 2828
C002C002 H-dSer-QGTFTSDYSKYLDSRRAQDFVQWLMNTGGPSSGAPPPS-OHH-dSer-QGTFTSDYSKYLDSRRAQDFVQWLMNTGGPSSGAPPPS-OH 2929
C225C225 HSQGTFTSDYSKYLDERAAQDFVQWLMNTGPSSGAPPPS-OHHSQGTFTSDYSKYLDERAAQDFVQWLMNTGPSSGAPPPS-OH 3030
C226C226 HSQGTFTSDYSKYLDERAAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDERAAQDFVQWLMNTGPSSGAPPPS-NH2 3131
C163C163 HSQGTFTSDYSKYLDSRAAQDFVQWLMNTGPSSGAPPPS-OHHSQGTFTSDYSKYLDSRAAQDFVQWLMNTGPSSGAPPPS-OH 3232
C164C164 HSQGTFTSDYSKYLDSRAAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDSRAAQDFVQWLMNTGPSSGAPPPS-NH2 3333
C271C271 HSQGTFTSDYSKYLDARAAQDFVQWLMNTGPSSGAPPPS-OHHSQGTFTSDYSKYLDARAAQDFVQWLMNTGPSSGAPPPS-OH 3434
C272C272 HSQGTFTSDYSKYLDARAAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDARAAQDFVQWLMNTGPSSGAPPPS-NH2 3535
C138C138 HSQGTFTSDYSKYLDSERAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDSERAQDFVQWLMNTGPSSGAPPPS-NH2 3636
C137C137 HSQGTFTSDYSKYLDSERAQDFVQWLMNTGPSSGAPPPS-OHHSQGTFTSDYSKYLDSERAQDFVQWLMNTGPSSGAPPPS-OH 3737
C239C239 HSQGTFTSDYSKYLDEERAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDEERAQDFVQWLMNTGPSSGAPPPS-NH2 3838
C277C277 HSQGTFTSDYSKYLDAERAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDAERAQDFVQWLMNTGPSSGAPPPS-NH2 3939
C139C139 HSQGTFTSDYSKYLDSQRAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDSQRAQDFVQWLMNTGPSSGAPPPS-NH2 4040
C287C287 HSQGTFTSDYSKYLDEQRAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDEQRAQDFVQWLMNTGPSSGAPPPS-NH2 4141
C245C245 HSQGTFTSDYSKYLDAQRAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDAQRAQDFVQWLMNTGPSSGAPPPS-NH2 4242
C291C291 HSQGTFTSDYSKYLDAARAQDFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDAARAQDFVQWLMNTGPSSGAPPPS-NH2 4343
C240C240 HSQGTFTSDYSKYLDERAAQDFVQWLMNGGPSSGAPPPS-NH2HSQGTFTSDYSKYLDERAAQDFVQWLMNGGPSSGAPPPS-NH2 4444
C276C276 HSQGTFTSDYSKYLDSRAAQDFVQWLMNGGPSSGAPPPS-NH2HSQGTFTSDYSKYLDSRAAQDFVQWLMNGGPSSGAPPPS-NH2 4545
C236C236 HSQGTFTSDYSKYLDARAAQDFVQWLMNGGPSSGAPPPS-NH2HSQGTFTSDYSKYLDARAAQDFVQWLMNGGPSSGAPPPS-NH2 4646
C539C539 HSQGTFTSDYSKYLDEQAAREFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDEQAAREFVQWLMNTGPSSGAPPPS-NH2 4747
C456C456 HSQGTFTSDLSKYLDEEAAQDFIQWLMNTGPSSGAPPPS-NH2HSQGTFTSDLSKYLDEEAAQDFIQWLMNTGPSSGAPPPS-NH2 4848
C649C649 HSQGTFTSDYSKYLDEQAARDFIQWLMNGGPSSGAPPPS-NH2HSQGTFTSDYSKYLDEQAARDFIQWLMNGGPSSGAPPPS-NH2 4949
C580C580 HSQGTFTSDLSKYLDEEAAQEFIQWLMNGGPSSGAPPPS-NH2HSQGTFTSDLSKYLDEEAAQEFIQWLMNGGPSSGAPPPS-NH2 5050
C581C581 HSQGTFTSDLSKYLDEEAAREFVQWLMNGGPSSGAPPPS-OHHSQGTFTSDLSKYLDEEAAREFVQWLMNGGPSSGAPPPS-OH 5151
C578C578 HSQGTFTSDYSKYLDEQAAREFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDYSKYLDEQAAREFVQWLMNTGPSSGAPPPS-NH2 5252
C481C481 HSQGTFTSDLSKYLDEEAAREFVQWLMNTGPSSGAPPPS-NH2HSQGTFTSDLSKYLDEEAAREFVQWLMNTGPSSGAPPPS-NH2 5353
G490G490 HSQGTFTSDYSKYLSQEAVRLFICWLMNTHSQGTFTSDYSKYLSQEAVRLFICWLMNT 5454
C824C824 HSQGTFTSDYSKYLSQAAVRLFIQWLMNTGPSSGAPPPSHSQGTFTSDYSKYLSQAAVRLFIQWLMNTGPSSGAPPPS 5555
C721C721 HSQGTFTSD  K’SEYLDEEAARDFVAWLEAGG HSQGTFTSD K' SEYLDEEAARDFVAWLEAGG 5656
C816C816 HSQGTFTSDYSKYLDSQAAKEFIAWLMNGGPSSGAPPPS-NH2HSQGTFTSDYSKYLDSQAAKEFIAWLMNGGPSSGAPPPS-NH2 5757
C632C632 HXQGTFTSD  K’SKYLDEQAAQDFVQWLLDGPSSGAPPPS-NH2 HXQGTFTSD K' SKYLDEQAAQDFVQWLLDGPSSGAPPPS-NH2 5858
C611C611 HSQGTFTSDLSKQMDSQAAQDFIEWLKNGGPSSGAPPPS-NH2HSQGTFTSDLSKQMDSQAAQDFIEWLKNGGPSSGAPPPS-NH2 5959
FC381FC381 HSQGTFTSD  K’SKYLDSQAAQDFVQWLMNGGPSSGAPPPS-NH2 HSQGTFTSD K' SKYLDSQAAQDFVQWLMNGGPSSGAPPPS-NH2 6060
FC464FC464 HSQGTFTSD  K’SKYLDEEAAQDFVQWLMNGGPSSGAPPPS-NH2 HSQGTFTSD K' SKYLDEEAAQDFVQWLMNGGPSSGAPPPS-NH2 6161
FC493FC493 HSQGTFTSD  K’SKYLDEQAAQDFVQWLMNGGPSSGAPPPS-NH2 HSQGTFTSD K' SKYLDEQAAQDFVQWLMNGGPSSGAPPPS-NH2 6262
FC225FC225 HSQGTFTSD  K’SKYLDERAAQDFVQWLMNTGPSSGAPPPS-OH HSQGTFTSD K' SKYLDERAAQDFVQWLMNTGPSSGAPPPS-OH 6363
FC163FC163 HSQGTFTSD  K’SKYLDSRAAQDFVQWLMNTGPSSGAPPPS-OH HSQGTFTSD K' SKYLDSRAAQDFVQWLMNTGPSSGAPPPS-OH 6464
注:表中的X为氨基异丁酸,K’表示此位置为赖氨酸残基并共价连接至脂肪酸,该脂肪酸结构如下式I所示:Note: X in the table is aminoisobutyric acid, and K' indicates that this position is a lysine residue and is covalently linked to a fatty acid having the following structure:
Figure PCTCN2018116166-appb-000013
Figure PCTCN2018116166-appb-000013
表2Table 2
编号Numbering 理论分子量(Da)Theoretical molecular weight (Da) 检测分子量(Da)Detection of molecular weight (Da)
C326C326 4062.44062.4 4062.54062.5
C327C327 4063.34063.3 4063.34063.3
C231C231 4203.54203.5 4203.54203.5
C232C232 4204.54204.5 4204.64204.6
C365C365 4005.34005.3 4005.34005.3
C366C366 4006.34006.3 4006.44006.4
C381C381 4159.54159.5 4159.54159.5
C382C382 4160.54160.5 4160.54160.5
C392C392 4150.44150.4 4150.44150.4
C393C393 4149.44149.4 4149.34149.3
C355C355 4246.64246.6 4246.64246.6
C356C356 4247.54247.5 4247.54247.5
C463C463 4105.44105.4 4105.44105.4
C462C462 4106.44106.4 4106.34106.3
C464C464 4202.54202.5 4202.54202.5
C465C465 4203.54203.5 4203.54203.5
C372C372 3994.33994.3 3994.33994.3
C369C369 4245.64245.6 4245.64245.6
C494C494 4104.44104.4 4104.44104.4
C493C493 4201.54201.5 4201.54201.5
C495C495 4202.54202.5 4202.54202.5
C358C358 4091.44091.4 4091.44091.4
C359C359 4092.44092.4 4092.34092.3
C002C002 4374.74374.7 4374.64374.6
C225C225 4274.64274.6 4274.64274.6
C226C226 4273.64273.6 4273.64273.6
C163C163 4232.64232.6 4232.74232.7
C164C164 4231.64231.6 4231.64231.6
C271C271 4216.64216.6 4216.64216.6
C272C272 4215.64215.6 4215.54215.5
C138C138 4289.64289.6 4289.54289.5
C137C137 4290.64290.6 4290.54290.5
C239C239 4331.74331.7 4331.64331.6
C277C277 4273.64273.6 4273.54273.5
C139C139 4288.64288.6 4288.64288.6
C287C287 4330.74330.7 4330.64330.6
C245C245 4272.64272.6 4272.54272.5
C291C291 4215.64215.6 4215.74215.7
C240C240 4229.64229.6 4229.64229.6
C276C276 4187.54187.5 4187.44187.4
C236C236 4171.54171.5 4171.54171.5
C539C539 4216.54216.5 4216.44216.4
C456C456 4196.54196.5 4196.64196.6
C649C649 4172.54172.5 4172.54172.5
C580C580 4152.54152.5 4152.54152.5
C581C581 4153.54153.5 4153.44153.4
C578C578 4246.64246.6 4246.64246.6
C481C481 4196.54196.5 4196.64196.6
实施例2:稳定性研究Example 2: Stability study
本实施例的目的是研究实施例1制备获得的各种胰高血糖素类似物在水溶液中的化学稳定性。The purpose of this example was to investigate the chemical stability of various glucagon analogs obtained in the preparation of Example 1 in aqueous solution.
将待测多肽(胰高血糖素类似物)及对照品,配制于相应pH的20mM的磷酸盐缓冲液PB或醋酸缓冲液中,多肽终浓度为0.2mg/ml并用无菌过滤器(0.22μm,Millipore SLGP033RB)进行过滤除菌。将制备的多肽溶液在40℃放置7天。然后在4500rpm离心20分钟并使用RP-HPLC-UV分析上清液(t7)。测定残余完整肽的量,并平行分析未保温处理的样品(t0)。比较在t0和t7时的目标化合物的峰面积,依照下列等式得到“残余肽%”:The polypeptide to be tested (glucagon analog) and the control substance were prepared in a 20 mM phosphate buffer PB or acetate buffer at a corresponding pH, and the final concentration of the polypeptide was 0.2 mg/ml and a sterile filter (0.22 μm) was used. , Millipore SLGP033RB) for filtration sterilization. The prepared polypeptide solution was allowed to stand at 40 ° C for 7 days. It was then centrifuged at 4500 rpm for 20 minutes and the supernatant (t7) was analyzed using RP-HPLC-UV. The amount of residual intact peptide was determined, and the sample (t0) which was not incubated was analyzed in parallel. Comparing the peak areas of the target compounds at t0 and t7, the "residual peptide %" was obtained according to the following equation:
残余肽含量%=[(肽峰面积t7)×100]/肽峰面积t0。Residual peptide content % = [(peptide peak area t7) × 100] / peptide peak area t0.
稳定性表示为“残余肽含量”。Stability is expressed as "residual peptide content".
检测方法Detection method
检测波长:214nm;Detection wavelength: 214 nm;
色谱柱:柱温40℃,Phenomenex Luna C8(2)5μm(150×4.6mm);Column: column temperature 40 ° C, Phenomenex Luna C8 (2) 5 μm (150 × 4.6 mm);
流动相:H 2O+0.1%TFA:ACN+0.1%TFA(流速1.0ml/分钟); Mobile phase: H 2 O + 0.1% TFA: ACN + 0.1% TFA (flow rate 1.0 ml / min);
梯度:95:5(0分钟)至0:100(30分钟);Gradient: 95:5 (0 minutes) to 0:100 (30 minutes);
实验结果分析:从表3实验数据可以得出本发明优选的胰高血糖素类似物(多肽)在中性及弱酸性水溶液中均具有较高的稳定性。Analysis of experimental results: From the experimental data of Table 3, it can be concluded that the preferred glucagon analog (polypeptide) of the present invention has high stability in both neutral and weakly acidic aqueous solutions.
表3table 3
编号Numbering 残余肽含量pH4.5(%)Residual peptide content pH 4.5 (%) 残余肽含量pH7.4(%)Residual peptide content pH 7.4 (%)
C326C326 96.896.8 95.695.6
C327C327 97.597.5 98.998.9
C231C231 96.796.7 96.996.9
C232C232 95.295.2 97.897.8
C365C365 98.298.2 96.496.4
C366C366 97.597.5 96.896.8
C381C381 98.698.6 99.599.5
C382C382 98.998.9 97.597.5
C392C392 95.995.9 96.896.8
C393C393 96.496.4 95.795.7
C355C355 97.597.5 97.397.3
C356C356 98.198.1 97.797.7
C463C463 96.696.6 97.197.1
C462C462 97.197.1 96.796.7
C464C464 95.195.1 96.796.7
C465C465 95.695.6 96.896.8
C372C372 96.396.3 97.497.4
C369C369 96.996.9 97.097.0
C494C494 96.896.8 95.995.9
C493C493 97.997.9 98.398.3
C495C495 98.498.4 96.796.7
C358C358 97.597.5 96.896.8
C359C359 98.198.1 96.996.9
C002C002 78.478.4 81.381.3
C225C225 83.783.7 82.382.3
C226C226 82.482.4 84.784.7
C163C163 81.881.8 84.584.5
C164C164 80.680.6 84.284.2
C271C271 83.783.7 82.882.8
C272C272 84.984.9 84.284.2
C138C138 81.981.9 83.483.4
C137C137 82.482.4 84.884.8
C239C239 83.883.8 86.786.7
C277C277 82.882.8 82.482.4
C139C139 81.481.4 84.184.1
C287C287 83.883.8 82.882.8
C245C245 84.784.7 82.582.5
C291C291 82.982.9 83.883.8
C240C240 84.784.7 83.183.1
C276C276 83.183.1 83.283.2
C236C236 79.279.2 80.380.3
C539C539 93.493.4 94.594.5
C456C456 93.793.7 95.195.1
C649C649 94.894.8 94.194.1
C580C580 93.793.7 92.892.8
C581C581 92.492.4 91.891.8
C578C578 94.794.7 94.594.5
C481C481 95.795.7 93.793.7
C490C490 92.292.2 95.295.2
C824C824 91.291.2 95.495.4
C721C721 95.895.8 96.796.7
C816C816 90.190.1 91.891.8
C632C632 96.496.4 96.996.9
C611C611 87.887.8 89.389.3
图1-7示例性地展示C381等几种胰高血糖素类似物的液相HPLC分析谱图。Figures 1-7 exemplarily show liquid phase HPLC analytical spectra of several glucagon analogs such as C381.
图1对应的积分数据:Figure 1 corresponds to the integral data:
Figure PCTCN2018116166-appb-000014
Figure PCTCN2018116166-appb-000014
图2对应的积分数据:Figure 2 corresponds to the integral data:
Figure PCTCN2018116166-appb-000015
Figure PCTCN2018116166-appb-000015
图3对应的原始数据:The raw data corresponding to Figure 3:
Figure PCTCN2018116166-appb-000016
Figure PCTCN2018116166-appb-000016
图4对应的原始数据:The raw data corresponding to Figure 4:
Figure PCTCN2018116166-appb-000017
Figure PCTCN2018116166-appb-000017
图5对应的原始数据:The raw data corresponding to Figure 5:
Figure PCTCN2018116166-appb-000018
Figure PCTCN2018116166-appb-000018
图6对应的原始数据:Figure 6 corresponds to the original data:
Figure PCTCN2018116166-appb-000019
Figure PCTCN2018116166-appb-000019
图7对应的原始数据:The raw data corresponding to Figure 7:
Figure PCTCN2018116166-appb-000020
Figure PCTCN2018116166-appb-000020
实施例3:血清稳定性Example 3: Serum stability
(1)表1中相应多肽用5mM Tris-HCl,pH8.5,0.02%TWEEN80溶液配制成浓度为1.0mg/ml的溶液,除菌过滤(0.22μm,Millipore SLGP033RB)后,用大鼠血清稀释10倍, 混匀,分装到无菌离心管中;(1) The corresponding polypeptide in Table 1 was formulated into a solution of 1.0 mg/ml with 5 mM Tris-HCl, pH 8.5, 0.02% TWEEN80 solution, and sterilized by filtration (0.22 μm, Millipore SLGP033RB), and diluted with rat serum. 10 times, mix and dispense into a sterile centrifuge tube;
(2)上述样品各取3管于-20℃冻存作为对照,其余置37℃恒温箱,于不同时间点取样检测活性;(2) Three samples of the above samples were frozen at -20 °C as a control, and the other was placed in a 37 ° C incubator, and the activity was sampled at different time points;
(3)采用实施例4所示方法,检测多肽GCGR激动活性。(3) Using the method shown in Example 4, the polypeptide GCGR agonistic activity was examined.
相对活性:以0小时的活性值为100%,后续时间点测得的值与之相比而获得。实验结果分析:从表4和图8A和8B可以得出血清稳定性。Relative activity: The activity value at 0 hours was 100%, and the value measured at the subsequent time point was obtained. Analysis of experimental results: Serum stability can be obtained from Table 4 and Figures 8A and 8B.
表4Table 4
Figure PCTCN2018116166-appb-000021
Figure PCTCN2018116166-appb-000021
Figure PCTCN2018116166-appb-000022
Figure PCTCN2018116166-appb-000022
注:N.D.表示低于检测下限Note: N.D. means lower than the lower limit of detection
实施例4:细胞活性测定Example 4: Determination of cell viability
(一)GLP-1R激动活性测定:(1) Determination of GLP-1R agonistic activity:
GLP-1R激动活性检测采用荧光素酶报告基因检测法(Jonathan W Day等:Nat Chem Biol.2009 Oct;5(10):749-57)。将人源GLP-1R基因克隆至哺乳动物细胞表达质粒pCDNA3.1中,构建成重组表达质粒pCDNA3.1-GLP-1R,同时荧光素酶(luciferase)全长基因克隆至pCRE质粒得到pCRE-Luc重组质粒。pcDNA3.1-GLP-1R和pCRE-Luc质粒按摩尔比1:10的比例转染CHO细胞,筛选稳转表达株。The luciferase reporter assay was used for GLP-1R agonistic activity assay (Jonathan W Day et al: Nat Chem Biol. 2009 Oct; 5(10): 749-57). The human GLP-1R gene was cloned into the mammalian cell expression plasmid pCDNA3.1, and the recombinant expression plasmid pCDNA3.1-GLP-1R was constructed, and the full-length gene of luciferase was cloned into the pCRE plasmid to obtain pCRE-Luc. Recombinant plasmid. The pcDNA3.1-GLP-1R and pCRE-Luc plasmids were transfected into CHO cells at a ratio of 1:10, and the stably transfected expression strains were screened.
在9-cm细胞培养皿中用含10%FBS和300μg/ml G418的DMEM/F12培养基培养细胞,等汇合度至90%左右时,弃去培养上清,加入2ml胰酶消化3min后,加入2ml含10%FBS和300μg/ml G418的DMEM/F12培养基中和,转移至15ml离心管中,1000rpm离心5min后,弃去上清,加入2ml含10%FBS和300μg/ml G418的DMEM/F12培养基重悬,计数。用含10%FBS的DMEM/F12培养基稀释细胞至1×10 5/ml,96孔板中每孔铺100μl,即1×10 4/孔,贴壁后换成含0.2%FBS的DMEM/F12培养基培养。铺在96孔板的细胞弃去上清后,将纯化的重组蛋白用含0.1%FBS的DMEM/F12培养基稀释至一系列指定浓度,加入到细胞培养孔 中,100μl/孔,刺激6h后检测。根据lucifersae reporter kit(Ray Biotech,Cat:68-LuciR-S200)说明书进行检测。图9A、9B为GLP-1R激动活性检测结果。 The cells were cultured in a 9-cm cell culture dish in DMEM/F12 medium containing 10% FBS and 300 μg/ml G418. When the confluency was about 90%, the culture supernatant was discarded, and after 2 ml trypsin digestion for 3 min, Add 2 ml of DMEM/F12 medium containing 10% FBS and 300 μg/ml G418, transfer to a 15 ml centrifuge tube, centrifuge at 1000 rpm for 5 min, discard the supernatant, and add 2 ml of DMEM containing 10% FBS and 300 μg/ml G418. /F12 medium was resuspended and counted. The cells were diluted to 1 × 10 5 / ml with DMEM/F12 medium containing 10% FBS, 100 μl per well in a 96-well plate, ie 1 × 10 4 /well, and then replaced with DMEM/ containing 0.2% FBS. F12 medium culture. After discarding the supernatant in the 96-well plate, the purified recombinant protein was diluted to a specified concentration in DMEM/F12 medium containing 0.1% FBS, and added to the cell culture well, 100 μl/well, and stimulated for 6 hours. Detection. Detection was carried out according to the instructions of the lucifersae reporter kit (Ray Biotech, Cat: 68-LuciR-S200). Figures 9A and 9B show the results of GLP-1R agonistic activity assay.
(二)GCGR激动活性检测方法:(B) GCGR agonistic activity detection method:
GCGR激动活性检测同样也采用荧光素酶报告基因检测法。将人源GCGR基因克隆至哺乳动物细胞表达质粒pcDNA3.1中,构建成重组表达质粒pCDNA3.1-GCGR,转染HEK 293T及稳转细胞株的筛选构建同上。图9C、9D为GCGR激动活性检测结果。The luciferase reporter assay is also used for GCGR agonistic activity assays. The human GCGR gene was cloned into the mammalian cell expression plasmid pcDNA3.1 to construct a recombinant expression plasmid pCDNA3.1-GCGR, and the transfected HEK 293T and stably transformed cell lines were screened as above. Figures 9C and 9D show the results of GCGR agonistic activity assay.
表5table 5
Figure PCTCN2018116166-appb-000023
Figure PCTCN2018116166-appb-000023
Figure PCTCN2018116166-appb-000024
Figure PCTCN2018116166-appb-000024
(三)GIPR激动活性检测方法:(C) GIPR agonistic activity detection method:
pcDNA3.1-GIPR质粒转染CHO细胞并筛选阳性稳转细胞株。在96孔细胞培养板中接种约200,000个细胞/孔,培养过夜,用Hanks平衡盐溶液洗涤后,待测蛋白稀释至一系列指定浓度与200μM的3-异丁基-1-甲基黄嘌呤(IBMX)共同加入到细胞中,37℃培养20min后,弃去培养上清,加入裂解液裂解细胞后用cAMP Parameter assay kit参照说明书测定cAMP含量(美国R&D公司,货号:SKGE002B)。结果如图9E-H所示。The pcDNA3.1-GIPR plasmid was transfected into CHO cells and screened for positive stable cell lines. Approximately 200,000 cells/well were seeded in 96-well cell culture plates, cultured overnight, and washed with Hanks' balanced salt solution, and the protein to be tested was diluted to a specified concentration of 200 μM 3-isobutyl-1-methylxanthine. (IBMX) was added to the cells, cultured at 37 ° C for 20 min, the culture supernatant was discarded, the lysate was added to lyse the cells, and cAMP content was determined by cAMP Parameter assay kit (American R&D Company, article number: SKGE002B). The results are shown in Figures 9E-H.
实施例5:葡萄糖刺激的胰岛素分泌实验Example 5: Glucose-stimulated insulin secretion assay
本实施例参照Aisling M.Lynch等人的方法(A novel DPP IV-resistant C-terminally extended Glucagon analogue exhibits weight-lowering and diabetes-protective effects in high-fat-fed mice mediated through Glucagon and GLP-1 receptor activation,Aisling M.Lynch等,Diabetologia,57:1927–1936,2014)采用大鼠BRIN-BD11细胞用于测定活性蛋白刺激引起的胰岛素释放,但稍作修改,即在24孔板(Orange Scientific,Brainel’Alleud,Belgium)中每孔加入1.0×106个细胞,37℃培养过夜后离心去上清,再每孔加入1.0ml KRB(115mM NaCl、4.7mM KCl、1.28mM CaCl 2、1.2mM MgSO 4、1.2mM KH 2PO 4、25mM HEPES、10mM NaHCO 3,NaOH调节pH至7.4)、0.1%(wt/vol.)BSA和1.1mM葡萄糖。细胞置于37℃培养40分钟后,离心去上清并替换成1.0ml新鲜的KRB溶液与梯度浓度的活性蛋白。37℃培养20分钟后,离心去除缓冲液并于-20℃储存过夜,再作免疫放射检测胰岛素含量。结果如图10所示。 In this embodiment, the method of Aisling M. Lynch et al. (A novel DPP IV-resistant C-terminally extended Glucagon analogue exhibits weight-lowering and diabetes-protective effects in high-fat-fed mice mediated through Glucagon and GLP-1 receptor activation , Aisling M. Lynch et al, Diabetologia, 57: 1927–1936, 2014) Rat BRIN-BD11 cells were used to determine insulin release induced by active protein stimulation, but with minor modifications, ie in a 24-well plate (Orange Scientific, Brainel) Add 1.0×106 cells to each well in 'Alleud, Belgium, incubate at 37 ° C overnight, centrifuge to remove the supernatant, and add 1.0 ml of KRB (115 mM NaCl, 4.7 mM KCl, 1.28 mM CaCl 2 , 1.2 mM MgSO 4 , per well). 1.2 mM KH 2 PO 4 , 25 mM HEPES, 10 mM NaHCO 3 , NaOH adjusted to pH 7.4), 0.1% (wt/vol.) BSA and 1.1 mM glucose. After the cells were incubated at 37 ° C for 40 minutes, the supernatant was centrifuged and replaced with 1.0 ml of fresh KRB solution and a gradient concentration of active protein. After incubation at 37 ° C for 20 minutes, the buffer was removed by centrifugation and stored at -20 ° C overnight, and then subjected to immunoradiometric detection of insulin content. The result is shown in Figure 10.
实施例6:小鼠免疫原性实验Example 6: Mouse immunogenicity experiment
7周龄Balb/c小鼠,每组6只,给药前各鼠尾静脉采血获得50ul血清作为空白对照。每日注射对应胰高血糖素类似物(30nmol/kg,在PBS缓冲液中),连续注射28天。到第45天眼眶采血,凝固分离血清。采用直接ELISA法测定其抗体滴度。对应多肽包被酶标板,将小鼠血清按1:50;1:200,1:1000,1:5000梯度稀释加入酶标板,羊抗鼠二抗为检测抗体。各小鼠给药前血清为阴性对照,在相同稀释度前提下,试验样品OD 450值平均值大于阴性对照血清OD 450值平均值2.1倍的结果判定为阳性(+),反之判定为阴性(-),结果为阳性 的最高稀释度即为抗体滴度。 7-week-old Balb/c mice, 6 in each group, were collected from the tail vein of each rat before administration to obtain 50 ul of serum as a blank control. A corresponding glucagon analog (30 nmol/kg in PBS buffer) was injected daily for 28 consecutive days. On the 45th day, blood was collected from the eyelids and the serum was coagulated. The antibody titer was determined by direct ELISA. The corresponding polypeptide coated with the enzyme plate, the mouse serum was diluted 1:50; 1:200, 1:1000, 1:5000 into the enzyme plate, and the goat anti-mouse secondary antibody was the detection antibody. Before the administration of each mouse, the serum was a negative control. Under the same dilution, the average value of the OD 450 value of the test sample was greater than 2.1 times the average value of the OD 450 value of the negative control serum, and the result was judged as positive (+), and vice versa (negative). -), the highest dilution that results in a positive is the antibody titer.
表6Table 6
Figure PCTCN2018116166-appb-000025
Figure PCTCN2018116166-appb-000025
实施例7:正常ICR小鼠的葡萄糖耐量试验(IPGTT)Example 7: Glucose tolerance test (IPGTT) in normal ICR mice
正常ICR小鼠分为27组,每组6只。被禁食过夜,尾部采血(记为t=0分钟血糖样),皮下注射溶媒体对照(醋酸盐缓冲液,20mM醋酸,250mM甘露糖醇,pH5.0)和本发明表1中的胰高血糖素类似物(30nmol/kg,PBS缓冲液中)及溶媒对照体,利拉鲁肽( 商品名
Figure PCTCN2018116166-appb-000026
Figure PCTCN2018116166-appb-000027
40nmol/kg,稀释到PBS缓冲液中)。15分钟后腹腔注射葡萄糖(2克/千克体重),并在t=30分钟、t=45分钟、t=60分钟、t=120分钟测量血液葡萄糖水平。在实验期间动物仍禁食 以防止食物摄取的干扰。具体结果参见图11A-C。
Normal ICR mice were divided into 27 groups of 6 animals each. Fasted overnight, blood was collected from the tail (denoted as t=0 minute blood glucose), subcutaneously injected with media control (acetate buffer, 20 mM acetic acid, 250 mM mannitol, pH 5.0) and pancreas in Table 1 of the present invention. Glucagon analog (30nmol/kg in PBS buffer) and vehicle control, liraglutide ( trade name)
Figure PCTCN2018116166-appb-000026
Figure PCTCN2018116166-appb-000027
40 nmol/kg, diluted into PBS buffer). After 15 minutes, glucose (2 g/kg body weight) was intraperitoneally injected, and blood glucose levels were measured at t = 30 minutes, t = 45 minutes, t = 60 minutes, and t = 120 minutes. Animals were still fasted during the experiment to prevent interference with food intake. See Figures 11A-C for specific results.
实施例8:饮食诱导肥胖(DIO)小鼠中的减重实验Example 8: Weight loss experiment in diet-induced obesity (DIO) mice
DIO鼠模型的制备:约7周龄雄性C57BL/6J雄性小鼠给予高脂饲料(60%kcal from fat)继续饲养约16周(共23周),到体重约为45g时进行试验。DIO小鼠随机分为组,每组6只,基础体重无差异,每组小鼠每天分别皮下注射各胰高血糖素类似物(30nmol/kg,PBS中)或PBS等体积,对照组利拉鲁肽(商品名
Figure PCTCN2018116166-appb-000028
30nmol/kg)、每天给药2次,每天称重至30天。
Preparation of the DIO mouse model: Male C57BL/6J male mice, approximately 7 weeks old, were fed a high fat diet (60% kcal from fat) for about 16 weeks (23 weeks total) and tested at a body weight of approximately 45 g. DIO mice were randomly divided into groups, with 6 rats in each group. There was no difference in basal body weight. Each group of mice was injected subcutaneously with each glucagon analog (30nmol/kg, PBS) or PBS for the same time. Rupeptide (trade name)
Figure PCTCN2018116166-appb-000028
30 nmol/kg), administered twice a day, weighing to 30 days per day.
图12A-C为各胰高血糖素类似物给药后DIO小鼠体重的每日变化,最终的体重减少百分比见图12D。12A-C are daily changes in body weight of DIO mice after administration of each glucagon analog, and the final percentage of weight loss is shown in Figure 12D.
实施例9:饮食诱导肥胖(DIO)小鼠中的减重实验Example 9: Weight loss experiment in diet-induced obesity (DIO) mice
DIO小鼠随机分为组,每组6只,基础体重无差异,每组小鼠每天分别皮下注射各GCG类似物(30nmol/kg,PBS中)或PBS,对照组利拉鲁肽(商品名
Figure PCTCN2018116166-appb-000029
30nmol/kg,稀释到PBS中)每天给药2次,脂肪酸化的GCG类似物(30nmol/kg,PBS中)每天给药1次,每天称重至30天。
DIO mice were randomly divided into groups, with 6 rats in each group. There was no difference in basal body weight. Each group of mice was injected subcutaneously with each GCG analog (30 nmol/kg in PBS) or PBS, and the control group liraglutide (trade name).
Figure PCTCN2018116166-appb-000029
30 nmol/kg, diluted to PBS) was administered twice a day, and the fatty acidified GCG analog (30 nmol/kg in PBS) was administered once a day and weighed to 30 days per day.
图13为各胰高血糖素类似物给药后DIO小鼠最终的体重减少百分比。图中所示GCG类似物C381、C464及C493与氨基酸序列相同且经脂肪酸修饰的相应GCG类似物呈现相似的减重效果,而C225、C163未经脂肪酸化则无明显减重作用。Figure 13 is the percentage of final body weight loss in DIO mice after administration of each glucagon analog. The GCG analogs C381, C464 and C493 shown in the figure have the same weight loss effect as the corresponding amino acid sequence and the fatty acid modified corresponding GCG analog, while C225 and C163 have no significant weight loss effect without fatty acidification.
综上所述,本发明有效克服了现有技术中的种种缺点而获得了一组有潜在临床应该价值的三效激动剂。In summary, the present invention effectively overcomes various shortcomings in the prior art and obtains a group of three-way agonists with potential clinical value.
上述实施例仅例示性说明本发明的原理及其功效,而非用于限制本发明。任何熟悉此技术的人士皆可在不违背本发明的精神及范畴下,对上述实施例进行修饰或改变。因此,举凡所属技术领域中具有通常知识者在未脱离本发明所揭示的精神与技术思想下所完成的一切等效修饰或改变,仍应由本发明的权利要求所涵盖。The above-described embodiments are merely illustrative of the principles of the invention and its effects, and are not intended to limit the invention. Modifications or variations of the above-described embodiments may be made by those skilled in the art without departing from the spirit and scope of the invention. Therefore, all equivalent modifications or changes made by those skilled in the art without departing from the spirit and scope of the invention will be covered by the appended claims.

Claims (16)

  1. 一种胰高血糖素类似物,所述胰高血糖素类似物的结构中含有如式I或式II所示的结构,式I所示结构为:HSQGTFTSD-X 10-SKYLD-X 16-X 17-AA-X 20-X 21-F-X 23-QWLMN-X 29-X z,式II所示结构为: A glucagon analog having a structure as shown in Formula I or Formula II, wherein the structure of Formula I is: HSQGTFTSD-X 10 -SKYLD-X 16 -X 17 -AA-X 20 -X 21 -FX 23 -QWLMN-X 29 -X z , the structure shown in formula II is:
    HSQGTFTSD-X 10-SKYLD-X 16-X 17-AA-X 20-X 21-F-X 23-QWLMN-X 29-X z-NH 2,其中,X 10选自Y,K或L之任一,X 16选自S、E或A之任一,X 17选自Q、E、A或R之任一,X 20选自Q、R或K之任一;X 21选自D、L或E之任一;X 23选自V或I之任一;X 29为T或缺失,X z选自GGPSSGAPPPS、GGPSSGAPPS、GPSSGAPPPS、GPSSGAPPS、PSSGAPPPS、PSSGAPPS、SSGAPPPS或SSGAPPS之任一。 HSQGTFTSD-X 10 -SKYLD-X 16 -X 17 -AA-X 20 -X 21 -FX 23 -QWLMN-X 29 -X z -NH 2 , wherein X 10 is selected from any one of Y, K or L, X 16 is selected from any one of S, E or A, X 17 is selected from any one of Q, E, A or R, X 20 is selected from any one of Q, R or K; X 21 is selected from D, L or E Any one; X 23 is selected from any one of V or I; X 29 is T or a deletion, and X z is selected from any one of GGPSSGAPPPS, GGPSSGAPPS, GPSSGAPPPS, GPSSGAPPS, PSSGAPPPS, PSSGAPPS, SSGAPPPS or SSGAPPS.
  2. 根据权利要求1所述的胰高血糖素类似物,其特征在于,所述胰高血糖素类似物含有如式III或式IV所示的结构,式III所示结构为:The glucagon analog according to claim 1, wherein the glucagon analog comprises a structure as shown in Formula III or Formula IV, and the structure shown in Formula III is:
    HSQGTFTSDYSKYLD-X 16-X 17-AAQ-DFVQWLMN-X 29-X zHSQGTFTSDYSKYLD-X 16 -X 17 -AAQ-DFVQWLMN-X 29 -X z ,
    式IV所示结构为:The structure shown in formula IV is:
    HSQGTFTSDYSKYLD-X 16-X 17-AAQ-DFVQWLMN-X 29-X z-NH 2HSQGTFTSDYSKYLD-X 16 -X 17 -AAQ-DFVQWLMN-X 29 -X z -NH 2 ,
    其中,X 16选自S或E之任一,X 17选自Q或E之任一,X 29为T或缺失,X z选自GGPSSGAPPPS、GGPSSGAPPS、GPSSGAPPPS、GPSSGAPPS、PSSGAPPPS、PSSGAPPS、SSGAPPPS或SSGAPPS之任一。 Wherein X 16 is selected from any one of S or E, X 17 is selected from any one of Q or E, X 29 is T or a deletion, and X z is selected from GGPSSGAPPPS, GGPSSGAPPS, GPSSGAPPPS, GPSSGAPPS, PSSGAPPPS, PSSGAPPS, SSGAPPPS or SSGAPPS Any one.
  3. 根据权利要求1-2之任一项所述的胰高血糖素类似物,其特征在于,所述胰高血糖素类似物具有GLP-1/GCG/GIP三受体激动活性。The glucagon analog according to any one of claims 1 to 2, wherein the glucagon analog has GLP-1/GCG/GIP tri-receptor agonistic activity.
  4. 一种分离的多核苷酸,所述分离的多核苷酸编码如权利要求1-3之任一项所述胰高血糖素类似物。An isolated polynucleotide encoding the glucagon analog of any one of claims 1-3.
  5. 一种重组表达载体,包含如权利要求4所述分离的多核苷酸。A recombinant expression vector comprising the polynucleotide isolated according to claim 4.
  6. 一种宿主细胞,所述细胞含有如权利要求5所述重组表达载体或基因组中整合有外源的如权利要求4所述分离的多核苷酸。A host cell comprising the recombinant expression vector of claim 5 or a polynucleotide isolated according to claim 4 integrated in the genome.
  7. 如权利要求1-3之任一项所述胰高血糖素类似物的制备方法,其特征在于,选自以下之任一:A method for producing a glucagon analog according to any one of claims 1 to 3, which is characterized by being selected from any one of the following:
    (1)利用化学合成方法合成所述胰高血糖素类似物;(1) synthesizing the glucagon analog by a chemical synthesis method;
    (2)在合适的条件下培养如权利要求6所述宿主细胞,使之表达所述胰高血糖素类似物,而后分离及纯化获得所述胰高血糖素类似物。(2) cultivating the host cell of claim 6 under appropriate conditions to express the glucagon analog, and then isolating and purifying to obtain the glucagon analog.
  8. 如权利要求1-3之任一项所述胰高血糖素类似物在制备治疗代谢相关疾病的药物中的用途。Use of a glucagon analog according to any one of claims 1 to 3 for the preparation of a medicament for treating a metabolic related disease.
  9. 一种促进体重减少或者防止体重增加的方法,包括在对象中施用如权利要求1-3之任一项所述的胰高血糖素类似物。A method of promoting weight loss or preventing weight gain, comprising administering a glucagon analog according to any one of claims 1-3 to a subject.
  10. 一种组合物,含有如权利要求1-3之任一项所述胰高血糖素类似物或如权利要求6所述宿主细胞的培养物,以及药学上可接受的载体。A composition comprising a glucagon analog according to any one of claims 1 to 3 or a culture of a host cell according to claim 6, and a pharmaceutically acceptable carrier.
  11. 如权利要求1-3之任一项所述胰高血糖素类似物在制备融合蛋白中的用途。Use of a glucagon analog according to any one of claims 1 to 3 for the preparation of a fusion protein.
  12. 一种融合蛋白,其结构中含有如权利要求1-3之任一项所述胰高血糖素类似物。A fusion protein comprising a glucagon analog according to any one of claims 1-3.
  13. 根据权利要求12所述的融合蛋白,其特征在于,所述融合蛋白的结构中还含有长效单元。The fusion protein according to claim 12, wherein the fusion protein further comprises a long-acting unit in its structure.
  14. 根据权利要求13所述的融合蛋白,其特征在于,所述长效单元选自白蛋白,转铁蛋白和免疫球蛋白及片段。The fusion protein according to claim 13, wherein the long acting unit is selected from the group consisting of albumin, transferrin and immunoglobulins and fragments.
  15. 一种被修饰的多肽,其结构中含有如权利要求1-3之任一项所述胰高血糖素类似物。A modified polypeptide comprising a glucagon analog according to any one of claims 1 to 3 in the structure.
  16. 根据权利要求15所述的被修饰的多肽,其特征在于,所述的胰高血糖素类似物被脂肪酸、聚乙二醇、白蛋白,转铁蛋白或免疫球蛋白及片段所修饰。The modified polypeptide according to claim 15, wherein the glucagon analog is modified with a fatty acid, polyethylene glycol, albumin, transferrin or immunoglobulin and a fragment.
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EP3842061A1 (en) * 2019-12-23 2021-06-30 Merck Sharp & Dohme Corp. Stapled triazole co-agonists of the glucagon and glp-1 receptors
EP4081243A4 (en) * 2019-12-23 2024-01-10 Merck Sharp & Dohme LLC Stapled triazole co-agonists of the glucagon and glp-1 receptors
EP4081535A4 (en) * 2019-12-23 2024-02-28 Merck Sharp & Dohme LLC Stapled lactam co-agonists of the glucagon and glp-1 receptors
JP2023525467A (en) * 2020-04-08 2023-06-16 浙江道尓生物科技有限公司 Incretin analogues and their preparation and use
JP7483040B2 (en) 2020-04-08 2024-05-14 浙江道尓生物科技有限公司 Incretin analogs and methods for their preparation and use
WO2022173807A3 (en) * 2021-02-09 2022-09-29 The Trustees Of Indiana University Conformationally constrained glucagon analogues and their use in glucagon-single chain insulin fusion proteins
WO2022262837A1 (en) * 2021-06-18 2022-12-22 北京拓界生物医药科技有限公司 Glucagon analog and medical use thereof

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