Development of a novel long-acting antidiabetic FGF21 mimetic by targeted conjugation to a scaffold antibody

J Pharmacol Exp Ther. 2013 Aug;346(2):270-80. doi: 10.1124/jpet.113.204420. Epub 2013 May 29.

Abstract

Fibroblast growth factor (FGF)21 improves insulin sensitivity, reduces body weight, and reverses hepatic steatosis in preclinical species. We generated long-acting FGF21 mimetics by site-specific conjugation of the protein to a scaffold antibody. Linking FGF21 through the C terminus decreased bioactivity, whereas bioactivity was maintained by linkage to selected internal positions. In mice, these CovX-Bodies retain efficacy while increasing half-life up to 70-fold compared with wild-type FGF21. A preferred midlinked CovX-Body, CVX-343, demonstrated enhanced in vivo stability in preclinical species, and a single injection improved glucose tolerance for 6 days in ob/ob mice. In diet-induced obese mice, weekly doses of CVX-343 reduced body weight, blood glucose, and lipids levels. In db/db mice, CVX-343 increased glucose tolerance, pancreatic β-cell mass, and proliferation. CVX-343, created by linkage of the CovX scaffold antibody to the engineered residue A129C of FGF21 protein, demonstrated superior preclinical pharmacodynamics by extending serum half-life of FGF21 while preserving full therapeutic functionality.

MeSH terms

  • 3T3-L1 Cells
  • Animals
  • Antibodies / chemistry*
  • Body Weight / drug effects
  • Cysteine / chemistry
  • Delayed-Action Preparations
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / drug therapy
  • Energy Metabolism / drug effects
  • Fibroblast Growth Factors / chemistry*
  • Humans
  • Hypoglycemic Agents / chemistry*
  • Hypoglycemic Agents / pharmacokinetics
  • Hypoglycemic Agents / pharmacology
  • Immunoglobulin Fab Fragments / chemistry
  • Insulin-Secreting Cells / drug effects
  • Insulin-Secreting Cells / pathology
  • Lysine / chemistry
  • Macaca fascicularis
  • Male
  • Mice
  • Mice, Obese
  • Molecular Mimicry
  • Rats
  • Rats, Sprague-Dawley
  • Recombinant Proteins / chemistry

Substances

  • Antibodies
  • Delayed-Action Preparations
  • Hypoglycemic Agents
  • Immunoglobulin Fab Fragments
  • Recombinant Proteins
  • fibroblast growth factor 21
  • Fibroblast Growth Factors
  • Lysine
  • Cysteine