A Fully Human, Allosteric Monoclonal Antibody That Activates the Insulin Receptor and Improves Glycemic Control

被引：61

作者：

Bhaskar, Vinay ^{[1
]}

Goldfine, Ira D. ^{[2
]}

Bedinger, Daniel H. ^{[1
]}

Lau, Angela ^{[1
]}

Kuan, Hua F. ^{[1
]}

Gross, Lisa M. ^{[1
]}

Handa, Masahisa ^{[1
]}

Maddux, Betty A. ^{[2
]}

Watson, Susan R. ^{[1
]}

Zhu, Shirley ^{[1
]}

Narasimha, Ajay J. ^{[1
]}

Levy, Raphael ^{[1
]}

Webster, Lynn ^{[1
]}

Wijesuriya, Sujeewa D. ^{[1
]}

Liu, Naichi ^{[1
]}

Wu, Xiaorong ^{[1
]}

Chemla-Vogel, David ^{[1
]}

Catarina Tran ^{[1
]}

Lee, Steve R. ^{[1
]}

Wong, Steve ^{[1
]}

Wilcock, Diane ^{[1
]}

White, Mark L. ^{[1
]}

Corbin, John A. ^{[1
]}

机构：

[1] XOMA US LLC, Preclin Res Dept, Berkeley, CA USA

[2] Univ Calif San Francisco, Dept Med, San Francisco, CA USA

来源：

DIABETES | 2012年 / 61卷 / 05期

关键词：

TYPE-2; DIABETES-MELLITUS; INVERSE AGONIST; CANCER-CELLS; RESISTANCE; GLUCOSE; HYPOGLYCEMIA; PATHOGENESIS; ANALOGS; BINDING; AGENTS;

D O I：

10.2337/db11-1578

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Many patients with diabetes mellitus (both type 1 and type 2) require therapy to maintain normal fasting glucose levels. To develop a novel treatment for these individuals, we used phage display technology to target the insulin receptor (INSR) complexed with insulin and identified a high affinity, allosteric, human monoclonal antibody, XMetA, which mimicked the glucoregulatory, but not the mitogenic, actions of insulin. Biophysical studies with cultured cells expressing human INSR demonstrated that XMetA acted allosterically and did not compete with insulin for binding to its receptor. XMetA was found to function as a specific partial agonist of INSR, eliciting tyrosine phosphorylation of INSR but not the IGF-IR. Although this antibody activated metabolic signaling, leading to enhanced glucose uptake, it neither activated Erk nor induced proliferation of cancer cells. In an insulin resistant, insulinopenic model of diabetes, XMetA markedly reduced elevated fasting blood glucose and normalized glucose tolerance. After 6 weeks, significant improvements in HbA(1c), dyslipidemia, and other manifestations of diabetes were observed. It is noteworthy that hypoglycemia and weight gain were not observed during these studies. These studies indicate, therefore, that allosteric monoclonal antibodies have the potential to be novel, ultra-long acting, agents for the regulation of hyperglycemia in diabetes. Diabetes 61:1263-1271, 2012

引用

页码：1263 / 1271

页数：9

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