The combination of insulin and incretin-based therapies has emerged as a potential promising tactic for the treatment of diabetes. Here we report the first example of a unimolecular triagonist to simultaneously target insulin, GLP-1, and glucagon receptors, aiming for better glycemic control and superior weight loss. The strategy for constructing such a unimolecular triagonist is the conjugation of the insulin moiety and GLP-1R/GCGR coagonist peptide via alkyne-azide click chemistry. Two tractable series differentiated by insulin conjugation sites, B1 and B29, were identified. Triagonist prepared through the conjugation at insulin B1 and position 24 of GLP-1R/GCGR coagonist exhibited insulin activity comparable to that of insulin degludec and potent and balanced GLP-1R and GCGR activities. Pharmacokinetic profiles of in both rat and minipig were also discussed.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377023 | PMC |
http://dx.doi.org/10.1021/acsmedchemlett.2c00218 | DOI Listing |
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