Drug Occupancy Assessment at the Glucose-Dependent Insulinotropic Polypeptide Receptor by Positron Emission Tomography

Research output: Contribution to journalArticleResearchpeer review

Authors

  • Olof Eriksson
  • Irina Velikyan
  • Torsten Haack
  • Martin Bossart
  • Andreas Evers
  • Katrin Lorenz
  • Iina Laitinen
  • Philip J. Larsen
  • Oliver Plettenburg
  • Lars Johansson
  • Stefan Pierrou
  • Michael Wagner

External Research Organisations

  • Uppsala University
  • Sanofi-Aventis Deutschland GmbH
  • Bayer AG
  • Helmholtz Zentrum München - German Research Center for Environmental Health
  • Antaros Medical AB
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Details

Original languageEnglish
Pages (from-to)842-853
Number of pages12
JournalDIABETES
Volume70
Issue number4
Early online date5 Feb 2021
Publication statusPublished - 19 Apr 2021
Externally publishedYes

Abstract

Targeting of the glucose-dependent insulinotropic polypeptide receptor (GIPR) is an emerging strategy in antidiabetic drug development. The aim of this study was to develop a positron emission tomography (PET) radioligand for the GIPR to enable the assessment of target distribution and drug target engagement in vivo. The GIPR-selective peptide S02-GIP was radiolabeled with 68Ga. The resulting PET tracer [68Ga]S02-GIP-T4 was evaluated for affinity and specificity to human GIPR (huGIPR). The in vivo GIPR binding of [68Ga]S02-GIP-T4 as well as the occupancy of a drug candidate with GIPR activity were assessed in nonhuman primates (NHPs) by PET. [68Ga]S02-GIP-T4 bound with nanomolar affinity and high selectivity to huGIPR in overexpressing cells. In vivo, pancreatic binding in NHPs could be dose-dependently inhibited by coinjection of unlabeled S02-GIP-T4. Finally, subcutaneous pretreatment with a high dose of a drug candidate with GIPR activity led to a decreased pancreatic binding of [68Ga]S02-GIP-T4, corresponding to a GIPR drug occupancy of almost 90%. [68Ga]S02-GIP-T4 demonstrated a safe dosimetric profile, allowing for repeated studies in humans. In conclusion, [68Ga]S02-GIP-T4 is a novel PET biomarker for safe, noninvasive, and quantitative assessment of GIPR target distribution and drug occupancy.

ASJC Scopus subject areas

Sustainable Development Goals

Cite this

Drug Occupancy Assessment at the Glucose-Dependent Insulinotropic Polypeptide Receptor by Positron Emission Tomography. / Eriksson, Olof; Velikyan, Irina; Haack, Torsten et al.
In: DIABETES, Vol. 70, No. 4, 19.04.2021, p. 842-853.

Research output: Contribution to journalArticleResearchpeer review

Eriksson, O, Velikyan, I, Haack, T, Bossart, M, Evers, A, Lorenz, K, Laitinen, I, Larsen, PJ, Plettenburg, O, Johansson, L, Pierrou, S & Wagner, M 2021, 'Drug Occupancy Assessment at the Glucose-Dependent Insulinotropic Polypeptide Receptor by Positron Emission Tomography', DIABETES, vol. 70, no. 4, pp. 842-853. https://doi.org/10.2337/db20-1096
Eriksson, O., Velikyan, I., Haack, T., Bossart, M., Evers, A., Lorenz, K., Laitinen, I., Larsen, P. J., Plettenburg, O., Johansson, L., Pierrou, S., & Wagner, M. (2021). Drug Occupancy Assessment at the Glucose-Dependent Insulinotropic Polypeptide Receptor by Positron Emission Tomography. DIABETES, 70(4), 842-853. https://doi.org/10.2337/db20-1096
Eriksson O, Velikyan I, Haack T, Bossart M, Evers A, Lorenz K et al. Drug Occupancy Assessment at the Glucose-Dependent Insulinotropic Polypeptide Receptor by Positron Emission Tomography. DIABETES. 2021 Apr 19;70(4):842-853. Epub 2021 Feb 5. doi: 10.2337/db20-1096
Eriksson, Olof ; Velikyan, Irina ; Haack, Torsten et al. / Drug Occupancy Assessment at the Glucose-Dependent Insulinotropic Polypeptide Receptor by Positron Emission Tomography. In: DIABETES. 2021 ; Vol. 70, No. 4. pp. 842-853.
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title = "Drug Occupancy Assessment at the Glucose-Dependent Insulinotropic Polypeptide Receptor by Positron Emission Tomography",
abstract = "Targeting of the glucose-dependent insulinotropic polypeptide receptor (GIPR) is an emerging strategy in antidiabetic drug development. The aim of this study was to develop a positron emission tomography (PET) radioligand for the GIPR to enable the assessment of target distribution and drug target engagement in vivo. The GIPR-selective peptide S02-GIP was radiolabeled with 68Ga. The resulting PET tracer [68Ga]S02-GIP-T4 was evaluated for affinity and specificity to human GIPR (huGIPR). The in vivo GIPR binding of [68Ga]S02-GIP-T4 as well as the occupancy of a drug candidate with GIPR activity were assessed in nonhuman primates (NHPs) by PET. [68Ga]S02-GIP-T4 bound with nanomolar affinity and high selectivity to huGIPR in overexpressing cells. In vivo, pancreatic binding in NHPs could be dose-dependently inhibited by coinjection of unlabeled S02-GIP-T4. Finally, subcutaneous pretreatment with a high dose of a drug candidate with GIPR activity led to a decreased pancreatic binding of [68Ga]S02-GIP-T4, corresponding to a GIPR drug occupancy of almost 90%. [68Ga]S02-GIP-T4 demonstrated a safe dosimetric profile, allowing for repeated studies in humans. In conclusion, [68Ga]S02-GIP-T4 is a novel PET biomarker for safe, noninvasive, and quantitative assessment of GIPR target distribution and drug occupancy.",
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AU - Eriksson, Olof

AU - Velikyan, Irina

AU - Haack, Torsten

AU - Bossart, Martin

AU - Evers, Andreas

AU - Lorenz, Katrin

AU - Laitinen, Iina

AU - Larsen, Philip J.

AU - Plettenburg, Oliver

AU - Johansson, Lars

AU - Pierrou, Stefan

AU - Wagner, Michael

N1 - Funding information: The authors thank Dr. Tim Klöckner (Sanofi) for testing relevant compounds in displacement assays with [125I]GIP using membranes from huGIPR-HEK293 cells as well as Dr. Ziu Li (Sanofi) for testing relevant compounds in functional cAMP assays in HEK293 cells. The Preclinical PET/MRI Platform at Uppsala University is acknowledged for providing expertise, instrumentation, and facilities for PET tracer evaluation.

PY - 2021/4/19

Y1 - 2021/4/19

N2 - Targeting of the glucose-dependent insulinotropic polypeptide receptor (GIPR) is an emerging strategy in antidiabetic drug development. The aim of this study was to develop a positron emission tomography (PET) radioligand for the GIPR to enable the assessment of target distribution and drug target engagement in vivo. The GIPR-selective peptide S02-GIP was radiolabeled with 68Ga. The resulting PET tracer [68Ga]S02-GIP-T4 was evaluated for affinity and specificity to human GIPR (huGIPR). The in vivo GIPR binding of [68Ga]S02-GIP-T4 as well as the occupancy of a drug candidate with GIPR activity were assessed in nonhuman primates (NHPs) by PET. [68Ga]S02-GIP-T4 bound with nanomolar affinity and high selectivity to huGIPR in overexpressing cells. In vivo, pancreatic binding in NHPs could be dose-dependently inhibited by coinjection of unlabeled S02-GIP-T4. Finally, subcutaneous pretreatment with a high dose of a drug candidate with GIPR activity led to a decreased pancreatic binding of [68Ga]S02-GIP-T4, corresponding to a GIPR drug occupancy of almost 90%. [68Ga]S02-GIP-T4 demonstrated a safe dosimetric profile, allowing for repeated studies in humans. In conclusion, [68Ga]S02-GIP-T4 is a novel PET biomarker for safe, noninvasive, and quantitative assessment of GIPR target distribution and drug occupancy.

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