Evidence map›Paper›PMID 26064256›Full record

ArticleInternational journal of clinical and experimental medicine2015

A noncytolytic antibody-like extendin-4-IgG4 fusion protein as a long-acting potential anti-diabetic agent.

Xiaoxia Li, Pinliang Hu, Rungong Yang, Jie Bai, Xingheng Wang, Shuhong Fu, Siyi Yang, Jinwei Ma, Meiliang Gong, Hong Chen and 3 more

Open access · greenAbstract read
In one paragraph

Article in International journal of clinical and experimental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Xiaoxia LiDepartment of Clinical Lab of Nanlou, Chinese PLA General Hospital Beijing 100853, China.
Pinliang HuGenete Biopharmaceutical Co. Ltd Taizhou 225300, Jiangsu Province, China.
Rungong YangDepartment of Orthopedics, First Affiliated Hospital, Chinese PLA General Hospital Beijing 100048, China.
Jie BaiDepartment of Clinical Lab of Nanlou, Chinese PLA General Hospital Beijing 100853, China.
Xingheng WangGenete Biopharmaceutical Co. Ltd Taizhou 225300, Jiangsu Province, China.
Shuhong FuDepartment of Clinical Lab of Nanlou, Chinese PLA General Hospital Beijing 100853, China.
Siyi YangGenete Biopharmaceutical Co. Ltd Taizhou 225300, Jiangsu Province, China.
Jinwei MaGenete Biopharmaceutical Co. Ltd Taizhou 225300, Jiangsu Province, China.
Meiliang GongDepartment of Clinical Lab of Nanlou, Chinese PLA General Hospital Beijing 100853, China.
Hong ChenGenete Biopharmaceutical Co. Ltd Taizhou 225300, Jiangsu Province, China.
Feng ZhouGenete Biopharmaceutical Co. Ltd Taizhou 225300, Jiangsu Province, China.
Yanbing ChenGenete Biopharmaceutical Co. Ltd Taizhou 225300, Jiangsu Province, China.
Qian ZhouGenete Biopharmaceutical Co. Ltd Taizhou 225300, Jiangsu Province, China.
Jiangsu T-mab BioPharma (China) · CNChinese PLA General Hospital · CNFirst Affiliated Hospital of Chinese PLA General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGLP-1 and its analogs have a variety of anti-diabetic effects. However, short half-life and rapid degraded by DPP-IV limits the therapeutic potential of the native GLP-1. So, many DPP-IV-resistant and long-acting GLP-1 analogs were developed. In this study, an antibody-like extendin-4-IgG4 fusion protein was developed.

methodsThe γ4 constant region contains two amino acid substitutions relative to native γ4 (S228P and L235E) lead to affinity for FcγRI to be low and stability of the IgG4 molecular. The fusion protein was expressed in CHO cells and assembled into an immunoglobulin-like structure with molecular weight of approximately 130 kDa.

resultsThe Exendin-4-IgG4 fusion protein was found to affinity bind GLP-1R in vitro. In vivo when compared the potency and duration of glucose-lowering effects in diabetic (db/db) mice at the same dose, exendin-4 resulted in a glucose-lowering effect that persisted only for 6 hours, but the extendin-4-IgG4 fusion protein for more than 168 hours. Injecting subcutaneously with a high dose of the fusion protein led normal BALB/c mice to the lower blood glucose level but did not cause serious hypoglycemia. Especially, the half-life time of the fusion protein in cynomolgus monkeys was about 180 hours, almost the longest half-life time among the developed GPL-1 analogues, which suggested a longer half-life time in human.

conclusionsThe intact antibody-like fusion protein has more advantages than the Fc fusion protein including the intent of prolonging the half-life. These results also suggested the fusion protein was a safe and long-acting potential anti-diabetic agent.

Indexed as

antibody-likeanti-diabetic agentExtendin-4-IgG4 fusion proteinGLP-1 analoglong-acting

Identifiers

PMID26064256
PMCPMC4443090
OpenAlexW2410171183

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.