Abstract
Currently, insulin is commonly used in the clinical management of canine diabetes. However, it must be injected preprandially causing much inconvenience to the owners. Therefore, the development of long-acting hypoglycemic agents has attracted much attention in the scientific community. This study aimed to investigate the long-acting hypoglycemic effect of canine fibroblast growth factor 21 (cFGF-21) in diabetic dogs. Diabetic dogs were administered with cFGF-21, polyethylene glycol-modified cFGF-21 (PEG-cFGF-21), or insulin once a day, once every 2, 3, or 4 days subcutaneously. The results showed that cFGF-21 and PEG-cFGF-21 maintained blood glucose comparable to normal levels for 2 and 3 days respectively while insulin maintained the blood glucose for only 2 h after a single injection. After treatment with cFGF-21, oral glucose tolerance test (OGTT) was significantly improved with glycosylated hemoglobin (HbA1c) close to the normal levels. In addition, cFGF-21 significantly repaired islet β cells, increased insulin content, and protected the pancreas from streptozotocin-induced injury. Furthermore, cFGF-21 exhibited both antioxidant and anti-inflammatory properties in the pancreas. We conclude, therefore, that cFGF-21 and PEG-cFGF-21 can maintain blood glucose comparable to normal levels for 2 and 3 days respectively after a single dose. The long-acting efficacy of cFGF-21 can be attributed to improvement in oxidative stress and the reduction of inflammation in the pancreas.
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References
Abraham MB, de Bock M, Paramalingam N, O'Grady MJ, Ly TT, George C, Roy A, Spital G, Karula S, Heels K, Gebert R, Fairchild JM, King BR, Ambler GR, Cameron F, Davis EA, Jones TW (2016) Prevention of insulin-induced hypoglycemia in type 1 diabetes with predictive low glucose management system. Diabetes Technol Ther 18(7):436–443. https://doi.org/10.1089/dia.2015.0364
Adams JP, Holder AL, Catchpole B (2014) Recombinant canine single chain insulin analogues: insulin receptor binding capacity and ability to stimulate glucose uptake. Vet J 202(3):436–442. https://doi.org/10.1016/j.tvjl.2014.09.027
Catchpole B, Ristic JM, Fleeman LM, Davison LJ (2005) Canine diabetes mellitus: can old dogs teach us new tricks? Diabetologia 48(10):1948–1956
Catchpole B, Kennedy LJ, Davison LJ, Ollier WE (2008) Canine diabetes mellitus: from phenotype to genotype. J Small Anim Pract 49(1):4–10. https://doi.org/10.1111/j.1748-5827.2007.00398.x
Catchpole B, Adams JP, Holder AL, Short AD, Ollier WER, Kennedy LJ (2013) Genetics of canine diabetes mellitus: Are the diabetes susceptibility genes identified in humans involved in breed susceptibility to diabetes mellitus in dogs? Vet J 195(2):139–147
Chao EC, Henry RR (2010) SGLT2 inhibition—a novel strategy for diabetes treatment. Nat Rev Drug Discov 9(7):551–559
Cnop M, Havel PJ, Utzschneider KM, Carr DB, Sinha MK, Boyko EJ, Retzlaff BM, Knopp RH, Brunzell JD, Kahn SE (2003) Relationship of adiponectin to body fat distribution, insulin sensitivity and plasma lipoproteins: evidence for independent roles of age and sex. Diabetologia 46(4):459–469. https://doi.org/10.1007/s00125-003-1074-z
Coskun T, Bina HA, Schneider MA, Dunbar JD, Hu CC, Chen Y, Moller DE, Kharitonenkov A (2008) Fibroblast growth factor 21 corrects obesity in mice. Endocrinology 149(12):6018–6027
Davison LJ, Weenink SM, Christie MR, Herrtage ME, Catchpole B (2008) Autoantibodies to GAD65 and IA-2 in canine diabetes mellitus. Vet Immunol Immunopathol 126(1-2):83–90
Ding X, Boney-Montoya J, Owen BM, Bookout AL, Coate KC, Mangelsdorf DJ, Kliewer SA (2012) βKlotho is required for fibroblast growth factor 21 effects on growth and metabolism. Cell Metab 16(3):387–393. https://doi.org/10.1016/j.cmet.2012.08.002
Engerman RL, Kramer JW (1982) Dogs with induced or spontaneous diabetes as models for the study of human diabetes mellitus. Diabetes 31(Suppl 1 Pt 2):26–29. https://doi.org/10.2337/diab.31.1.s26
Fon Tacer K, Bookout AL, Ding X, Kurosu H, John GB, Wang L, Goetz R, Mohammadi M, Kuro-o M, Mangelsdorf DJ, Kliewer SA (2010) Research resource: comprehensive expression atlas of the fibroblast growth factor system in adult mouse. Mol Endocrinol 24(10):2050–2064. https://doi.org/10.1210/me.2010-0142
Gale EAM (2005) Do dogs develop autoimmune diabetes? Diabetologia 48(10):1945–1947
Goodarzi MT, Navidi AA, Rezaei M, Babahmadi-Rezaei H (2010) Oxidative damage to DNA and lipids: correlation with protein glycation in patients with type 1 diabetes. J Clin Lab Anal 24(2):72–76. https://doi.org/10.1002/jcla.20328
Grover SA, Coupal L, Zowall H, Alexander CM, Weiss TW, Gomes DR (2001) How cost-effective is the treatment of dyslipidemia in patients with diabetes but without cardiovascular disease? Diabetes Care 24(1):45–50. https://doi.org/10.2337/diacare.24.1.45
Johansen JS, Harris AK, Rychly DJ, Ergul A (2005) Oxidative stress and the use of antioxidants in diabetes: linking basic science to clinical practice. Cardiovasc Diabetol 4(1):5–5
Kanwal A, Singh SP, Grover P, Banerjee SK (2012) Development of a cell-based nonradioactive glucose uptake assay system for SGLT1 and SGLT2. Anal Biochem 429(1):70–75
Kharitonenkov A, Shiyanova TL, Koester A, Ford AM, Micanovic R, Galbreath EJ, Sandusky GE, Hammond LJ, Moyers JS, Owens RA, Gromada J, Brozinick JT, Hawkins ED, Wroblewski VJ, Li DS, Mehrbod F, Jaskunas SR, Shanafelt AB (2005) FGF-21 as a novel metabolic regulator. J Clin Invest 115(6):1627–1635. https://doi.org/10.1172/jci23606
Kharitonenkov A, Wroblewski VJ, Koester A, Chen YF, Clutinger CK, Tigno XT, Hansen BC, Shanafelt AB, Etgen GJ (2007) The metabolic state of diabetic monkeys is regulated by fibroblast growth factor-21. Endocrinology 148(2):774–781. https://doi.org/10.1210/en.2006-1168
Kong LJ, Feng W, Wright M, Chen Y, Dallas-Yang Q, Zhou YP, Berger JP (2013) FGF21 suppresses hepatic glucose production through the activation of atypical protein kinase Cι/λ. Eur J Pharmacol 702(1-3):302–308
Motohashi H, Yamamoto M (2004) Nrf2-Keap1 defines a physiologically important stress response mechanism. Trends Mol Med 10(11):549–557
Moyers JS, Shiyanova TL, Mehrbod F, Dunbar JD, Noblitt TW, Otto KA, Reifel-Miller A, Kharitonenkov A (2007) Molecular determinants of FGF-21 activity-synergy and cross-talk with PPARgamma signaling. J Cell Physiol 210(1):1–6. https://doi.org/10.1002/jcp.20847
Nishimura T, Nakatake Y, Konishi M, Itoh N (2000) Identification of a novel FGF, FGF-21, preferentially expressed in the liver. Biochim Biophys Acta 1492(1):203–206. https://doi.org/10.1016/s0167-4781(00)00067-1
Rand JS (2004) Canine and feline diabetes mellitus: Nature or nurture? J Nutr 134(8 Suppl):2072S–2080S
Robertson RP, Harmon JS (2006) Diabetes, glucose toxicity, and oxidative stress: a case of double jeopardy for the pancreatic islet β cell. Free Radic Biol Med 41(2):177–184
Shields EJ, Lam CJ, Cox AR, Rankin MM, Van Winkle TJ, Hess RS, Kushner JA (2015) Extreme beta-cell deficiency in pancreata of dogs with canine diabetes. PLoS One 10(6):e0129809. https://doi.org/10.1371/journal.pone.0129809
Xu P, Zhang Y, Jiang X, Li J, Song L, Hasson KM, Liu Y, Wu Q, Ren G, Li D (2016) Canine fibroblast growth factor 21 ameliorates hyperglycemia associated with inhibiting hepatic gluconeogenesis and improving pancreatic beta-cell survival in diabetic mice and dogs. PLoS One 11(5):e0155598
Young BA, Lin E, Korff MV, Simon G, Katon WJ (2008) Diabetes complications severity index and risk of mortality, hospitalization, and healthcare utilization. Am J Manag Care 14(1):15–23
Zechner D, Spitzner M, Bobrowski A, Knapp N, Kuhla A, Vollmar B (2012) Diabetes aggravates acute pancreatitis and inhibits pancreas regeneration in mice. Diabetologia 55(5):1526–1534
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This work was supported by the National Key R&D Program of China [grant numbers 2017YFD0501102, 2017YFD0501004, 2016YFD0501003]; Education Department of Heilongjiang Province [grant number TSTAU-R2018017]; and Science and Technology Department of Heilongjiang Province [grant number GX18B018].
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All authors contributed to the study conception, design, and execution. Deshan Li and Guiping Ren designed the study. Xinghao Jiang, Shijie Liu, Yaoqun Wang, and Ruonan Zhang performed the research. Yinzhuo Xie analyzed the data and Yeboah Kwaku Opoku wrote the paper. All authors read and approved the final manuscript. The authors declare that all data were generated in-house and no paper mill was used.
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The protocols for all the animal experiments were approved by the Animal Care and Use Committee of the Institute of Materia Medica, China.
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Jiang, X., Liu, S., Wang, Y. et al. Fibroblast growth factor 21: a novel long-acting hypoglycemic drug for canine diabetes. Naunyn-Schmiedeberg's Arch Pharmacol 394, 1031–1043 (2021). https://doi.org/10.1007/s00210-020-02023-9
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DOI: https://doi.org/10.1007/s00210-020-02023-9