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Peptide Therapeutics In Metabolic Disorders - Gain Traction in Treating Various Metabolic Disorders

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Lucy Kart
Peptide Therapeutics In Metabolic Disorders - Gain Traction in Treating Various Metabolic Disorders


Peptides are short chains of amino acids linked by peptide (amide) bonds. They differ from proteins in size as proteins are much larger biomolecules composed of one or more chains of amino acids. Peptide therapeutics work by mimicking naturally occurring regulatory peptides or antagonist peptides that block receptors. Some key advantages of peptides as potential therapeutics include high target selectivity and fewer side effects compared to small molecule drugs.

Role in Treating Diabetes


Diabetes is one of the most common Peptide Therapeutics In Metabolic Disorders with rising prevalence globally. Both type 1 and type 2 diabetes result from insufficient insulin production or insulin resistance respectively. Several peptide therapeutics are being studied and developed for better glycemic control and diabetes management. Exenatide (Byetta) is the first FDA approved glucagon-like peptide-1 (GLP-1) receptor agonist for type 2 diabetes treatment. GLP-1 is an incretin hormone secreted after meals that stimulates insulin secretion. Exenatide mimics the effects of endogenous GLP-1 to lower blood glucose levels.


Other GLP-1 receptor agonists liraglutide (Victoza) and lixisenatide (Adlyxin) have also been approved. Amylin is a peptide hormone co-secreted with insulin from pancreatic beta cells. Pramlintide (Symlin) is an amylin mimetic used along with mealtime insulin injections to help control postprandial blood glucose in type 1 and type 2 diabetics. It suppresses glucagon secretion and slows gastric emptying to complement insulin action.


Other Peptide Applications

Several novel peptide therapies are being studied for metabolic syndrome, obesity, and related comorbidities. Mélanocortine-4 receptor (MC4R) agonists mimic the effects of alpha-melanocyte-stimulating hormone (α-MSH) to increase energy expenditure and reduce appetite. Setmelanotide is an MC4R agonist approved to treat rare genetic disorders resulting in extreme obesity. Additional MC4R agonists may help treat common obesity in future.


The appetite-regulating hormones peptide YY (PYY) and glucagon-like peptide 1 (GLP-1) have potential applications in weight management. PYY3–36, which mimics fullness signal PYY, is being tested for obesity treatment. Co-administration of PYY with GLP-1 agonists could yield improved efficacy against obesity. Lipid-modifying agents are also emerging. Angiopoietin-like peptides (ANGPTL) 3, 4 and 8 regulate lipoprotein lipase (LPL) activity and inhibition shows promise for treating hypertriglyceridemia and fatty liver disease. Evinacumab, a fully human ANGPTL3 antibody, significantly lowered triglyceride levels in phase 2 studies. Eli Lilly has another ANGPTL3 antibody DSLD-8 in clinical trials.


Expanding Role in Non-Alcoholic Fatty Liver Disease (NAFLD)


NAFLD refers to a spectrum of conditions caused by excessive fat accumulation in the liver. It ranges from simple steatosis to non-alcoholic steatohepatitis (NASH) and may progress to cirrhosis. Currently, no approved treatments exist for NASH, a leading cause of liver transplants. Several investigational peptides target metabolic derangements in NAFLD/NASH. Liraglutide (Victoza) and semaglutide, both GLP-1 receptor agonists approved for diabetes, reduced liver fat content and improved metabolic parameters in NAFLD/NASH patients during phase 2 trials.


Their anti-inflammatory and anti-fibrotic properties mediate relevant biological effects. Cendakimab, a PYY analogue, is in phase 2 trials for NASH. It reduces appetite, improves glycemic control, and promotes weight loss in diabetics. Angiopoietin-like peptides also impact NAFLD progression. Evinacumab's lipid-lowering ability led to major reductions in liver fat and fibrosis markers in a NASH trial.


ARHLP (Hepatic lipids) -8, an ANGPTL3 inhibitor from Akero Therapeutics, significantly decreased liver fat content and improved inflammation in a rodent NASH model. Clinical trials assessing various peptides offer hope that some may translate into the first approved medical therapies for NAFLD/NASH in the coming years. Their favorable safety profiles relative to small molecules also support use as backbone therapies in combination approaches.


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Money Singh is a seasoned content writer with over four years of experience in the market research sector. Known for her strong SEO background, she skillfully blends SEO strategies with insightful content. Her expertise spans various industries, including food and beverages, biotechnology, chemical and materials, defense and aerospace, consumer goods, etc. (https://www.linkedin.com/in/money-singh-590844163)

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