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Glucagon-like peptides-1 from phylogenetically ancient fish show potent anti-diabetic activities by acting as dual GLP1R and GCGR agonists Galyna V. Graham, J. Michael Conlon * , Yasser H. Abdel- Wahab, Peter R. Flatt SAAD Centre for Pharmacy and Diabetes, School of Biomedical Sciences, Ulster University, Cromore Road, Coleraine, Northern Ireland BT52 1SA, UK *Corresponding author. Prof. J. M. Conlon School of Biomedical Sciences Ulster University, Cromore Road, Coleraine, Northern Ireland BT52 1SA, UK E-mail address: [email protected] (J.M. Conlon) 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

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Page 1: Highlights - Ulster University · Web viewGlucagon-like peptides-1 (GLP-1)from phylogenetically ancient fish (lamprey, dogfish, ratfish, paddlefish and bowfin) and from a teleost,

Glucagon-like peptides-1 from phylogenetically ancient fish show

potent anti-diabetic activities by acting as dual GLP1R and GCGR

agonists

Galyna V. Graham, J. Michael Conlon*, Yasser H. Abdel-Wahab, Peter R. Flatt

SAAD Centre for Pharmacy and Diabetes, School of Biomedical Sciences, Ulster

University, Cromore Road, Coleraine, Northern Ireland BT52 1SA, UK

*Corresponding author.

Prof. J. M. Conlon

School of Biomedical Sciences

Ulster University,

Cromore Road,

Coleraine,

Northern Ireland BT52 1SA, UK

E-mail address: [email protected] (J.M. Conlon)

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Page 2: Highlights - Ulster University · Web viewGlucagon-like peptides-1 (GLP-1)from phylogenetically ancient fish (lamprey, dogfish, ratfish, paddlefish and bowfin) and from a teleost,

Highlights

GLP-1 peptides from lamprey, dogfish, ratfish, paddlefish, bowfin and trout

stimulated insulin release from clonal β-cells and mouse islets.

Insulinotropic activity was attenuated by a GLP1R antagonist and activity of

lamprey and paddlefish GLP-1 was attenuated by a GCGR antagonist.

All peptides stimulated cAMP production in CHL cells transfected with

GLP1R.

Lamprey and paddlefish GLP-1 stimulated cAMP production in HEK293 cells

transfected with GCGR

Administration of all peptides improved glucose tolerance in mice with lamprey

and paddlefish GLP-1 as effective as human GLP-1 .

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Page 3: Highlights - Ulster University · Web viewGlucagon-like peptides-1 (GLP-1)from phylogenetically ancient fish (lamprey, dogfish, ratfish, paddlefish and bowfin) and from a teleost,

Abstract

Glucagon-like peptides-1 (GLP-1)from phylogenetically ancient fish (lamprey, dogfish,

ratfish, paddlefish and bowfin) and from a teleost, the rainbow trout produced

concentration-dependent stimulations of insulin release from clonal β-cells and isolated

mouse islets. Lamprey and paddlefish GLP-1 were the most potent and effective.

Incubation of BRIN-BD11 cells with GLP-1 receptor (GLP1R) antagonist, exendin-

4(9-39) attenuated insulinotropic activity of all peptides whereas glucagon receptor

(GCGR) antagonist [des-His1,Pro4,Glu9] glucagon amide significantly decreased the

activities of lamprey and paddlefish GLP-1 only. The GIP receptor antagonist GIP (6-

30) Cex-K40[Pal] attenuated the activity of bowfin GLP-1. All peptides (1 μM)

produced significant increases in cAMP concentration in CHL cells transfected with

GLP1R but only lamprey and paddlefish GLP-1 stimulated cAMP production in

HEK293 cells transfected with GCGR. Intraperitoneal administration of lamprey and

paddlefish GLP-1 (25nmol/kg body weight) in mice produced significant decreases in

blood glucose and increased insulin concentrations comparable to the effects of human

GLP-1. Lamprey and paddlefish GLP-1 display potent insulinotropic activity in vitro

and glucose-lowering activity in vivo that is mediated through GLP1R and GCGR so

that these peptides may constitute templates for design of new antidiabetic drugs.

Key words: GLP-1; Glucagon; GIP; Insulinotropic; Antihyperglycaemic, Lamprey,

Paddlefish

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Page 4: Highlights - Ulster University · Web viewGlucagon-like peptides-1 (GLP-1)from phylogenetically ancient fish (lamprey, dogfish, ratfish, paddlefish and bowfin) and from a teleost,

Introduction

Glucagon-like peptide-1 (GLP-1) was first identified from the nucleotide

sequence of a cDNA encoding preproglucagon in a Brockmann body (principal islet)

cDNA library from an anglerfish Lophius americanus (Lund et al., 1982). Shortly

afterwards, cDNAs encoding preproglucagon from several mammalian species

including the human (Bell et al., 1983) were characterized but the incretin activity of

GLP-1 was not demonstrated until it was realized that the active forms of the peptide in

mammals were GLP-1(7-37) and GLP-1(7-36)amide which resemble anglerfish GLP-1

and glucagon more closely (Mojsov et al., 1987). In humans, the effects of GLP-1 and

glucagon are mediated through respective interactions with the receptors GLP1R and

GCGR belonging to the class B-1 (secretin receptor-like) G protein-coupled receptors

that are highly specific for their native ligands (Fredriksson et al., 2003). In teleost fish,

the Gcgr receptor also binds glucagon and not GLP-1 (Chow et al., 2004) but the GLP-

1-specific receptor has been lost, being replaced by a receptor that has dual selectivity

for both GLP-1 and glucagon (Oren et al., 2016). In mammals, GLP-1 is

multifunctional. As well as stimulating post-prandial insulin release, the peptide inhibits

glucagon secretion, decreases food intake, delays gastric emptying, protects β- cells

from apoptosis and has beneficial effects on cognitive impairment and cardiac function

(Drucker, 2018). In contrast, GLP-1 is not an incretin hormone in teleost fish and has a

glucagon-like effects on metabolism stimulating glycogenolysis, gluconeogenesis and

lipolysis (Plisetskaya and Mommsen, 1996; Mommsen, 2000).

GLP-1 peptides have been isolated from the Brockmann bodies of a wide range

of teleost species and cDNAs genes encoding proglucagon-derived peptides from

several teleosts have been characterized [reviewed in (Irwin, 2005; Irwin and Mojsov,

2018)]. GLP-1 peptides have also been purified from a range of phylogenetically more

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Page 5: Highlights - Ulster University · Web viewGlucagon-like peptides-1 (GLP-1)from phylogenetically ancient fish (lamprey, dogfish, ratfish, paddlefish and bowfin) and from a teleost,

ancient fishes: the agnathan sea lamprey Petromyzon marinus [Petromyzontiformes]

(Conlon et al., 1993); the cartilaginous fishes European common dogfish Scyliorinus

canicula [Elasmobranchii] (Conlon et al., 1994) and Pacific ratfish Hydrolagus colliei

[Holcephali] (Conlon et al.,1987); and the ray-finned fishes North American paddlefish

Polyodon spathula [Acipenseriformes] (Nguyen et al., 1994), alligator gar Lepisosteus

spatula [Lepisosteiformes] (Pollock et al., 1988), and bowfin Amia calva [Amiiformes]

(Conlon et al., 1993). Characterization of a cDNA from the intestine of P. marinus

demonstrated that the sea lamprey proglucagon gene encodes the three glucagon-related

peptides (glucagon, GLP-1 and GLP-2) analogous to those encoded by the proglucagon

genes of tetrapods. It has been suggested that the glucagon sequence first arose in

evolution approximately 1000 million years ago (MYA) while GLP-1 and GLP-2

diverged from each other approximately 700 MYA (Irwin et al, 1999).

The biological activities of GLP-1 peptides from phylogenetically ancient fishes

and their interaction with mammalian GLP-1, glucagon, and glucose-dependent

insulinotropic peptide (GIP) receptors have not been investigated in detail.

Consequently, the aim of the present study is to evaluate the in vitro insulinotropic

properties of synthetic replicates of GLP-1 peptides from the sea lamprey, dogfish,

ratfish, paddlefish, and bowfin using established rat and human insulin-producing cell

lines and isolated mouse islets. Their acute glucose-lowering and insulin stimulating

actions in vivo were assessed in overnight-fasted NIH Swiss mice. Their activities are

compared with those of human GLP-1 and GLP-1 from a more highly derived teleost

fish, the rainbow trout Onchorynchus mykiss (Irwin and Wong, 1995).

Although drugs based upon the structure of human GLP-1, such as liraglutide

and semaglutide, are widely used in clinical practice, patients with Type 2 diabetes

mellitus (T2DM) often cannot be treated effectively with a single pharmaceutical agent

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Page 6: Highlights - Ulster University · Web viewGlucagon-like peptides-1 (GLP-1)from phylogenetically ancient fish (lamprey, dogfish, ratfish, paddlefish and bowfin) and from a teleost,

(Bailey 2018). The therapeutic potential of unimolecular dual-agonist peptides based

upon the primary structures of human GLP-1 and glucagon that regulate multiple

metabolic pathways is becoming increasingly apparent and such peptides that target the

GLP1R and the GCGR are currently in development (reviewed in (Irwin and Flatt

2015, Brandt et al., 2018). A major advantage of administration of dual-agonist

peptides over their constituent monotherapies is their improved actions on blood

glucose control, appetite, suppression, weight loss and hyperlipidemia/

hypercholestrolemia (Sánchez-Garrido et al., 2017, Brandt et al., 2018). Consequently,

the longer term objective of the study was assess possible therapeutic advantages of the

fish GLP-1 peptides as agents for treatment of patients with T2DM compared with

mono-agonist peptides based upon the structure of human GLP-1.

Materials & methods

2.1. Peptides

All peptides were supplied in crude form by EZBiolab Inc. (Carmel, IN, USA).

The peptides were purified to > 98% homogeneity by reversed-phase HPLC on a (2.2

cm x 25 cm) Vydac 218TP1022 (C-18) column (Grace, Deerfield, IL, USA). The

concentration of acetonitrile in the eluting solvent was raised from 21% to 56 % over

60 min using a linear gradient. Absorbance was measured at 214 nm and the flow rate

was 6 ml/min. The identities of the peptides were confirmed by matrix-assisted laser

desorption ionization time-of-flight mass (MALDI-TOF) spectrometry using a Voyager

DE PRO instrument (Applied Biosystems, Foster City, USA) as previously described

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(Conlon et al., 2018). The primary structures and molecular masses of the peptides used

in this study are shown in Table 1.

Table 1. Primary structures of the fish GLP-1 peptides investigated in this study.

Peptide Amino acid sequenceCalculated molecular mass

Observed molecular mass

Lamprey GLP-1 HADGTFTNDMTSYLDAKAARDFVSWLARSDKS 3577.92 3576.49

Dogfish GLP-1 HAEGTYTSDVDSLSDYFKAKRFVDSLKSY 3330.64 3330.14

Ratfish GLP-1 HADGIYTSDVASLTDYLKSKRFVESLSNYNRKQNDRRM 4479.90 4480.22

Paddlefish GLP-1 HADGTYTSDASSFLQEQAARDFISWLKKGQ 3358.50 3357.91

Bowfin GLP-1 YADAPYISDVYSYLQDQVAKKWLKSGQDRRE 3694.11 3695.36

Trout GLP-1 HADGTYTSDVSTYLQDQAAKDFVSWLKSGRA 3418.68 3420.76

2.2. In vitro insulin release studies using BRIN-BD11 and 1.1B4 cells

The abilities of the purified synthetic peptides (0.01 nM - 3 µM; n = 8) to

stimulate the rate of release of insulin from BRIN-BD11 rat clonal β-cells

(McClenaghan et al., 1996) and 1.1B4 human-derived pancreatic β-cells (McCluskey et

al. 2011) was determined as previously described (Graham et al., 2018). In a second

series of experiments, the effects of 1 µM concentrations of the (A) GLP-1 receptor

antagonist, exendin-4(9-39) (Thorens et al., 1993), (B) glucagon receptor antagonist,

[desHis1,Pro4,Glu9] glucagon amide (O’Harte et al., 2013), and (C) GIP receptor

antagonist, GIP(6-30)Cex-K40[Pal] (Pathak et al., 2015) on the insulin-releasing activity

of the peptides (0.1 µM) were studied by incubating BRIN-BD11 cells for 20 min at 37

˚C in Krebs-Ringer Bicarbonate (KRB) buffer, pH 7.4 supplemented with 5.6 mM

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glucose as previously described (Graham et al., 2018). All samples were stored at −20

°C prior to measurement of insulin release by radioimmunoassay (Flatt and Bailey,

1981).

2.3. Insulin release studies using isolated mouse islets

Freshly harvested pancreatic islets from adult, male National Institutes of Health

(NIH) Swiss mice (Harlan Ltd, Bicester, UK) were cultured for 48 h at 37 °C in an

atmosphere of 5% CO2 and 95% air as previously described (Ojo et al., 2016). The

islets were incubated with peptides (10 nM and 1µM; n =4) and alanine (10 mM; n =4))

for 1 h at 37˚C in KRB buffer supplemented with 16.7 mM glucose. Insulin release was

measured by radioimmunoassay and the insulin content was measured by extraction

with acid-ethanol as previously described (Ojo et al., 2016).

2.4. Effects on cAMP production.

Chinese hamster lung (CHL) cells transfected with the human GLP-1 receptor

(GLP1R) (Thorens et al., 1993) and human embryonic kidney (HEK293) cells

transfected with the human glucagon receptor (GCGR) (Ikegami et al., 2001) were

cultured and seeded as previously described (Graham et al., 2018). The cells were pre-

incubated for 40 minutes with KRB buffer supplemented with 0.1% (w/v) bovine serum

albumin and 1.1 mmol/l glucose. A test solution containing KRB buffer supplemented

with 0.1% (w/v) bovine serum albumin, 5.6 mmol/l glucose, 200 μM 3-isobutyl-1-

methylxanthine (IBMX) and peptides (10 nM and 1µM) were added to the cells. After

incubating for 20 min the medium was removed and cells were lysed before

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Page 9: Highlights - Ulster University · Web viewGlucagon-like peptides-1 (GLP-1)from phylogenetically ancient fish (lamprey, dogfish, ratfish, paddlefish and bowfin) and from a teleost,

measurement of cAMP using a Parameter cAMP assay kit (R&D Systems, Abingdon,

UK) according to the manufacturer’s recommended protocol.

2.5. Insulin release studies using CRISPR/Cas9-engineered INS-1 cells

Wild-type INS-1 832/3 rat clonal pancreatic β-cells and CRISPR/Cas9-

engineered cells with knock-out of either the GLP-1 receptor (GLP1R KO) or the GIP

receptor (GIPR KO) (Naylor et al., 2016) were cultured and incubated as described for

BRIN-BD11 cells with the addition of 1 mM sodium pyruvate and 50 mM 2-

mercaptoethanol to the medium (Graham et al. 2018). The cells were incubated with 10

nM and 1 μM concentrations of GLP-1, glucagon, GIP, and fish peptides for 20 min

37 °C in KRB buffer supplemented with 5.6 mM glucose and insulin release was

measured by radioimmunoassay.

2.6. In vivo insulin release studies

All experiments involving animals were performed in accordance with the UK

Animals (Scientific Procedures) Act 1986 and EU Directive 2010/63EU and approved

by Ulster University Animal Ethics Review Committee. Acute in vivo studies were

carried out using 8-10 week-old male National Institutes of Health (NIH) Swiss mice (n

= 6) maintained in environmentally controlled rooms (12:12 light/darkness cycle, 22 ±

2 oC) with free access to a standard rodent diet (10% fat, 30% protein, 60%

carbohydrate: total energy 12.99 kJ/g; Trouw Nutrition, Northwich, UK) and water.

After an overnight fast, glucose (18 mmol/kg body weight), either alone or together

with a GLP-1 peptide (25 nmol/kg body weight), was administrated intraperitoneally to

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Page 10: Highlights - Ulster University · Web viewGlucagon-like peptides-1 (GLP-1)from phylogenetically ancient fish (lamprey, dogfish, ratfish, paddlefish and bowfin) and from a teleost,

the animals as previously described (Owolabi et al., 2016). Blood samples were

collected from a tail vein at the time points shown in Fig. 7 and glucose concentrations

were measured using a Bayer Counter glucose meter. Peptide administration had no

apparent adverse behavioural effects on the animals.

2.7. Statistical analysis

Data were compared using one-way ANOVA followed by Bonferroni post-hoc

test and unpaired Student’s t test (non-parametric, with two-tailed P values and 95%

confidence interval) using GraphPad PRISM (Version 5.0 San Diego, California). Area

under the curve (AUC) analysis was performed using the trapezoidal rule with baseline

correction. Data are presented as mean ± S.E.M where the comparison was considered

to be significantly different if P < 0.05.

3. Results

3.1. In vitro insulin-releasing activity of fish peptides

In the presence of 5.6 mM glucose alone, the rate of insulin release from BRIN-

BD11 rat clonal β-cells was 1.02 ± 0.02 ng/106cells/20 min and this rate increased to

2.4 ± 0.2 ng/106cells/20 min during incubation with 0.1 µM human GLP-1 and to 1.4 ±

0.2 ng/106cells/20min during incubation with 0.1 µM glucagon. Incubation of BRIN-

BD11 cells with GLP-1 peptides from all fish species produced concentration-

dependent increases in the rate of insulin release (Fig. 1). As shown in Table 2, lamprey

and paddlefish GLP-1 displayed the lowest threshold concentrations (minimum

concentration producing a significant increase in insulin release) and the greatest

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responses at 3 µM concentration, These values were not significantly different from

those of human GLP-1.

Table 2. Effects of fish GLP-1 peptides, human GLP-1 and glucagon on the rate of

insulin release from BRIN-BD11 cells.

Peptide Threshold concentration Effect at 3µM (ng/106/20min)

Control - 1.0 ± 0.02Lamprey GLP-1 30 pM 3.9 ± 0.1Dogfish GLP-1 3 nM 1.8 ± 0.1Ratfish GLP-1 1 nM 2.6 ± 0.1

Paddlefish GLP-1 10 pM 3.7 ± 0.2Bowfin GLP-1 0.3 nM 2.3 ± 0.2Trout GLP-1 Human GLP-1

30 pM 10 pM

2.4 ± 0.1 3.6 ± 0.2

Human glucagon 10 nM 2.7 ± 0.1

Control refers to the rate of insulin release at 5.6 mM glucose alone. The threshold

concentration is the minimum concentration of the peptide producing a significant (p <

0.05) increase in the rate of insulin release. The values are mean ± SEM for n = 8. The

values are obtained from the results of the incubations shown in Fig.1.

In the presence of 16.7 mM glucose alone, the rate of insulin release from

1.1B4 human clonal β-cells was 0.08 ± 0.01 ng/106cells/20min rising significantly to

0.13 ± 0.01 ng/106 cells/20 min and to 0.24 ± 0.02 ng/106cells/20min during incubations

with 10 nM and 1 µM human GLP-1 respectively. As shown in Fig. 2, incubations

with GLP-1 from all fish species produced a significant increase in insulin release at 1

μM concentration and GLP-1 peptides from lamprey, paddlefish and trout produced a

significant increase at 10 nM concentration. Consistent with the data obtained with

BRIN-BD11 cells, the lamprey and paddlefish peptides were the most effective with the

responses produced by lamprey GLP-1 at both concentrations (0.23 ± 0.01

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ng/106cells/20min at 10 nM and 0.31 ± 0.02 ng/106cells/20min at 1 μM) being

significantly greater than those produced by GLP-1.

The rate of insulin release from isolated mouse islets in the presence of 16.7

mM glucose alone during a 60 min incubation was 9.7 ± 1.3 % of the total insulin

content of the islets rising to 16.7 ± 1.4 % in the presence of 10 nM GLP-1 and to 20.7

± 2.5 % in the presence of 1 µM GLP-1. As shown in Fig. 3, GLP-1 from all species

except dogfish and ratfish produced a significant increase in insulin release at both 10

nM and 1 µM concentrations. Ratfish GLP-1 was effective at 1 µM but dogfish GLP-

1 did not produce a significant increase at either concentration.

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Fig. 1. Effects of increasing concentrations of GLP-1 from (A) lamprey, (B) dogfish,

(C) ratfish, (D) paddlefish, (E) trout, (F) bowfin, and (G) human and (H) human

glucagon on insulin release from BRIN-BD11 rat clonal β-cells. Values are mean ±

S.E.M., n = 8. *P < 0.05, **P < 0.01, ***P < 0.001 compared to 5.6 mM glucose alone.

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Page 14: Highlights - Ulster University · Web viewGlucagon-like peptides-1 (GLP-1)from phylogenetically ancient fish (lamprey, dogfish, ratfish, paddlefish and bowfin) and from a teleost,

Fig. 2 . Effects of fish GLP-1 peptides at 10 nM and 1 µM concentrations on insulin

release from 1.1 B4 human clonal β-cells. Values are mean ± S.E.M., n = 8 *P < 0.05,

*P < 0.01, ***P < 0.001 compared to 16.7 mM glucose alone. ΔP < 0.05, ΔΔP < 0.01, ΔΔΔP < 0.001 compared with the response to human GLP-1.

Fig. 3. Effects of fish GLP-1 peptides at 10 nM and 1 µM concentrations on insulin

release from pancreatic islets isolated from NIH Swiss mice. The values are mean ±

SEM for n=4; *P < 0.05, **P < 0.01, ***P < 0.001 compared to 16.7 mM glucose

alone.

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3.2. Receptor antagonist studies

The insulin releasing activities of human GLP-1 and all fish GLP-1 peptides

were significantly attenuated when BRIN-BD11 cells were co-incubated with the GLP-

1 receptor antagonist, exendin-4(9-39) (Fig. 4A). The activity of human glucagon and

GIP were not significantly affected. The insulin releasing activities of glucagon and

lamprey GLP-1 (P < 0.001) and paddlefish GLP-1 (P < 0.001) were also significantly

decreased in the presence of the glucagon receptor antagonist [des-His1,Pro4,Glu9]

glucagon amide (Fig. 4B) whereas the actions of GLP-1, GIP, and the other fish GLP-1

peptides were unaffected. Human GIP (P < 0.001) and bowfin GLP-1 (P < 0.05) were

the only peptides whose insulin-releasing effects were significantly attenuated by co-

incubation with the GIP receptor antagonist GIP(6-30)Cex-K40 [Pal] (Fig. 4C).

3.3. Effect on fish GLP-1 peptides on cAMP production

cAMP production in CHL cells transfected with the human GLP-1 receptor

(GLP1R) was significantly stimulated by incubation with human GLP-1 and the GLP-1

peptides from lamprey, paddlefish and trout at both 10 nM and 1 µM concentrations

(Fig. 5A). In the case of GLP-1 from dogfish, ratfish and bowfin a significant increase

in cAMP production was achieved only at 1 µM concentration. Human glucagon and

GLP-1 from lamprey and paddlefish, at both 10 nM and 1 µM concentrations, were the

only peptides that produced a significant increase cAMP production in HEK293 cells

transfected with the human glucagon receptor (GCGR) (Fig. 5B).

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Fig. 4. Effects of (A) GLP-1 receptor antagonist, exendin-4(9-39), (B) glucagon

receptor antagonist [desHis1,Pro4,Glu9]glucagon amide, and (C) GIP receptor antagonist

GIP (6-30) Cex-K40[Pal], on the ability of fish GLP-1 peptides (100 nM) to stimulate

insulin release from BRIN-BD11 cells. Values are mean ± S.E.M., n = 8 **P < 0.01,

***P < 0.001 compared with 16.7 mM glucose alone. ΔP < 0.05, ΔΔP < 0.01, ΔΔΔP < 0.001 compared with the effect in the presence of antagonist.

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Fig. 5. Effects of fish GLP-1 peptides (10 nM and 1 µM) on intracellular cAMP

production in (A) GLP1R transfected CHL cells, and (B) GCGR transfected HEK293

cells. Values are mean ± SEM for n = 4. *P < 0.05, **P < 0.01 and ***P < 0.001

compared with 5.6 glucose + IBMX alone.

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3.4. Insulin release studies using CRISPR/Cas9-engineered INS-1 cells

Incubation of all fish GLP-1 peptides, as well as human GLP-1, glucagon, and

GIP, at concentrations of 10 nM and 1 μM with wild-type INS-1 cells produced a

significant increase in the rate of release of insulin compared with the rate in the

presence of 5.6 mM glucose only (Fig. 6A). The increases in rate in response to GLP-1

and the GLP-1 from lamprey and trout were completely abolished in the GLP1R KO

cells and the responses to the other fish peptides were significantly attenuated (Fig.

6B). In contrast, the increases in rate in response to human (P < 0.001) and bowfin (P <

0.05) GIP were significantly reduced in the GIPR KO cells but the stimulatory

responses to glucagon, GLP, and the other fish GLP-1 peptides were maintained (Fig.

6C).

3.5. In vivo insulin release studies.

Blood glucose concentrations in overnight fasted NIH Swiss mice were

significantly lower after receiving intraperitoneal administration of glucose (18 mmol/

kg body weight) together with all GLP-1 peptides (25 nmol/kg body weight) except

dogfish GLP-1 compared with mice receiving intraperitoneal glucose only (Figs. 7A

and C). The integrated responses showed significant differences for lamprey GLP-1 (P

< 0.001), ratfish GLP-1 (P < 0.05), paddlefish GLP-1(P < 0.001), trout GLP-1 (P <

0.001), and bowfin GLP-1 (P < 0.05) compared with the glucose control. The integrated

responses to GLP-1 peptides from lamprey, paddlefish and trout were not significantly

different from the response to human GLP-1 (Fig 7E). The concentrations of plasma

insulin were significantly greater at the 15 and 30 min time points after administration

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of GLP-1 from lamprey, ratfish, paddlefish and trout and after 30 min in the case of

bowfin GLP-1 compared with control animals receiving glucose alone (Fig. 7B and D).

The integrated insulin responses to all peptides except dogfish GLP-1 were not

significantly different from that of human GLP-1 (Fig. 7F).

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Fig. 6. Effects of fish GLP-1 peptides (10 nM and 1 μM) on the rate of insulin release

from (A) wild-type INS-1 cells, (B) CRISPR/Cas9-engineered GLP1R KO cells, and

(C) CRISPR/Cas9-engineered GIPR KO cells. Values are mean ± S.E.M., n = 8, *P <

0.05, **P < 0.01 and ***P < 0.001 compared with 5.6 mM glucose alone. Δ P < 0.05,

ΔΔ P < 0.01 and ΔΔΔP < 0.001 compared with responses in wild-type INS-1 cells.

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Fig. 7. Effects of acute administration of fish GLP-1 peptides (25 nmol/kg body weight)

on plasma glucose (panels A and C) and plasma insulin (panels B and D)

concentrations in mice after intraperitoneal injection of glucose (18 mmol/kg body

weight). The integrated responses (area under the curve AUC) are shown in panels E

and F. The values are mean ± SEM for n = 6. **P < 0.01 and ***P < 0.001 compared to

glucose alone; ΔP < 0.05, ΔΔP < 0.01 and ΔΔΔP < 0.001 compared to human GLP-1.

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4. Discussion

The present study has demonstrated that GLP-1 peptides from phylogenetically

ancient fish and a teleost differ appreciably in potency and effectiveness in terms of

their abilities to stimulate insulin release from rodent and human cells in vitro and

lower blood glucose concentrations in mice in vivo. The peptides from sea lamprey, a

representative of the Agnatha or jawless fishes whose line of evolution diverged from

that leading to gnathostomes at least 550 MYA, and paddlefish, an extant representative

of a group of primitive Actinopterygian (ray-finned) fish whose line of evolution

diverged from the sturgeons in the Cretaceous, were the most potent and effective with

activities generally comparable to human GLP-1. However, these GLP-1 peptides differ

from the human peptide by functioning as dual agonists at the GLP-1 and glucagon

receptors. The primary structures of the GLP-1 peptides investigated in this study are

compared with those of human GLP-1, glucagon, and the potent and therapeutically

valuable GLP-1 receptor agonist, exendin-4 (Brown et al, 2018) in Fig. 8.

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GLP-1 HAEGTFTSDVSSYLEGQAAKEFIAWLVKGRa

Exendin-4 HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPPSa

Glucagon HSQGTFTSDYSKYLDSRRAQDFVQWLMNTGIP YAEGTFISDYSIAMDKIHQQDFVNWLLAQKGKKNDWKHNITQ Lamprey GLP-1 HADGTFTNDMTSYLDAKAARDFVSWLARSDKS Dogfish GLP-1 HAEGTYTSDVDSLSDYFKAKRFVDSLKSYRatfish GLP-1 HADGIYTSDVASLTDYLKSKRFVESLSNYNRKQNDRRMPaddlefish GLP-1 HADGTYTSDASSFLQEQAARDFISWLKKGQ Bowfin GLP-1 YADAPYISDVYSYLQDQVAKKWLKSGQDRRETrout GLP-1 HADGTYTSDVSTYLQDQAAKDFVSWLKSGRA

Glucagon HSQGTFTSDYSKYLDSRRAQDFVQWLMNTGLP-1 HAEGTFTSDVSSYLEGQAAKEFIAWLVKGRa

Exendin-4 HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPPSa

GIP YAEGTFISDYSIAMDKIHQQDFVNWLLAQKGKKNDWKHNITQ Lamprey GLP-1 HADGTFTNDMTSYLDAKAARDFVSWLARSDKS Dogfish GLP-1 HAEGTYTSDVDSLSDYFKAKRFVDSLKSYRatfish GLP-1 HADGIYTSDVASLTDYLKSKRFVESLSNYNRKQNDRRMPaddlefish GLP-1 HADGTYTSDASSFLQEQAARDFISWLKKGQ Bowfin GLP-1 YADAPYISDVYSYLQDQVAKKWLKSGQDRRETrout GLP-1 HADGTYTSDVSTYLQDQAAKDFVSWLKSGRA

GIP YAEGTFISDYSIAMDKIHQQDFVNWLLAQKGKKNDWKHNITQ GLP-1 HAEGTFTSDVSSYLEGQAAKEFIAWLVKGRa

Exendin-4 HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPPSa

Glucagon HSQGTFTSDYSKYLDSRRAQDFVQWLMNT Lamprey GLP-1 HADGTFTNDMTSYLDAKAARDFVSWLARSDKS Dogfish GLP-1 HAEGTYTSDVDSLSDYFKAKRFVDSLKSYRatfish GLP-1 HADGIYTSDVASLTDYLKSKRFVESLSNYNRKQNDRRMPaddlefish GLP-1 HADGTYTSDASSFLQEQAARDFISWLKKGQ Bowfin GLP-1 YADAPYISDVYSYLQDQVAKKWLKSGQDRRETrout GLP-1 HADGTYTSDVSTYLQDQAAKDFVSWLKSGRA

Fig. 8. A comparison of the primary structures of human GLP-1, glucagon, and GIP

with the corresponding primary structures of exendin-4 and the fish GLP-1 peptides.

Sequence similarities to the human peptides are highlighted in grey. a denotes C-

terminal α-amidation.

Structure-activity studies of human GLP-1 involving a complete alanine scan

showed that the amino acids His1, Gly4, Phe5, Thr7, and Asp9 in the N-terminal domain

play an important role in binding and activation of the rat Glp1r, and Phe22 and Ile23 in

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the C-terminal domain are of critical importance in maintaining the conformation of the

molecule that is recognized by the receptor (Adelhorst et al., 1994; Gallwitz et al.,

1994). In addition, it is known that the Ala18, Ala19, Lys20, and Leu26 residues of GLP-1

interact with the GLP-1 receptors as revealed by the crystal structure of GLP-1 bound

to the large N-terminal extracellular domain of the receptor (Underwood et al., 2010). It

is speculated that the higher potency and efficacy of GLP-1 from lamprey, paddlefish,

and trout in the mammalian test systems compared with the peptides from the other

species may be explained, at least in part, by the fact that they are the only peptides that

contain the Ala18 and Ala19 residues found in human GLP-1. The lower potency peptides

from dogfish and ratfish contain a basic Lys residue at position 18 and bowfin GLP-1

contains a Val residue (Fig. 8). The metabolic effects of dogfish and ratfish GLP-1 in

their species of origin have not been studied but dogfish GLP-1 has been shown to

stimulate the activity of the rectal gland of North Pacific spiny dogfish Squalus

suckleyi, increasing chloride secretion rates above baseline by approximately 16-fold

(Deck et al., 2017). Recent studies have shown that the proglucagon genes of the

holocephalan fish Callorhinchus milii (elephant shark) and the elasmobranch

Rhincodon typus (whale shark) encode a GLP-3 in addition to glucagon, GLP-1, and

GLP-2 (Irwin and Mojsov, 2018). Although only a single GLP-1 was identified in

extracts of the pancreata of the dogfish (Conlon et al., 1994) and ratfish (Conlon et al.,

1997), it is possible that both GLP-1 and GLP-3 are synthesized and released from the

intestines of these species.

The insulinotropic activity of all fish peptides in BRIN-BD11 cells was

attenuated by the GLP1R antagonist, exendin-4(9-39) and all peptides stimulated

cAMP production in CHL cells transfected with GLP1R demonstrating that they are

capable of activating the GLP-1 receptor in mammalin test systems. However, the

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insulinotropic activity of lamprey GLP-1 and paddlefish GLP-1 was significantly

decreased by the GCGR antagonist, [desHis1,Pro4,Glu9]glucagon amide suggesting that

these peptides may act as dual agonists activating both GLP-1 and glucagon receptors.

Consistent with this observation, the activity of lamprey GLP-1 was abolished in INS-1

GLP1R knockout cells in a similar manner as human GLP-1 (Fig. 6). A comparison of

the primary structures of lamprey/paddlefish GLP-1 (Fig. 8) with glucagon does not

provide any obvious clues in terms of the presence or absence of particular amino acid

residues as to why only these peptides and not the other fish GLP-1 peptides are

glucagon receptor agonists. Rather it must be assumed that only lamprey/paddlefish

GLP-1 are able to adopt a stable conformation that is recognized by the receptor.

Glucagon is predominantly disordered in aqueous solution but forms a stable, extended

helix when bound to its receptor (Siu et al., 2013). The conformations of the fish GLP-1

peptides have yet to be determined experimentally but application of the AGADIR

program, an algorithm based on the helix/coil transition theory which predicts the

helical behaviour of monomeric peptides (Muñoz and Serrano, 1994), indicates that

lamprey and paddlefish GLP-1 have a strong propensity to adopt a stable α-helical

conformation between residues 9-28 whereas the predicted helices adopted by the

dogfish, ratfish, and bowfin peptides are much less stable and extended. The GLP1R

and GCGR are highly specific for their cognate ligands. The present study has indicated

that this exquisite specificity arose relatively late in evolution, possibly not until after

emergence of tetrapods.

The bowfin, the sole extant representative of the Amiiformes, occupies an

important position in phylogeny as the surviving representatives of a group of primitive

ray-finned fishes from which present-day teleosts may have evolved (Carroll, 1988).

Bowfin GLP-1 contains several amino acid substitutions compared with human GLP-1

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that are not seen in the other fish peptides such as Gly4 → Ala, Phe22 → Trp, Ile23 →

Leu, and Leu26 → Gly (Fig.8). In particular, bowfin GLP-1, in common with GIP,

contains an N-terminal Tyr residue and a Thr7 residue that is substituted by Ile.

Evidence has been obtained using a chimeric GLP-1/GIP peptides that amino acids at

these sites (His/Tyr1 and Thr/Ile7) are responsible for the selective interaction toward

GLP-1 and GIP receptors (Moon et al., 2010). It has been proposed that His1 of GLP-1

interacts with Asn302 in extracellular loop 2 of GLP1R and that Thr7 of GLP-1 has close

contact with a binding pocket formed by Ile196 in transmembrane helix 2 and Leu232, and

Met233 in extracellular loop 1 of GLP1R (Moon et al., 2012). Despite the low overall

sequence similarity between bowfin GLP-1 and GIP (Fig. 8), the presence of Tyr1 and

Ile7 in the bowfin peptide may account for the fact that the GIP receptor antagonist,

GIP(6-30) Cex-K40[Pal] produced a small but significant attenuation of the

insulinotropic response to bowfin GLP-1 in BRIN-BD11 cells (Fig. 4) and the activity

of the peptide was reduced in CRISPR/Cas9-engineered INS-1 cells with knock-out of

the GIP receptor compared the response with wild-type INS-1 cells (Fig.6).

Bowfin GLP displayed relatively weak insulinotropic activity compared with human

GLP-1 in the mammalian systems employed in this study. Similarly, in a piscine test

system, bowfin GLP-1 stimulated glycogenolysis in isolated hepatocytes from the

copper rockfish Sebastes caurinus (Teleostei) but was 3-fold less effective and 23-fold

less potent than human GLP-1 (Conlon et al., 1993). It was speculated that selective

mutations in the GLP molecule may be an adaptive response to the low biological

potency of bowfin insulin (Conlon et al., 1991).

Trout GLP shows potent insulin-releasing activity both in vitro (Figs 1 & 2) and

in vivo (Fig. 7) but the magnitudes of the maximum responses are less than those of

paddlefish and lamprey GLP and, unlike these peptides, trout GLP appears to act only

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by activation of the GLP-1 receptor (Figs 5 & 6). As a result of a putative whole

genome duplication occurring in the ancestral fish lineage around 320-350 million

years ago (Vandepoele et al., 2004), many genes encoding neuroendocrine peptides that

exist in a single copy in tetrapods are found as two paralogs in teleost fish.

Consequently, as expected, the trout genome contains a second proglucagon gene that

encodes a GLP-1 containing the single amino substitution Arg30→ Pro compared with

the peptide used in this study (Irwin and Wong, 1995). The insulinotropic activity of

this paralog has yet to be determined.

The world is currently experiencing a global pandemic of obesity-related type 2

diabetes mellitus (T2DM) and while several therapeutic options are available for

treatment of patients, none is completely satisfactory (Bailey, 2018). None of the

existing treatments, alone or in combination, completely normalizes blood glucose

concentrations and prevents debilitating complications. Thus, there is a definite need

for new types of safe and more effective anti-diabetic agents. The present study has

demonstrated that GLP-1 peptides from lamprey and paddlefish, by interacting with

both the GLP-1 and glucagon receptors to stimulate insulin release and lower blood

glucose concentrations, have the potential to act as templates for development of new

therapeutic agents for treatment of patients with T2DM. Pre-clinical trials involving

administration of dual GLP-1/glucagon receptor agonists have shown positive results

including reduction of food intake, weight loss, inhibition of glucagon release, and β-

cell proliferation as well as normalization of blood glucose concentrations [reviewed in

(Brandt et al., 2018)]. Previous work has shown that peptides derived from dogfish

glucagon possess potent insulin releasing actions in vitro (O’Harte et al., 2016a) and

antihyperglycaemic activity in obese mice with insulin resistance and impaired glucose

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tolerance (O’Harte et al., 2016b). Future studies will investigate the activities of long-

acting peptidase-resistant analogues of lamprey and paddlefish GLP-1.

5. Conflict of interest

The authors declare that there is no conflict of interest that could be perceived as

prejudicing the impartiality of the research reported.

6. Contributions

P.R.F., J.M.C. and Y.H.A. conceived and designed the study. GVG performed the in

vitro and animal experiments. GVG and JMC purified the synthetic peptides and wrote

the manuscript. All authors analyzed and interpreted the data and have approved the

final submission.

Acknowledgements

The authors wish to thank Bernard Thorens (University of Lausanne, Switzerland) for

GLP-1 receptor-transfected CHL cells, Cecilia Unson (The Rockefeller University,

USA) for glucagon receptor-transfected HEK293 cells, and Jaqueline Naylor

(MedImmune, Cambridge, UK) for CRISPR/Cas9-engineered INS-1 cells. The study

was supported by the Northern Ireland Department of Education and Learning (DEL),

and Ulster University Strategic Funding.

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