Abstract

The prevalence of type 2 diabetes (T2D) is rapidly increasing worldwide. Effective therapies, such as insulin and Glucagon-like peptide-1 (GLP-1), require injections, which are costly and result in less patient compliance. Here, we report the identification of a tripeptide with significant potential to treat T2D. The peptide, referred to as Diapin, is comprised of three natural L-amino acids, GlyGlyLeu. Glucose tolerance tests showed that oral administration of Diapin effectively lowered blood glucose after oral glucose loading in both normal C57BL/6J mice and T2D mouse models, including KKay, db/db, ob/ob mice, and high fat diet-induced obesity/T2D mice. In addition, Diapin treatment significantly reduced casual blood glucose in KKay diabetic mice in a time-dependent manner without causing hypoglycemia. Furthermore, we found that plasma GLP-1 and insulin levels in diabetic models were significantly increased with Diapin treatment compared to that in the controls. In summary, our findings establish that a peptide with minimum of three amino acids can improve glucose homeostasis and Diapin shows promise as a novel pharmaceutical agent to treat patients with T2D through its dual effects on GLP-1 and insulin secretion.

Highlights

  • Type 2 diabetes (T2D) is one of the most prevalent human metabolic diseases and has rapidly emerged as a global health care problem reaching epidemic proportions in recent years [1]

  • Among several tripeptides that affected glucose levels, we identified one, referred as Diapin that was more effective than the others in lowering blood glucose level in C57BL/6J mice after oral loading of glucose

  • We have not examined all possible combinations of tripeptides, our finding suggests that Diapin, but not all tripeptides, can effectively lower blood glucose in mice

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Summary

Introduction

Type 2 diabetes (T2D) is one of the most prevalent human metabolic diseases and has rapidly emerged as a global health care problem reaching epidemic proportions in recent years [1]. T2D is characterized by hyperglycemia resulting from insulin resistance and relative deficiency of insulin due to the reduction of functional b-cell mass [2]. Current therapies for T2D include increasing plasma insulin levels, improving insulin sensitivity of tissues, and reducing carbohydrate absorption from the gastrointestinal tract [3]. Insulin, produced by b-cells of the pancreas, is a key hormone in regulating of carbohydrate and fat metabolism in the body. Either by direct insulin administration or by agents that promote insulin secretion and preserve functional bcell mass, is a key goal in the treatment of T2D. Glucagon-like peptide-1 (GLP-1), mainly produced by the intestinal L-cell, stimulates glucose-dependent insulin secretion and protects b-cells [4,5,6]. The therapeutic insulin and GLP-1, require injections, which are costly and inconvenient, resulting in less patient compliance

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