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Article Abstract
The gut hormone PYY reduces food intake in humans and exhibits at least additive efficacy in combination with GLP-1. However, the utility of PYY analogs as anti-obesity agents has been severely limited by emesis and rapid proteolysis, a profile similarly observed with native PYY in obese rhesus macaques. Here, we found that antibody conjugation of a cyclized PYY analog achieved high NPY2R selectivity, unprecedented in vivo stability, and gradual infusion-like exposure. These properties permitted profound reduction of food intake when administered to macaques for 23 days without a single emetic event in any animal. Co-administration with the GLP-1 receptor agonist liraglutide for an additional 5 days further reduced food intake with only one animal experiencing a single bout of emesis. This antibody-conjugated PYY analog therefore may enable the long-sought potential of GLP-1/PYY-based combination treatment to achieve robust, well-tolerated weight reduction in obese patients.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701930 | PMC |
| http://dx.doi.org/10.1016/j.cmet.2019.01.017 | DOI Listing |
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