Designing novel teduglutide analogues with improved binding affinity: An in silico peptide engineering approach

Author(s):  
Ali Akbar Alizadeh ◽  
Siavoush Dastmalchi

Introduction: Short bowel syndrome (SBS) is a disabling condition which occurs following the loss of substantial portions of intestine leading to inadequate absorption of nutrients and fluids. Teduglutide is the only drug which has been FDA-approved for long-term treatment of SBS. This medicine exerts its biological effects through binding to the GLP-2 receptor. Methods: The current study aimed to use computational mutagenesis approaches to design novel potent analogues of teduglutide. To this end, the constructed teduglutide-GLP2R 3D model was subjected to the alanine scanning mutagenesis where ARG20, PHE22, ILE23, LEU26, ILE27 and LYS30 were identified as the key amino acids involved in ligand-receptor interaction. In order to design potent teduglutide analogues, using MAESTROweb machine learning method, the residues of teduglutide were virtually mutated into all naturally occurring amino acids and the affinity improving mutations were selected for further analysis using PDBePISA methodology which interactively investigates the interactions established at the interfaces of macromolecules. Result: The calculations resulted in D15I, D15L, D15M and N24M mutations which can improve the binding ability of ligand to receptor. Final evaluation of identified mutations was performed by molecular dynamics simulations indicating that D15I and D15M are the most reliable mutations to increase teduglutide affinity towards its receptor. Conclusion: The findings in the current study may facilitate designing more potent teduglutide analogues leading to the development of novel treatments in short bowel syndrome.

2016 ◽  
Vol 2 ◽  
pp. e6
Author(s):  
Samantha McKenzie Stancu ◽  
◽  
Catalin Gabriel Cirstoveanu ◽  

2017 ◽  
Vol 71 (8) ◽  
pp. 1027-1027 ◽  
Author(s):  
D Concolino ◽  
I Mascaro ◽  
M T Moricca ◽  
G Bonapace ◽  
K Matalon ◽  
...  

2009 ◽  
Vol 2009 ◽  
pp. 1-9 ◽  
Author(s):  
P. B. Jeppesen ◽  
P. Lund ◽  
I. B. Gottschalck ◽  
H. B. Nielsen ◽  
J. J. Holst ◽  
...  

Background and aims. Glucagon-like peptide 2 (GLP-2) has been shown to improve intestinal absorption in short bowel syndrome (SBS) patients in a short-term study. This study describes safety, compliance, and changes in quality of life in 11 SBS patients at baseline, week 13, 26, and 52 during two years of subcutaneous GLP-2 treatment, 400 microgram TID, intermitted by an 8-week washout period.Methods. Safety and compliance was evaluated during the admissions. The Sickness Impact Profile (SIP), Short Form 36 (SF 36), and Inflammatory Bowel Disease Questionnaire (IBDQ) evaluated quality of life.Results. The predominant adverse event was transient abdominal discomfort in 5 of 11 patients, but in 2, both suffering from Crohns disease, it progressed to abdominal pain and led to discontinuation of GLP-2 treatment. One had a fibrostenotic lesion electively resected at the jejuno-ascendo-anastomosis. The investigator excluded a patient due to unreliable feedback. Stoma nipple enlargement was seen in all 9 jejunostomy patients. Reported GLP-2 compliance was excellent (>93%). GLP-2 improved the overall quality of life VAS-score ( cm versus  cm, ), the overall SIP score (% versus %, ), the mental component of the SF-36 (% versus %, ), and the overall IBDQ score ( versus , ) in the 8 patients completing the study.Conclusions. Long-term treatment with GLP-2 is feasible in SBS patients, although caution must be exercised in patients with a history of abdominal pain. Although conclusions cannot be made in a noncontrolled trial, the high reported compliance might reflect a high treatment satisfaction, where the clinical benefits of GLP-2 may outweigh the discomforts of injections.


1995 ◽  
Vol 108 (4) ◽  
pp. A721
Author(s):  
P Crenn ◽  
F Iglicki ◽  
C Coudray-Lucas ◽  
L Cynober ◽  
D Darmaun ◽  
...  

2016 ◽  
Vol 71 (1) ◽  
pp. 51-55 ◽  
Author(s):  
D Concolino ◽  
I Mascaro ◽  
M T Moricca ◽  
G Bonapace ◽  
K Matalon ◽  
...  

Abstract Background/Objectives: Phenylketonuria (PKU) is an autosomal recessive disease caused by deficient activity of phenylalanine hydroxylase. A low phenylalanine (Phe) diet is used to treat PKU. The diet is very restrictive, and dietary adherence tends to decrease as patients get older. Methods to improve dietary adherence and blood Phe control are continuously under investigation. Subjects/Methods: A new formula Phe-neutral amino acid (PheLNAA) has been tested in this study with the purpose of improving the compliance and lowering blood phenylalanine. The formula has been tested for nitrogen balance, and it is nutritionally complete. It is fortified with more nutritional additives that can be deficient in the PKU diet, such as B12, Biotin, DHA, Lutein and increased levels of large neutral amino acids to help lower blood Phe. The new formula has been tested on 12 patients with a loading test of 4 weeks. Results: Fifty-eight percent of patients had a significant decline in blood Phe concentration from baseline throughout the study. The PheLNAA was well tolerated with excellent compliance and without illnesses during the study. Conclusions: In conclusion, the new formula is suitable for life-long treatment of PKU, and it offers the PKU clinic a new choice for treatment.


2003 ◽  
Vol 22 ◽  
pp. S32
Author(s):  
S. Alibau Gandjee ◽  
P. Crenn ◽  
S.K. Lim ◽  
P. Pernet ◽  
F. Joly ◽  
...  

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