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Am J Physiol Endocrinol Metab 283: E745-E752, 2002. First published June 4, 2002; doi:10.1152/ajpendo.00030.2002
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Vol. 283, Issue 4, E745-E752, October 2002

The long-acting GLP-1 derivative NN2211 ameliorates glycemia and increases beta -cell mass in diabetic mice

Bidda Rolin1, Marianne O. Larsen1, Carsten F. Gotfredsen1, Carolyn F. Deacon2, Richard D. Carr1, Michael Wilken1, and Lotte Bjerre Knudsen1

1 Novo Nordisk, DK-2880 Bagsvaerd; and 2 The Panum Institute, University of Copenhagen, DK-2200 Copenhagen, Denmark

NN2211 is a long-acting, metabolically stable glucagon-like peptide-1 (GLP-1) derivative designed for once daily administration in humans. NN2211 dose dependently reduced the glycemic levels in ob/ob mice, with antihyperglycemic activity still evident 24 h postdose. Apart from an initial reduction in food intake, there were no significant differences between NN2211 and vehicle treatment, and body weight was not affected. Histological examination revealed that beta -cell proliferation and mass were not increased significantly in ob/ob mice with NN2211, although there was a strong tendency for increased proliferation. In db/db mice, exendin-4 and NN2211 decreased blood glucose compared with vehicle, but NN2211 had a longer duration of action. Food intake was lowered only on day 1 with both compounds, and body weight was unaffected. beta -Cell proliferation rate and mass were significantly increased with NN2211, but with exendin-4, only the beta -cell proliferation rate was significantly increased. In conclusion, NN2211 reduced blood glucose after acute and chronic treatment in ob/ob and db/db mice and was associated with increased beta -cell mass and proliferation in db/db mice. NN2211 is currently in phase 2 clinical development.

incretin hormones; diabetes; animal models; glucagon-like peptide-1


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