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Am J Physiol Endocrinol Metab 292: E964-E976, 2007. First published November 28, 2006; doi:10.1152/ajpendo.00089.2006
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Monoclonal antibody antagonists of hypothalamic FGFR1 cause potent but reversible hypophagia and weight loss in rodents and monkeys

Haijun D. Sun,1 Maria Malabunga,1 James R. Tonra,1 Roberto DiRenzo,1 Francine E. Carrick,1 Huiyuan Zheng,2 Hans-Rudolf Berthoud,2 Owen P. McGuinness,3 Juqun Shen,1 Peter Bohlen,1 Rudolph L. Leibel,4 and Paul Kussie1

1ImClone Systems Incorporated, New York, New York; 2Neurobiology of Nutrition Laboratory, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana; 3Department of Molecular Physiology and Biophysics, Vanderbilt University Medical Center, Nashville Tennessee; and 4Division of Molecular Genetics, Naomi Berrie Diabetes Center, New York, New York

Submitted 22 February 2006 ; accepted in final form 13 November 2006

We generated three fully human monoclonal antibody antagonists against fibroblast growth factor receptor-1 (FGFR1) that potently block FGF signaling. We found that antibodies targeting the c-splice form of the receptor (FGFR1c) were anorexigenic when administered intraperitoneally three times weekly to mice, resulting in rapid, dose-dependent weight loss that plateaued (for doses >4 mg/kg) at 35–40% in 2 wk. Animals appeared healthy during treatment and regained their normal body weights and growth trajectories upon clearance of the antibodies from the bloodstream. Measurements of food consumption and energy expenditure indicated that the rapid weight loss was induced primarily by decreased energy intake and not by increased energy expenditure or cachexia and was accompanied by a greater reduction in fat than lean body mass. Hypophagia was not caused through malaise or illness, as indicated by absence of conditioned taste aversion, pica behavior, and decreased need-induced salt intake in rats. In support of a hypothalamic site of action, we found that, after intraperitoneal injections, anti-FGFR1c (IMC-A1), but not a control antibody, accumulated in the median eminence and adjacent mediobasal hypothalamus and that FGFR1c is enriched in the hypothalamus of mice. Furthermore, a single intracerebroventricular administration of 3 µg of IMC-A1 via the 3rd ventricle to mice caused an ~36% reduction in food intake and an ~6% weight loss within the ensuing 24 h. Our data suggest that FGF signaling through FGFR1c may play a physiological role in hypothalamic feeding circuit and that blocking it leads to hypophagia and weight loss.

energy homeostasis; hypothalamus; fibroblast growth factor receptor; food intake; obesity



Address for reprint requests and other correspondence: H. D. Sun, ImClone Systems Inc., 180 Varick St., New York, NY 10014 (e-mail: haijun{at}imclone.com)







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