Glucagon analogues and methods of use
The invention provides materials and methods for the treatment of obesity and excess weight, diabetes, and other associated metabolic disorders. In particular, the invention provides novel glucagon analogue peptides effective in such methods. The peptides may mediate their effect by having increased selectivity for the GLP-1 receptor as compared to human glucagon.
1. A method of improving glycemic control, lowering circulating LDL levels, increasing HDL/LDL ratio, inhibiting weight gain, or promoting weight loss in a subject in need thereof, said method comprising administering to the subject an effective amount of a compound having the formula:
R 1 —X—R 2
wherein
R 1 is H (i.e. hydrogen), C 1-4 alkyl, acetyl, formyl, benzoyl or trifluoroacetyl;
R 2 is OH or NH 2 ;
X is a peptide having the sequence:
(SEQ ID NO: 15)
H-Ac4c-HGTFTSDYSKYLDE-K(Hexadecanoyl-isoGlu)-
AAKDFIEWLESA;
or a pharmaceutically acceptable salt thereof.
2. The method of claim 1 , wherein the subject in need thereof is in need of weight loss.
3. The method of claim 1 , wherein the subject in need thereof is in need of lowering circulating LDL levels, and/or increasing HDL/LDL ratio.
4. The method of claim 1 , wherein the subject in need thereof has a condition caused or characterized by excess body weight.
5. The method of claim 1 , wherein the subject in need thereof has obesity, morbid obesity, morbid obesity prior to surgery, obesity linked inflammation, obesity linked gallbladder disease, obesity induced sleep apnea, diabetes, metabolic syndrome, hypertension, atherogenic dyslipidemia, atherosclerosis, arteriosclerosis, coronary heart disease, peripheral artery disease, stroke or microvascular disease.
6. The method of claim 1 , wherein the method further comprises administering to the subject the compound as part of a combination therapy together with an agent for treatment of diabetes, obesity, dyslipidemia or hypertension.
7. The method of claim 6 , wherein the method comprises administering the compound with an agent for treatment of diabetes is selected from the group consisting of a biguanide, a sulfonylurea, a meglitinide or glinide, a DPP-IV inhibitor, an SGLT2 inhibitor, a glitazone, a different GLP-1 agonist, an insulin, and an insulin analogue.
8. The method of claim 6 , wherein the method comprises administering the compound with an agent for treatment of obesity is selected from the group consisting of a glucagon-like peptide receptor 1 agonist, a peptide YY receptor agonist or analogue thereof, a cannabinoid receptor 1 antagonist, a lipase inhibitor, a melanocortin receptor 4 agonist, a melanin concentrating hormone receptor 1 antagonist, phentermine, a combination of phentermine and topiramate, a combination of norepinephrine/dopamine reuptake inhibitor and opioid receptor antagonist, and a serotonergic agent.
9. The method of claim 6 , wherein the method comprises administering the compound with an agent for treatment of hypertension selected from the group consisting of an angiotensin-converting enzyme inhibitor, an angiotensin II receptor blocker, a diuretic, a beta-blocker, and a calcium channel blocker.
10. The method of claim 6 , wherein the method comprises administering the compound with an agent for treatment of dyslipidemia selected from the group consisting of a statin, a fibrate, a niacin, and a cholesterol absorption inhibitor.
11. The method of claim 1 , wherein the compound is:
(SEQ ID NO: 15)
H-H-Ac4c-HGTFTSDYSKYLDE-K(Hexadecanoyl-isoGlu)-
AAKDFIEWLESA-NH 2 .