Targeting interleukin-22 to the pancreas to treat type 2 diabetes mellitus (#412)
Background
Type 2 diabetes (T2D), coined the ‘silent pandemic’, is one of the most challenging global health problems facing the 21st century, affecting 1 in 11 adults worldwide. Current therapeutics fail to address pancreatic β-cell dysfunction and deterioration central to this disease. Previously, we demonstrated the seminal role of interleukin-22 (IL-22) in reversing pancreatic β-cell stress and restoring glycaemic control in murine models of diabetes (1). To further investigate the viability of IL-22 as a potential biologic for diabetes treatment, and to limit off-target effects, human IL-22 was fused to SCAB1, a pancreatic β-cell specific antibody. The resulting fusion protein (IL22-SCAB1) and its potential role in diabetes therapy is the subject of this study.
Aims
Our objective is to elucidate whether IL22-SCAB1 is a functional biologic which can localise to the pancreas and activate downstream pathways of IL-22, thereby mediating anti-diabetic effects.
Methods
IL22-SCAB1 will be tested progressively. In preliminary stages, it will be trialled in vitro in MIN6. Alterations in gene expression of β-cell stress markers will be measured. In vivo, IL22-SCAB1 will be administered to obese murine models of diabetes. Relevant diabetic parameters, including insulin-proinsulin ratio, body composition and glucose tolerance will be recorded.
Results
Early results demonstrate successful targeting and activation of IL-22 pathways, providing crucial preclinical information into the suitability of IL22-SCAB1 as a therapeutic candidate. IL22-SCAB1 may play a putative role in fat redistribution in obese non-diabetic mice.
Conclusion
IL22-SCAB1 may herald development of next-generation T2D therapeutic strategies, restoring pancreatic function in the diabetic patient.
- 1. Hasnain, S. Z. et al. Glycemic control in diabetes is restored by therapeutic manipulation of cytokines that regulate beta cell stress. Nature medicine 20, 1417-1426, doi:10.1038/nm.3705 (2014).