Therapeutic vaccine against DPP4 improves glucose metabolism in mice

Proc Natl Acad Sci U S A. 2014 Apr 1;111(13):E1256-63. doi: 10.1073/pnas.1322009111. Epub 2014 Mar 17.

Abstract

The increasing prevalence of type 2 diabetes mellitus is associated with a significant economic burden. We developed a dipeptidyl peptidase 4 (DPP4)-targeted immune therapy to increase glucagon-like peptide 1 hormone levels and improve insulin sensitivity for the prevention and treatment of type 2 diabetes mellitus. Immunization with the DPP4 vaccine in C57BL/6J mice successfully increased DPP4 titer, inhibited plasma DPP4 activity, and induced an increase in the plasma glucagon-like peptide 1 level. Moreover, this elevated titer was sustained for 3 mo. In mice fed a high-fat diet, DPP4 vaccination resulted in improved postprandial glucose excursions and insulin sensitivity and, in the diabetic KK-A(y) and db/db mice strains, DPP4 vaccination significantly reduced glucose excursions and increased both plasma insulin and pancreatic insulin content. Importantly, T cells were not activated following challenge with DPP4 itself, which suggests that this vaccine does not induce cell-mediated autoimmunity. Additionally, no significant immune-mediated damage was detected in cells and tissues where DPP4 is expressed. Thus, this DPP4 vaccine may provide a therapeutic alternative for patients with diabetes.

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Antigens / chemistry
  • Antigens / immunology
  • Diabetes Mellitus, Experimental / drug therapy*
  • Diabetes Mellitus, Experimental / immunology
  • Diabetes Mellitus, Experimental / metabolism*
  • Diabetes Mellitus, Experimental / prevention & control
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / immunology
  • Diabetes Mellitus, Type 2 / metabolism*
  • Diabetes Mellitus, Type 2 / prevention & control
  • Diet, High-Fat
  • Dipeptidyl Peptidase 4 / immunology*
  • Disease Models, Animal
  • Glucose / metabolism*
  • Insulin Resistance / immunology
  • Lymphocyte Activation / immunology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Peptides / chemistry
  • Peptides / immunology
  • T-Lymphocytes / immunology
  • Treatment Outcome
  • Vaccination
  • Vaccines / immunology*
  • Vaccines / therapeutic use*

Substances

  • Antigens
  • Peptides
  • Vaccines
  • Dipeptidyl Peptidase 4
  • Glucose