Camptothecin effectively treats obesity in mice through GDF15 induction

PLoS Biol. 2022 Feb 24;20(2):e3001517. doi: 10.1371/journal.pbio.3001517. eCollection 2022 Feb.

Abstract

Elevated circulating levels of growth differentiation factor 15 (GDF15) have been shown to reduce food intake and lower body weight through activation of hindbrain receptor glial-derived neurotrophic factor (GDNF) receptor alpha-like (GFRAL) in rodents and nonhuman primates, thus endogenous induction of this peptide holds promise for obesity treatment. Here, through in silico drug-screening methods, we found that small molecule Camptothecin (CPT), a previously identified drug with potential antitumor activity, is a GDF15 inducer. Oral CPT administration increases circulating GDF15 levels in diet-induced obese (DIO) mice and genetic ob/ob mice, with elevated Gdf15 expression predominantly in the liver through activation of integrated stress response. In line with GDF15's anorectic effect, CPT suppresses food intake, thereby reducing body weight, blood glucose, and hepatic fat content in obese mice. Conversely, CPT loses these beneficial effects when Gdf15 is inhibited by a neutralizing antibody or AAV8-mediated liver-specific knockdown. Similarly, CPT failed to reduce food intake and body weight in GDF15's specific receptor GFRAL-deficient mice despite high levels of GDF15. Together, these results indicate that CPT is a promising anti-obesity agent through activation of GDF15-GFRAL pathway.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Body Weight / drug effects
  • Body Weight / genetics
  • Camptothecin / pharmacokinetics
  • Camptothecin / pharmacology*
  • Cell Line
  • Cell Line, Tumor
  • Diet, High-Fat / adverse effects
  • Eating / drug effects
  • Eating / genetics
  • Gene Expression Regulation / drug effects
  • Glial Cell Line-Derived Neurotrophic Factor Receptors / genetics*
  • Glial Cell Line-Derived Neurotrophic Factor Receptors / metabolism
  • Growth Differentiation Factor 15 / genetics*
  • Growth Differentiation Factor 15 / metabolism
  • HEK293 Cells
  • HL-60 Cells
  • Humans
  • MCF-7 Cells
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mice, Obese
  • Obesity / etiology
  • Obesity / genetics
  • Obesity / prevention & control*
  • PC-3 Cells

Substances

  • GFRAL protein, mouse
  • Glial Cell Line-Derived Neurotrophic Factor Receptors
  • Growth Differentiation Factor 15
  • Camptothecin

Grants and funding

This work was supported by National Natural Science Foundation of China (32070602), National Key Research and Development Program of China (2021YFF1000602), Programs for Shaanxi Science & Technology (2020NY-012), and Special Talent Recruitment Fund of China to Jiang Wei Wu. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.