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Endocrinology Vol. 142, No. 10 4244-4250
Copyright © 2001 by The Endocrine Society


ARTICLES

Oxyntomodulin Inhibits Food Intake in the Rat

C. L. Dakin, I. Gunn, C. J. Small, C. M. B. Edwards, D. L. Hay, D. M. Smith1, M. A. Ghatei and S. R. Bloom

Endocrine Unit, Department of Metabolic Medicine, Imperial College School of Medicine, Hammersmith Hospital, London, United Kingdom W12 0NN

Address all correspondence and requests for reprints to: Prof. S. R. Bloom, Department of Metabolic Medicine, Imperial College School of Medicine, Hammersmith Hospital, London, United Kingdom W12 0NN. E-mail: s.bloom{at}ic.ac.uk


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Oxyntomodulin is derived from proglucagon processing in the intestine and the central nervous system. To date, no role in the central nervous system has been demonstrated. We report here that oxyntomodulin inhibits refeeding when injected intracerebroventricularly and into the hypothalamic paraventricular nucleus of 24-h fasted rats [intracerebroventricularly and into the paraventricular nucleus, 1 h, oxyntomodulin (1 nmol), 3.1 ± 0.5 g; saline, 6.2 ± 0.4 g; P < 0.005]. In addition, oxyntomodulin inhibits food intake in nonfasted rats injected at the onset of the dark phase (intracerebroventricularly, 1 h: oxyntomodulin, 3 nmol, 1.1 ± 0.19 g vs. saline, 2.3 ± 0.2 g; P < 0.05). This effect of oxyntomodulin on feeding is of a similar time course and magnitude as that of an equimolar dose of glucagon-like peptide-1. Other proglucagon-derived products investigated [glucagon, glicentin (intracerebroventricularly, 3 nmol; into the paraventricular nucleus, 1 nmol), and spacer peptide-1 (intracerebroventricularly and into the paraventricular nucleus, 3 nmol)] had no effect on feeding at any time point examined. The anorectic effect of oxyntomodulin (intracerebroventricularly, 3 nmol; into the paraventricular nucleus, 1 nmol) was blocked when it was coadministered with the glucagon-like peptide-1 receptor antagonist, exendin-(9–39) (intracerebroventricularly, 100 nmol; into the paraventricular nucleus, 10 nmol). However, oxyntomodulin has a lower affinity for the glucagon-like peptide-1 receptor compared with glucagon-like peptide-1 (IC50: oxyntomodulin, 8.2 nM; glucagon-like peptide-1, 0.16 nM). One explanation for this is that there might be an oxyntomodulin receptor to which exendin-(9–39) can also bind and act as an antagonist.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PREPROGLUCAGON IS CLEAVED in a tissue-specific manner by prohormone convertase-1 and -2 (1, 2), giving rise to a number of products with a variety of functions in both the central nervous system (CNS) and peripheral tissues. In the intestine and CNS, the major posttranslational products of preproglucagon cleavage are glucagon-like peptide-1 (GLP-1), glucagon-like peptide-2 (GLP-2), glicentin (also known as enteroglucagon), and oxyntomodulin (OXM; also known as glucagon-37) (3).

GLP-1 is a potent physiological insulinotropic incretin hormone in both rat and man (4, 5, 6, 7). However, when administered into the rat cerebroventricular system (ICV), GLP-1 acts a potent inhibitor of food intake (8, 9, 10) The paraventricular nucleus (PVN) of the hypothalamus is an area involved in the control of food intake and has a high density of GLP-1 receptors (GLP-1R) (11, 12). When GLP-1 is injected into the PVN of fasted rats, a marked anorectic effect has been observed (13). Recently, GLP-2 has also been found to be an inhibitor of food intake in the rat (14). Glicentin acts within peripheral tissues, with its roles including the inhibition of gastric acid secretion in the rat (15). No effect of glicentin in the CNS has been reported to date.

OXM, originally isolated from porcine jejuno-ileal cells, is a 37-amino acid peptide, containing the entire sequence of glucagon, with a basic octapeptide C-terminal extension, known as spacer peptide-1 (SP-1) (16, 17, 18). OXM potently inhibits gastric acid secretion and pancreatic enzyme secretion when infused iv (19, 20). The C-terminal fragment of OXM, SP-1, has been described as the minimal active structure of OXM (21), as it has been found to mimic the actions of OXM in gastric mucosa, albeit less potently (19, 22, 23).

It is not known whether OXM has a specific receptor distinct from those of the other proglucagon products. Originally, Depigny et al. (24) reported that OXM mediates its actions via a specific receptor in oxyntic glands. However, this was later disputed when Gros et al. (25) reported that OXM could activate second messenger systems via a GLP-1-preferring receptor in the somatostatin-secreting cells line, RIN T3. More recently, it was demonstrated by Schepp et al. (26) that the actions of OXM are mediated via the GLP-1R in rat parietal cells. To date, no specific binding site for OXM in the CNS has been identified.

Little is known about the neuroanatomy of endogenous OXM. Furthermore, RIAs using antisera that are not specific for both the C- and N-termini of OXM cross-react with glucagon and glicentin. For this reason, specific assays for OXM, as described previously (27), might not be accurate. However, glucagon-like immunoreactivity, 90% of which is OXM and glicentin, has been detected at low levels in the rat CNS in the medulla oblongata, olfactory bulbs, cerebellum, and cortex. Higher levels of glucagon-like immunoreactivity have been detected in the hypothalamus, but none has been identified in the pituitary (27).

Exendin-4 is a 39-amino acid peptide isolated from the salivary glands of the Gila monster (Heloderma suspectum) (28). It is a potent agonist at the GLP-1R (29, 30, 31) and when injected ICV inhibits food intake in a dose-dependent manner (32). A fragment of exendin-4, exendin-(9–39), has been reported to be a potent and selective antagonist at the GLP-1R and, when coadministered, blocks the actions of GLP-1 in both the CNS and the periphery (33, 34).

Using both fasted and nonfasted rat models, we report here the relative effects of proglucagon-derived and related peptides on food intake and feeding behavior after injection ICV or iPVN compared with the effects of GLP-1. In addition, using the GLP-1R antagonist, exendin-(9–39), together with in vitro receptor binding assays, we investigated the activity of OXM at the GLP-1R.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Peptides and chemicals
GLP-1, glicentin, glucagon, and SP-1 were purchased from Peninsula Laboratories, Inc. (St. Helens, UK). OXM was purchased from IAF BioChem Pharma (Laval, Canada). Exendin-4 and exendin-(9–39) were synthesized by Peter Byfield (Medical Research Council, Hemostasis Unit, Clinical Sciences Center, Hammersmith Hospital, London, UK) using F-moc chemistry on an 396 MPS peptide synthesizer (Advanced ChemTech, Inc., Louisville, KY) and purified by reverse phase HPLC on a C8 column (Phenomex, Macclesfield, UK). Correct molecular weight was confirmed by mass spectrometry. All chemicals were purchased from Merck & Co. (Lutterworth, Leicester, UK) unless otherwise stated.

Animals
Adult male Wistar rats (Imperial College School of Medicine, Hammersmith Hospital) were maintained in individual cages under controlled conditions of temperature (21-23 C) and light (12 h of light, 12 h of darkness) with ad libitum access to food (RM1 diet, Special Diet Services UK Ltd., Witham, UK) and tap water. Animals were handled daily after recovery from surgery until completion of the studies. All animal procedures undertaken were approved by the British Home Office Animals (Scientific Procedures) Act 1986 (Project License PIL 90/1077).

ICV and iPVN cannulation and infusions of test compounds
Animals had permanent stainless steel guide cannulas (Plastics One, Roanoke, VA) stereotactically implanted ICV or iPVN (35, 36). Substances were administered as previously described (35, 36). All fasted animal studies were carried out in the early light phase, between 0900–1100 h, after a 24-h fast, and food intake was measured 1, 2, 4, 8, and 24 h postinjection. Nonfasted animal studies were carried out at the onset of the dark phase.

Feeding study protocols
Comparison of the effect of proglucagon-derived products and related peptides on food intake. Rats were injected ICV with 10 µl saline, GLP-1 [3 nmol, a dose that we have consistently found to significantly inhibit food intake (unpublished observations)], OXM (3 nmol), glucagon (3 nmol), or glicentin (3 nmol; n = 8/group).

Rats were injected iPVN with 1 µl saline, GLP-1 [1.0 nmol; a dose that we have found to inhibit food intake (unpublished observations)], OXM (1.0 nmol), glicentin (1.0 nmol), glucagon (1.0 nmol), or SP-1 (3.0 nmol; n = 12–15/group). Exendin-4, when injected ICV, inhibits food intake more potently than GLP-1 (32). Therefore, exendin-4 was injected iPVN at a dose of 0.03 nmol.

Investigation of the effect of increasing doses of OXM on food intake. In study 2a, rats were injected ICV with saline, GLP-1 (3 nmol), or OXM (0.3, 1, 3, or 10 nmol; n = 8/group). In study 2b, rats were injected iPVN with saline, GLP-1 (1.0 nmol), or OXM (0.1, 0.3, or 1.0 nmol; n = 12–15/group). To assess whether OXM acts via the GLP-1 receptor, a study using the GLP-1 receptor antagonist exendin-(9–39) was performed. We have shown that the ratio of exendin-(9–39) to GLP-1 required to antagonize the GLP-1R is approximately 10:1 (8).

To assess whether OXM acts via the GLP-1R: study using GLP-1R antagonist, exendin-(9–39). In study 3a, rats were injected ICV with saline, GLP-1 (3 nmol), GLP-1 (3 nmol) plus exendin-(9–39) (30 nmol), OXM (3 nmol), OXM (3 nmol) plus exendin-(9–39) (30 nmol), or exendin-(9–39) alone (30 nmol). In study 3b, rats were iPVN injected with saline, GLP-1 (1 nmol), GLP-1 (1 nmol) plus exendin-(9–39) (10 nmol), OXM (1 nmol), OXM (1 nmol) plus exendin-(9–39) (10 nmol), or exendin-(9–39) alone (10 nmol; n = 10–12/group).

Nighttime feeding and behavioral analysis. It is possible that OXM inhibits food intake via nonspecific taste aversion, and that it is not a true satiety factor. Therefore, ICV cannulated rats were administered GLP-1 (3 nmol), OXM (3 nmol), or saline (n = 6/group) at the onset of the dark phase. Food intake was measured 1 h postinjection, and behavior was assessed. Rats were observed for 1 h postinjection using a behavioral score sheet as described previously (37). A summary of behaviors is shown in Table 1Go.


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Table 1. Descriptions of behaviors observed

 
Receptor binding assays
Receptor binding assays were carried out as previously described (38). Briefly, the binding assays were performed in a final volume of 0.5 ml rat hypothalamic membranes (200 µg protein), 500 Bq (100 pM) [125I]GLP-1, and unlabeled competing peptides (GLP-1 and OXM) as specified. Membranes were incubated at room temperature for 90 min. Bound and free radioactivity were separated by centrifugation (2 min, 4 C). Pelleted membranes were washed with assay buffer (0.5 ml, ice-cold), and the membranes were centrifuged as described above. The supernatant was removed, and the radioactivity in the pellet was counted using a {gamma}-counter. Specific (saturable) binding was calculated as the difference between the amount of [125I]GLP-1 bound in the absence (total binding) and presence of 1 µM GLP-1 or OXM (nonsaturable binding). All curves were performed with points in triplicate. IC50 values were calculated using the Prism 3 program (GraphPad Software, Inc., San Diego, CA).

Statistics
For food intake analyses, data are presented as the mean ± SEM. Statistical differences between experimental groups were determined by ANOVA, followed by a post-hoc least significant difference test (Systat 8.0, Evanston, IL). For behavioral analyses, data are expressed as the median number of occurrences of each behavior and the range. Comparisons between groups were made using the Mann-Whitney U test (Systat 8.0). In all cases, P < 0.05 was considered statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Comparison of the effects of proglucagon-derived products and related peptides on food intake
The following products of proglucagon cleavage were investigated: OXM, glucagon, glicentin, SP-1, exendin-4, and GLP-1 (positive control).

ICV administration. OXM and GLP-1 (3 nmol) significantly reduced refeeding. This inhibition of food intake lasted until 4 h postinjection (Fig. 1AGo). Glucagon and glicentin (3 nmol) failed to affect food intake at any time point (Fig. 1AGo and Table 2AGo).



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Figure 1. Comparison of the effects of ICV and iPVN proglucagonderived and related products on food intake in fasted rats. A, Cumulative food intake (grams) up to 8 h after ICV injection of GLP-1, OXM, glucagon, or glicentin (all 3 nmol) into fasted animals. *, P < 0.05 vs. saline control, B, Cumulative food intake (grams) up to 24 h after an acute iPVN injection of GLP-1, OXM (both 1 nmol), or exendin-4 (0.03 nmol) into fasted animals. *, P < 0.01 vs. saline control for all groups at 1, 2, and 4 h. *, P < 0.05 vs. saline control for exendin-4 only at 8 h.

 

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Table 2. Comparison of the effect of ICV-injected (A) and iPVN-injected (B) proglucagon-derived and related products on food intake in fasted rats

 
iPVN administration. OXM and GLP-1 (1 nmol) also inhibited refeeding when injected iPVN. This inhibition lasted until 8 h postinjection, longer than when injected ICV (Fig. 1BGo and Table 2BGo). It is known that exendin-4 potently inhibits refeeding when injected ICV (32). However, it was found that exendin-4 also inhibits refeeding when administered iPVN, at all time points until 24 h postinjection. Glicentin, glucagon (1 nmol), and SP-1 (3 nmol) failed to affect food intake at any time point when injected iPVN.

Effects of increasing doses of OXM on food intake
ICV administration. When injected ICV, OXM reduced refeeding in a dose-dependent manner, reaching a maximal effect at a dose of 3 nmol 1, 2, and 4 h postinjection (Fig. 2AGo and Table 3AGo).



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Figure 2. Effects of ICV and iPVN OXM on food intake in fasted rats. A, Cumulative food intake (grams) up to 8 h after an acute ICV injection of OXM (0.3, 1, 3, or 10 nmol). B, Cumulative food intake (grams) up to 8 h after an acute iPVN injection of OXM (0.1, 0.3, or 1.0 nmol) into fasted animals. *, P < 0.05 vs. saline control.

 

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Table 3. Effect of increasing doses of ICV-injected (A) and iPVN-injected (B) OXM on food intake in fasted rats compared with saline and GLP-1

 
iPVN administration. Peptides, such as NPY, have been shown to affect food intake when injected iPVN at lower doses than those required when injected ICV (39). Therefore, the doses of OXM chosen for iPVN injection were approximately 1/10th of the dose used ICV. Food intake was significantly reduced by iPVN-injected GLP-1 and OXM (both 1 nmol) until 8 h postinjection (Fig. 2BGo and Table 3BGo).

Effect of OXM in ICV-cannulated nonfasted rats at the onset of the dark phase. The dark phase is the rats’ natural feeding time. Therefore, assessing the effect of a putative satiety factor in nonfasted animals at this time would represent a more physiological effect.

Effect of OXM on food intake. When injected in the early dark phase, both GLP-1 and OXM (3 nmol) significantly reduced food intake compared with that of saline-treated animals 1 h postinjection [OXM (3 nmol), 1.0 ± 0.2 g; GLP-1 (3 nmol), 1.1 ± 0.1 g; saline, 2.3 ± 0.2 g; P < 0.05; Fig. 3AGo].



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Figure 3. Effect of ICV OXM at the onset of the dark phase. Sated rats received an ICV injection of OXM, GLP-1 (3 nmol), or saline at the onset of the dark phase. Food intake (grams; A) and behaviors (B) at 1 h postinjection were determined. *, P < 0.05 vs. saline control.

 
Observation of behavior after ICV injection of OXM. ICV administration of OXM (3 nmol) in the early dark phase led to a significant decrease in feeding episodes [OXM, 4.5 (range, 4–5); saline, 12 (range, 12–12); P < 0.05] and an increase in rearing behavior [OXM, 9.5 (range, 8–10); saline, 13 (range, 12–14); P = 0.06; Fig. 3BGo]. There was no change in grooming, still, head down, burrowing, or locomotion episodes.

To assess whether OXM acts via the GLP-1R, a study using the GLP-1R antagonist, exendin-(9–39) was performed
ICV administration. ICV coadministration of the GLP-1 receptor antagonist exendin-(9–39) with GLP-1 at a ratio of 10:1 (antagonist/agonist) blocked the anorectic effects of GLP-1 [1 h: GLP-1 (3 nmol), 1.3 ± 0.3 g (P < 0.005); GLP-1 (3 nmol) plus exendin-(9–39) (30 nmol), 4.2 ± 1.0 g (P = NS); saline, 6.2 ± 0.4 g; Fig. 4AGo]. Furthermore, coadministration of exendin-(9–39) with OXM resulted in attenuation of the anorectic effect of OXM [1 h: OXM (3 nmol), 1.6 ± 0.7 g (P < 0.005); OXM (3 nmol) plus exendin-(9–39) (30 nmol), 5.3 ± 0.4 g (P = NS); saline, 5.0 ± 0.4 g; Fig. 4AGo].



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Figure 4. Inhibition of OXM and GLP-1 effects on food intake by exendin-(9–39). A, Food intake 1 h after an acute ICV injection of GLP-1 (3 nmol), GLP-1 plus exendin-(9–39) (30 nmol), OXM (3 nmol), OXM and exendin-(9–39) (30 nmol), or exendin-(9–39) alone (30 nmol). B, Food intake after an acute iPVN injection of GLP-1 (1 nmol), GLP-1 and exendin-(9–39) (10 nmol), OXM (1 nmol), OXM and exendin-(9–39) (10 nmol), or exendin-(9–39) alone (10 nmol) into fasted animals. **, P < 0.005 vs. saline control.

 
iPVN administration. Similarly, when injected iPVN, the anorectic effects of both GLP-1 and OXM were blocked when coinjected with exendin-(9–39) [1 h: OXM (1 nmol), 3.3 ± 0.4 g (P < 0.005); OXM (1 nmol) plus exendin-(9–39) (10 nmol), 4.8 ± 0.4 g (P = NS); saline, 5.4 ± 0.3 g; Fig. 4BGo].

Receptor binding assays
The affinity (IC50) of GLP-1 for the GLP-1 receptor in rat hypothalamic membrane preparations was 0.16 nM (Fig. 5Go), which was similar to values previously reported (40, 41). The affinity of OXM for the GLP-1 receptor in the same membrane preparations was 8.2 nM (Fig. 5Go), which is approximately 2 orders of magnitude weaker than that of GLP-1.



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Figure 5. Competition of [125I]GLP-1 binding in rat hypothalamic membranes by GLP-1 and OXM.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
It is known that proglucagon-derived GLP-1 is a potent inhibitor of food intake when injected ICV (8) as well as into the PVN of the hypothalamus of the rat (13), an area known to have a dense population of GLP-1R. In addition, GLP-2 has been shown to inhibit food intake (14). OXM is another product of the proglucagon gene, and OXM-like immunoreactivity has been identified in the intestine and the CNS, most notably in the hypothalamus (42). We found that OXM also causes a potent decrease in fasting-induced refeeding when injected both ICV and iPVN. The effect was sustained until 8 h (iPVN) or 4 h (ICV) postinjection. The effect of OXM is approximately of the same magnitude and time course as that of GLP-1 when administered ICV and iPVN at equimolar doses. In addition, we have shown that OXM inhibits food intake in nonfasted rats at the onset of the dark phase, and at that time they showed no signs of aversive behavior.

It has been suggested that there is an OXM-specific binding site in gastric mucosa (24). However, no such binding site has been identified in the CNS. Therefore, it was proposed that OXM mediated its effects via the hypothalamic GLP-1R, as GLP-1 and OXM have similar potency in feeding studies. We have shown that OXM has a nanomolar affinity for the GLP-1R (IC50 = 8.2 nM). This affinity is approximately 2 orders of magnitude weaker than that of GLP-1 (IC50 = 0.16 nM). Yet despite this reduced affinity for the GLP-1R, OXM reduces food intake to the same magnitude. One explanation for this is that OXM might act through both the GLP-1R and its own receptor in the hypothalamus. Thus, OXM could elicit a response comparable to that of GLP-1 despite its lower affinity for the GLP-1R.

Exendin-(9–39), a fragment of the GLP-1R agonist exendin-4, is reported to be a potent and selective antagonist at the GLP-1R (33, 34). When GLP-1 and exendin-(9–39) are coinjected, the anorectic actions of GLP-1 are blocked (8). We have shown that in addition to this, when OXM is coinjected with exendin-(9–39), the anorectic effects of OXM are also completely blocked. This would strengthen the argument that OXM is mediating its effects via the GLP-1R. However, the specificity of exendin-(9–39) for the GLP-1R has recently been questioned. Tang-Christensen et al. (14) reported that exendin-(9–39) blocked the anorectic effect of GLP-2. However, they thought it unlikely that the anorectic effects of GLP-2 were mediated via the GLP-1R. Rather, they suggested that GLP-2 exerts its actions through a specific GLP-2R (14, 43, 44). Therefore, exendin-(9–39) might bind to receptors other than the GLP-1R, perhaps a putative OXM-receptor.

Exendin-4 reduces food intake with greater potency than GLP-1 (32) or OXM. Here, we have shown that exendin-4 at a dose of only 30 pmol continued to inhibit feeding until 24 h postinjection when administered iPVN. The resistance of exendin-4 to dipeptidyl peptidase IV, the endopeptidase responsible for the short half-life of GLP-1 (45), could in part explain its longer action.

To further investigate the potential roles of other members of the proglucagon family, we investigated the effects of glicentin and glucagon after an acute ICV injection in fasted rats. No effect on fasting-induced food intake was seen after the administration of these peptides. In addition, there was no effect of these peptides when they were administered iPVN. When SP-1, the putative minimal active structure of OXM, was injected iPVN, no inhibition of food intake was observed.

We have shown for the first time that ICV- and iPVN-injected OXM inhibits food intake in fasted and nonfasted animals potently and in a sustained manner. Coadministration of OXM with exendin-(9–39) blocks the anorectic effect of OXM, implying that OXM might be mediating its actions via the GLP-1R. However, recent evidence questioning the specificity of exendin-(9–39) for the GLP-1R coupled with the finding that OXM has a reduced affinity for the GLP-1R suggest that OXM mediates its actions partly via the GLP-1R and partly via an OXM-specific receptor that remains to be identified.


    Acknowledgments
 
The authors express their thanks to the Hypothalamic Group for their invaluable contribution to the in vivo experiments.


    Footnotes
 
This work was supported by the Diabetes UK (to C.L.D.) and the Medical Research Council (to D.L.H.).

1 Current address: AstraZeneca, 12F24 Mereside, Alderley Park, Macclesfield, Cheshire, United Kingdom SK10 4TG. Back

Abbreviations: CNS, Central nervous system; GLP-1, glucagon-like peptide-1; GLP-1R, glucagon-like peptide-1 receptor; ICV, intracerebroventricularly; iPVN, into the hypothalamic paraventricular nucleus; OXM, oxyntomodulin; SP-1, spacer peptide-1.

Received March 6, 2001.

Accepted for publication June 18, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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