EBioMedicine (Jul 2015)

Sustained Brown Fat Stimulation and Insulin Sensitization by a Humanized Bispecific Antibody Agonist for Fibroblast Growth Factor Receptor 1/βKlotho Complex

  • Ganesh Kolumam,
  • Mark Z. Chen,
  • Raymond Tong,
  • Jose Zavala-Solorio,
  • Lance Kates,
  • Nicholas van Bruggen,
  • Jed Ross,
  • Shelby K. Wyatt,
  • Vineela D. Gandham,
  • Richard A.D. Carano,
  • Diana Ronai Dunshee,
  • Ai-Luen Wu,
  • Benjamin Haley,
  • Keith Anderson,
  • Søren Warming,
  • Xin Y. Rairdan,
  • Nicholas Lewin-Koh,
  • Yingnan Zhang,
  • Johnny Gutierrez,
  • Amos Baruch,
  • Thomas R. Gelzleichter,
  • Dale Stevens,
  • Sharmila Rajan,
  • Travis W. Bainbridge,
  • Jean-Michel Vernes,
  • Y. Gloria Meng,
  • James Ziai,
  • Robert H. Soriano,
  • Matthew J. Brauer,
  • Yongmei Chen,
  • Scott Stawicki,
  • Hok Seon Kim,
  • Laëtitia Comps-Agrar,
  • Elizabeth Luis,
  • Christoph Spiess,
  • Yan Wu,
  • James A. Ernst,
  • Owen P. McGuinness,
  • Andrew S. Peterson,
  • Junichiro Sonoda

DOI
https://doi.org/10.1016/j.ebiom.2015.05.028
Journal volume & issue
Vol. 2, no. 7
pp. 730 – 743

Abstract

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Dissipating excess calories as heat through therapeutic stimulation of brown adipose tissues (BAT) has been proposed as a potential treatment for obesity-linked disorders. Here, we describe the generation of a humanized effector-less bispecific antibody that activates fibroblast growth factor receptor (FGFR) 1/βKlotho complex, a common receptor for FGF21 and FGF19. Using this molecule, we show that antibody-mediated activation of FGFR1/βKlotho complex in mice induces sustained energy expenditure in BAT, browning of white adipose tissue, weight loss, and improvements in obesity-associated metabolic derangements including insulin resistance, hyperglycemia, dyslipidemia and hepatosteatosis. In mice and cynomolgus monkeys, FGFR1/βKlotho activation increased serum high-molecular-weight adiponectin, which appears to contribute over time by enhancing the amplitude of the metabolic benefits. At the same time, insulin sensitization by FGFR1/βKlotho activation occurs even before the onset of weight loss in a manner that is independent of adiponectin. Together, selective activation of FGFR1/βKlotho complex with a long acting therapeutic antibody represents an attractive approach for the treatment of type 2 diabetes and other obesity-linked disorders through enhanced energy expenditure, insulin sensitization and induction of high-molecular-weight adiponectin.

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