Aim: Metabolites can be very sensitive markers for the evaluation of drug efficiency and
safety. We analyzed changes in the metabolome of adolescent pre-diabetic pigs expressing
a dominant negative glucose-dependent insulinotropic polypeptide receptor (GIPRdn) after treatment with the GLP-1 receptor agonist liraglutide using a targeted metabolomics
approach.
Methods: 2-month-old GIPRdn transgenic pigs were treated with 0.6 mg – 1.8 mg liraglutide or placebo once daily
for 90 days. Plasma samples from mixed meal oral glucose tolerance tests performed
after 90 days of treatment (4 measurements) were chosen for metabolite quantification.
Quantification was based on ESI-LC-MS/MS measurements using the AbsoluteIDQ
TM p180 kit (BIOCRATES) including free carnitine, acylcarnitines, amino acids, biogenic
amines, sum of hexoses, glycerophospholipids and sphingolipids. Data were statistically
evaluated by analysis of variance.
Results: Liraglutide-treated pigs revealed distinctly reduced body weight (-31%) and food intake
(mean reduction of 30%), improved glucose tolerance (mixed meal oral glucose tolerance
test at the end of the treatment period) and insulin sensitivity (reduced HOMA-IR)
while no increasing effect on beta cell mass could be detected compared to placebo
treatment.
Out of 186 metabolites quantified 27 revealed a significant group effect (liraglutide
vs. placebo, p ≤0.0001). Affected metabolites were distributed over all groups: acylcarnitines
(6), amino acids (1), glycerophospholipids (18) and sphingolipids (2). Additionally,
plasma concentration of 8 metabolites changed significantly during the course of the
glucose tolerance test.
Conclusion: Our study revealed characteristic changes of plasma metabolite concentrations in liraglutide-treated pigs, contributing to a more comprehensive understanding of metabolic effects
of this drug.