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SCREENING OF ANTI-
  OBESITY DRUGS



                Feb 2011
Objectives
 To understand the need for new

 anti obesity drugs

 To understand the

 pathophysiology

 To understand how to manipulate

 in vivo models

 To know basic in vitro tests
Overview
 Introduction

 Pathophysiology

 Problems in animal models

 Parameters assessed

 In vitro methods

 In vivo methods
Obesity
 Energy intake> Energy expenditure

 BMI>30 kg/m2

 Multifactorial

 Orexigenic peptide- NPY, AgRP, Orexin A &B,

 galanin,    endorphin, NE, GH-RH

 Anorectic peptide- Corticotrophin-RH, MSH,

 CCK, GLP1,CGRP, bombesin
Need for anti obesity
drugs?
 One billion adults are

 overweight

 >300 million are obese

 Prevalent in low income

 countries.

 Obesity are linked to more

 deaths worldwide than
 underweight.
Need for anti obesity drugs?
                            Cont’d…
 In late 2009, $1.1 billion

 market anti-obesity drugs
 could nearly triple to reach
 $3.1 billion by 2016



 No new anti-obesity drug

 FDA approved since 1999
Animal models
Why mouse models ?
 Represenative for human disease

 Genome sequenced

 Acceptable reproduction time

 Large numbers can be handled

 Identification of disease genes

  easier than in humans
Lack of Ideal model
 Obesity – a complex disorder
 Exact pathology - unknown
 Humans tend to enjoy eating
 and are not forced to eat high fat
 diet
 Humans do not have induced
 gene mutations
 No single animal model can
 display interplay of behaviour,
 environment and genetic factors.
Animal models-
Parameters
 Food intake- intake and spillage

 Body weight

 Adipose tissue cell size and number- osmium

 fixation method

 Body composition

 Locomotor /physical activity

 Plasma lipids, insulin and glucose levels
Animal
                      models



            In vivo                 In vitro


  Diet                  Virus
         Hypothala
induce                 induce   Genetic
           mic
   d                      d

                           Monoge       Polyge
                             nic         nic
1. Diet Induced Obesity
  Rationale: calorie foods
  Animal: Adult female rat
   230g
  Procedure: Animals
   given cafeteria diet.
  Body wt, food intake,
   locomotor activity and
   serum insulin measured.
  After 3months, rats
   sacrificed and adipose
   tissue cell size, body
   composition and lipid
   content is determined
2. Hypothalamic Obesity
 Rationale: Hypothalamus regulates food intake.
 Venteromedial hypothalamic lesions   food intake-
 obesity in 3-4 months.
           Surgical
                         Chemical
a).Surgically induced
hypothalamic
   obesity
 Animal: female Sprague Dawley
  rats 190g
 Procedure: high fat diet for 5-9
  days. The cuts are made 1mm
  lateral to the midline, extended
  from 8.5-5.5mm anterior to ear
  bars and from 3mm dorsally
  from the base of the brain.
b). Chemically induced
hypothalamic obesity
 Animals: Mice/Rat (2-40 d old)




                                          parameters
                                          Observation of
                                          x 3months
 Procedure:
Daily inj Monosodium-L-glutamate 2g/Kg ,
 S/C x 5d
             OR
Single Inj of Gold thioglucose 30-40mg/Kg ,
 I/P
             OR
Single Inj Bipiperidyl mustard 5-50mg/Kg,
 I/P
             OR
3. Virus induced obesity
 Rationale: Some specific viruses target
  hypothalamus leading to virus induced
  disruption of critical brain CA pathways, leading
  to obesity
 Animals: Mice
 Procedure: Mice infected with canine
  distemper virus, develops obesity in 8-10
  weeks.
 Other viruses: Rous-associated virus-7
                    Avian adenovirus SMAM-I
                    Ad-36
4. Genetic models of obesity



   Monogenic    Polygenic
Yellow obese mouse (Aya)
 Rationale: Obesity inherited through
 dominant gene, on Chromosome 2 at linkage
 group 5, agouti locus.
Obese                      Diabetes
mouse                      mouse
 Autosomal recessive       Autosomal recessive

 mutation on                mutation on
 chromosome 6               chromosome 4
 Inbred stock of
                            Inbred stock of
 C57BL/6J strain
                            C57BL/KsJ strain
 Obesity,
                            Obesity,
 hyperglycaemia, insulin
                            hyperglycaemia,
 resistance
Fat mouse                   Tubby mouse
 Late onset obesity         Late onset
 Autosomal recessive  Autosomal recessive
 ‘Fat mutation’             Tub mutation
 Chromosome 8               C57BL/6J inbred strain
  coding for CPE             Additional:
 CPE involved in            sensorineural
  insulin metabolism         deafness,retinal
 Additional: infertility    degradation
Fatty rat               Obese SHR rat
 Zucker fatty rat       Mating SHR female
 Most widely used        rat (kyoto wistar)with
 Autosomal recessive     normotensive
 Fa/fa homozygous
                          Sprague Dawley rat
                         Inbred strains after
 Obese by 3-5 weeks
 age                      several generation
                         Substrain
                          JCR: LA Corpulent
                          rat
                        Vascular
                          complications
WDF/TA-FA rat
 Wistar fatty rat

 Tranfer of fatty gene (fa) from Zucker rat to

 Wistar Kyoto rat
Polygenic Models
Japanese KK mouse      NZO mouse
 Most suitable         New Zealand obese
 Large body size        mouse
  mice inbred           6month age- renal
 Yellow obesity(AY)     disease, autoimmune
  transferred to KK      disorder
  mice
 KK-Ay mice
 Delayed onset
  obesity
Other polygenic models
 OLETF rat

 Otsuka-Long evans-Tokushima-Fatty rat

 nephropathy model

 BSB model

 AKR/J x SWR/J model
Transgenic models
Rationale: genes regulating energy homeostasis
  are manipulated
Procedure – gene for diphtheria toxin A chain is
  used to link to the gene chosen to be knocked out
 KO 3 gene – in white and brown adipose tissue
 KO Uncoupling protein in brown fat
  (thermogenesis)
 KO mice lacking Steriodogenic factor I (SF-I)
 Overexpression of corticotropin releasing factor
  gene, GLUT-4 gene, human agouti-related protein
  complementary DNA
 Genes for leptin, leptin receptor, growth hormone,
In vitro assays
1. To study metabolic activity in brown adipose
   tissue
   Assay for uncoupling protein and GLUT4
    Procedure: OLETF rat, 10 weeks age are given
   test drug OD S/C . Rats sacrificed at 14 weeks
   age. Brown and white fat removed. UCP and
   GLUT4 determined with western blot analysis.
2. To study 3 agonist activity
     they induce wt. loss by increased
   thermogenesis,
     suppression of leptin gene expression
   c-AMP response element-luciferase receptor gene assay for
      agonist.
In vitro assays
Contd’…..
3. Assay for Neuropeptide Y
   It stimulates appetite. Six receptors Y 1-6
   Y5,Y1 antagonist- new drug targets

4. Role of leptin
   Ob gene product. Receptor: lepr or OB-R
   a)Assay for leptin mRNA level in adipose tissue
   - Northern blot analysis
   b) RIA for measurement of plasma leptin
Isolated adipocyte cell lines
For leptin and leptin mRNA:
1. Rat Preadipocytes- epididymal fat pad

2. Rat primary cultured mature adipocytes

3. 3T3-L1 adipocytes- mouse fibroblasts
Practical Implications
 Dietary models- represent
 behaviour and environmental
 factors
 Genetic models- for
 understanding genetics of
 human obesity
 Polygenic models- human
 obesity is also polygenic
References
 Drug screening methods - S K Gupta

 Drug Discovery and Evaluation - Vogel

 Pharmacology- Rang and Dale

 Biology of Obesity: Lessons from Animal

 Models of Obesity. Journal of Biomedicine
 and Biotechnology doi:10.1155/2011/197636
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Screening of anti obesity drugs

  • 1. SCREENING OF ANTI- OBESITY DRUGS Feb 2011
  • 2. Objectives  To understand the need for new anti obesity drugs  To understand the pathophysiology  To understand how to manipulate in vivo models  To know basic in vitro tests
  • 3. Overview  Introduction  Pathophysiology  Problems in animal models  Parameters assessed  In vitro methods  In vivo methods
  • 4. Obesity  Energy intake> Energy expenditure  BMI>30 kg/m2  Multifactorial  Orexigenic peptide- NPY, AgRP, Orexin A &B, galanin, endorphin, NE, GH-RH  Anorectic peptide- Corticotrophin-RH, MSH, CCK, GLP1,CGRP, bombesin
  • 5.
  • 6. Need for anti obesity drugs?  One billion adults are overweight  >300 million are obese  Prevalent in low income countries.  Obesity are linked to more deaths worldwide than underweight.
  • 7. Need for anti obesity drugs? Cont’d…  In late 2009, $1.1 billion market anti-obesity drugs could nearly triple to reach $3.1 billion by 2016  No new anti-obesity drug FDA approved since 1999
  • 9. Why mouse models ?  Represenative for human disease  Genome sequenced  Acceptable reproduction time  Large numbers can be handled  Identification of disease genes easier than in humans
  • 10. Lack of Ideal model  Obesity – a complex disorder  Exact pathology - unknown  Humans tend to enjoy eating and are not forced to eat high fat diet  Humans do not have induced gene mutations  No single animal model can display interplay of behaviour, environment and genetic factors.
  • 11. Animal models- Parameters  Food intake- intake and spillage  Body weight  Adipose tissue cell size and number- osmium fixation method  Body composition  Locomotor /physical activity  Plasma lipids, insulin and glucose levels
  • 12. Animal models In vivo In vitro Diet Virus Hypothala induce induce Genetic mic d d Monoge Polyge nic nic
  • 13. 1. Diet Induced Obesity  Rationale: calorie foods  Animal: Adult female rat 230g  Procedure: Animals given cafeteria diet.  Body wt, food intake, locomotor activity and serum insulin measured.  After 3months, rats sacrificed and adipose tissue cell size, body composition and lipid content is determined
  • 14. 2. Hypothalamic Obesity  Rationale: Hypothalamus regulates food intake. Venteromedial hypothalamic lesions food intake- obesity in 3-4 months. Surgical Chemical
  • 15. a).Surgically induced hypothalamic obesity  Animal: female Sprague Dawley rats 190g  Procedure: high fat diet for 5-9 days. The cuts are made 1mm lateral to the midline, extended from 8.5-5.5mm anterior to ear bars and from 3mm dorsally from the base of the brain.
  • 16. b). Chemically induced hypothalamic obesity  Animals: Mice/Rat (2-40 d old) parameters Observation of x 3months  Procedure: Daily inj Monosodium-L-glutamate 2g/Kg , S/C x 5d OR Single Inj of Gold thioglucose 30-40mg/Kg , I/P OR Single Inj Bipiperidyl mustard 5-50mg/Kg, I/P OR
  • 17. 3. Virus induced obesity  Rationale: Some specific viruses target hypothalamus leading to virus induced disruption of critical brain CA pathways, leading to obesity  Animals: Mice  Procedure: Mice infected with canine distemper virus, develops obesity in 8-10 weeks.  Other viruses: Rous-associated virus-7 Avian adenovirus SMAM-I Ad-36
  • 18. 4. Genetic models of obesity Monogenic Polygenic
  • 19. Yellow obese mouse (Aya)  Rationale: Obesity inherited through dominant gene, on Chromosome 2 at linkage group 5, agouti locus.
  • 20. Obese Diabetes mouse mouse  Autosomal recessive  Autosomal recessive mutation on mutation on chromosome 6 chromosome 4  Inbred stock of  Inbred stock of C57BL/6J strain C57BL/KsJ strain  Obesity,  Obesity, hyperglycaemia, insulin hyperglycaemia, resistance
  • 21. Fat mouse Tubby mouse  Late onset obesity  Late onset  Autosomal recessive  Autosomal recessive  ‘Fat mutation’  Tub mutation  Chromosome 8  C57BL/6J inbred strain coding for CPE  Additional:  CPE involved in sensorineural insulin metabolism deafness,retinal  Additional: infertility degradation
  • 22. Fatty rat Obese SHR rat  Zucker fatty rat  Mating SHR female  Most widely used rat (kyoto wistar)with  Autosomal recessive normotensive  Fa/fa homozygous Sprague Dawley rat  Inbred strains after  Obese by 3-5 weeks age several generation  Substrain JCR: LA Corpulent rat Vascular complications
  • 23. WDF/TA-FA rat  Wistar fatty rat  Tranfer of fatty gene (fa) from Zucker rat to Wistar Kyoto rat
  • 24. Polygenic Models Japanese KK mouse NZO mouse  Most suitable  New Zealand obese  Large body size mouse mice inbred  6month age- renal  Yellow obesity(AY) disease, autoimmune transferred to KK disorder mice  KK-Ay mice  Delayed onset obesity
  • 25. Other polygenic models  OLETF rat Otsuka-Long evans-Tokushima-Fatty rat nephropathy model  BSB model  AKR/J x SWR/J model
  • 26. Transgenic models Rationale: genes regulating energy homeostasis are manipulated Procedure – gene for diphtheria toxin A chain is used to link to the gene chosen to be knocked out  KO 3 gene – in white and brown adipose tissue  KO Uncoupling protein in brown fat (thermogenesis)  KO mice lacking Steriodogenic factor I (SF-I)  Overexpression of corticotropin releasing factor gene, GLUT-4 gene, human agouti-related protein complementary DNA  Genes for leptin, leptin receptor, growth hormone,
  • 27. In vitro assays 1. To study metabolic activity in brown adipose tissue Assay for uncoupling protein and GLUT4 Procedure: OLETF rat, 10 weeks age are given test drug OD S/C . Rats sacrificed at 14 weeks age. Brown and white fat removed. UCP and GLUT4 determined with western blot analysis. 2. To study 3 agonist activity they induce wt. loss by increased thermogenesis, suppression of leptin gene expression c-AMP response element-luciferase receptor gene assay for agonist.
  • 28. In vitro assays Contd’….. 3. Assay for Neuropeptide Y It stimulates appetite. Six receptors Y 1-6 Y5,Y1 antagonist- new drug targets 4. Role of leptin Ob gene product. Receptor: lepr or OB-R a)Assay for leptin mRNA level in adipose tissue - Northern blot analysis b) RIA for measurement of plasma leptin
  • 29. Isolated adipocyte cell lines For leptin and leptin mRNA: 1. Rat Preadipocytes- epididymal fat pad 2. Rat primary cultured mature adipocytes 3. 3T3-L1 adipocytes- mouse fibroblasts
  • 30. Practical Implications  Dietary models- represent behaviour and environmental factors  Genetic models- for understanding genetics of human obesity  Polygenic models- human obesity is also polygenic
  • 31. References  Drug screening methods - S K Gupta  Drug Discovery and Evaluation - Vogel  Pharmacology- Rang and Dale  Biology of Obesity: Lessons from Animal Models of Obesity. Journal of Biomedicine and Biotechnology doi:10.1155/2011/197636

Editor's Notes

  1. Leptin- leptos means thin.Leptin produced from adipocytes, released in pulsatile manner, inversely related to cortisol level. Leptin acts on hypothalamic nuclei, at specific leptin receptors2gps of nuclei in arcuate nucleus. AGRP agouti related peptide. POMC preproopiomelanocortin
  2. Epidemic of obesity-globesityOverwt grading I BMI 25-30 , II 30-40, III >40
  3. Body composition is estimated: carcasses oven dried at 95*C for 6-9 days till constant wt is reached. Lipid content is measured in gonadal and retroperitoneal fat pads. For this, adipose tissue is homogenised with 2:1 chloroform-methanol mixture and washed with water. The resulting mixture separates into two phases, lower one has pure lipid extract.