Key Regulator of Intestinal Growth Hormone Discovered

Discovery Leads to Designer Hormone which will Play a Critical
Role in Clinical Trials for Patients Suffering from Intestinal Diseases

June 23, 1997 ... Less than a year after discovering the function of a hormone necessary for stimulating the growth of the lining of the small intestines, researchers at The Toronto Hospital and Allelix Biopharmaceuticals have developed a synthetic version which is 3-5 times more powerful.

The analog of GLP-2, a naturally occurring peptide hormone, will set the strategy for clinical trials that will likely lead to the development of a drug therapy for thousands of people suffering from intestinal and/or bowel diseases.

GLP-2 acts to stimulate the rate of growth of the lining of the small intestine, increasing the absorption of nutrients. Several serious medical conditions can interfere with the function of the epithelium (lining of the intestines), including short bowel syndrome, Crohn's disease, ileitis and intestinal inflammation. Currently, there are no effective therapies available for enhancing the growth and repair of the small intestine epithelium.

"We have synthesized a new GLP-2 molecule which appears to be more effective than the natural occurring hormone in promoting growth effects in the intestinal lining," says Dr. Daniel Drucker of The Toronto Hospital and the University of Toronto Banting and Best Diabetes Centre. "Our work suggests that GLP-2 analogs could play a critical role to better treat intestinal diseases in humans."

The development of the GLP-2 analog was made possible following the discovery by Dr. Drucker and his research team that a key enzyme dipeptidyl peptidase IV (DDP IV) regulates the biological activity of GLP-2.

These findings are published today in Nature Biotechnology.

The intestinal growth factor, GLP-2, is found in all animals but its relative activity depends on the concentration of circulating intact GLP-2 protein. This observation led the scientific team to discover that DDP-IV is the enzyme that degrades and inactivates GLP-2.

The Allelix research team then went about designing a series of new, synthetic GLP-2 analogs and tested their resistance to DDP-IV-mediated inactivation. Several of the synthesized GLP-2 analogs were found to be resistant to degradation by the enzyme. In addition, Dr. Drucker's team also found these analogs to be a more powerful stimulator of intestinal growth than the naturally occurring hormone.

"This finding is very exciting," Dr. Drucker says. "By identifying the key regulator of GLP-2 activity, we've been able to produce an analog which is 3 to 5 times more active than nature's own."

"Allelix intends to start clinical trials next year using one of the GLP-2 analogs," Dr. Drucker says. "Based on our new results, a more powerful GLP-2 analog may be the drug of choice."

The Toronto Hospital is Canada's largest acute care facility with approximately 1200 beds. It has gained an international reputation for excellence in patient care, teaching and research in its four priority programs: cardiac sciences, neurosciences, transplantation and oncology.

For more information contact, Josey Panetta,
Senior Media Relations Officer,
The Toronto Hospital, 416-340-3303

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