JP2011219488A - 選択可能な特性を有するハイブリッドポリペプチド - Google Patents
選択可能な特性を有するハイブリッドポリペプチド Download PDFInfo
- Publication number
- JP2011219488A JP2011219488A JP2011137394A JP2011137394A JP2011219488A JP 2011219488 A JP2011219488 A JP 2011219488A JP 2011137394 A JP2011137394 A JP 2011137394A JP 2011137394 A JP2011137394 A JP 2011137394A JP 2011219488 A JP2011219488 A JP 2011219488A
- Authority
- JP
- Japan
- Prior art keywords
- peptide hormone
- hybrid polypeptide
- peptide
- exendin
- amylin
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
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Abstract
【解決手段】
少なくとも1つのさらなる生理活性ペプチドホルモンモジュールに共有結合した第1の生理活性ペプチドホルモンモジュールを含むハイブリッドポリペプチドであって、該生理活性ペプチドホルモンモジュールは構成ペプチドホルモンなどから選択され、該構成ペプチドホルモンはアミリンなどから選択され、該生理活性ペプチドホルモンモジュールのうちの少なくとも1つは、構成ペプチドホルモンの少なくとも1つのホルモン活性を呈する。
【選択図】なし
Description
本出願は、その全文において、本明細書中に引用によって援用される2004年2月11日に出願された米国仮特許出願60/543,407に対して優先権を主張する。
本発明は、ペプチド化学、特に、選択可能な特性を有するハイブリッドポリペプチドに関する。
インスリン値および血糖値の制御は、多くの代謝性疾患および障害の中核を成す。インスリン分泌は、部分的に、腸内分泌細胞によって生成されるインクレチンと呼ばれる分泌促進ホルモンによって変調される。インクレチンホルモン、グルカゴン-様ペプチド-1 (「GLP-1」)は、多くの研究において、インスリン分泌に対して促進作用を生成すると分かっている腸細胞によって分泌されるペプチドホルモンである。GLP-1は、腸内でプログルカゴンから処理され、栄養素によって誘導されたインスリン放出を促進する(Krcymann B., et al., Lancet, 2:1300-1303 (1987))。GLP-1の種々の切断型は、インスリン分泌 (インスリン分泌促進作用)およびcAMP形成を刺激することが分かっている [例えば、Mojsov, S., Int. J. Pep. Pro. Res., 40:333-343 (1992)参照]。種々のインビトロ実験およびGLP-1、GLP-1(7-36)アミド、およびGLP-1(7-37)酸の外生投与に対する哺乳類、特にヒトインスリン分泌促進応答の間の関係が確立されている(例えば、Nauck, M. A., et al., Diabetologia, 36:741-744 (1993); Gutniak, M., et al., New Eng. J. of Med., 326(20):1316-1322 (1992); Nauck, M. A., et al., J. Clin. Invest., 91:301-307 (1993); and Thorens, B., et al., Diabetes, 42:1219-1225 (1993)参照)。
本発明は、一般的には、血糖値、インスリンレベル、および/またはインスリン分泌を調節することによって緩和できる、糖尿病および糖尿病関連状態のような代謝性疾患および障害の治療および予防のための剤として有用な新規、選択可能なハイブリッドポリペプチドに関する。そのような状態および障害は、高血圧、異常脂質血症、心疾患、摂食障害、インスリン耐性、肥満、および1型、2型、および妊娠性糖尿病を含むいずれかの種の糖尿病を含むが、これらに限定されるものではない。
本発明は、一般的には、糖尿病および糖尿病関連状態のような、血糖値、インスリンレベルおよび/またはインスリン分泌を制御することによって軽減することができる代謝性疾患および障害の治療および予防のための剤として有用な、新規の、選択可能なハイブリッドポリペプチドに関する。そのような状態および障害は、高血圧、異常脂質血症、心疾患、摂食障害、インスリン耐性、肥満、および1型、2型、および妊娠性糖尿病を含むいずれかの種類の糖尿病を含むが、これらに限定されるものではない。
上記で言及したように、本発明は、ある程度、本明細書中に記載の構成ペプチドホルモンから選択可能な少なくとも2つの生理活性ペプチドホルモンモジュールを含むハイブリッドポリペプチドに関する。本発明のハイブリッドポリペプチドは、一般的には、代謝状態および障害の治療および予防において有用であろう。本発明のハイブリッドポリペプチドは、構成ペプチドホルモンの少なくとも1つのホルモン活性を呈するであろうし、好ましくは、第2の構成ペプチドホルモンの少なくとも1つのさらなる生理活性を含んでもよい。
構成ペプチドホルモンは、一般的には: (a)アミリン、アドレノメデュリン (「ADM」)、カルシトニン (「CT」)、カルシトニン遺伝子関連ペプチド (「CGRP」)、インテルメジン (「AFP-6」としても知られる)および関連ペプチドを含むアミリンファミリー; (b) コレシストキニン (「CCK」); (c) レプチンおよびレプチン様ペプチドを含むレプチンファミリー; (d) 膵臓ポリペプチド (「PP」)およびペプチド YY (「PYY」)を含む膵臓ポリペプチドファミリー; および(e) グルカゴン、グルカゴン様ペプチド-1 (「GLP-1」)、グルカゴン様ペプチド 2 (「GLP-2」)、およびオキシントモジュリン(「OXM」)のようなプログルカゴン遺伝子から由来するペプチドホルモン;およびエキセンディン-3、およびエキセンディン-4のようなエキセンディンを含むインクレチンおよびインクレチンミメティクスを含む代謝性疾患および障害の治療または予防に有用なペプチドホルモンを含む。上記で論議したように、本発明の構成ペプチドホルモンは、また、これらの天然ペプチドホルモンのホルモン活性を保持するアナログおよび誘導体を含む。1つの具体例において、そのようなアナログおよび誘導体は、標的ホルモン受容体のアゴニストである。
上記で論議のように。本発明において有用な構成ペプチドホルモンは、アミリン、アドレノメデュリン (「ADM」)、カルシトニン (「CT」)、カルシトニン遺伝子関連ペプチド (「CGRP」)、(「AFP-6」としても知られる)インテルメジンおよび関連ペプチドを含むアミリンファミリーペプチドホルモンを含む。天然アミリンファミリーペプチドホルモンは、機能的ペプチドアナログおよび誘導体のように、当該分野で知られる。特定の好ましい天然ペプチド、ペプチドアナログおよび誘導体は本明細書中に記載されるが、当該分野で知られるホルモン活性を呈するいずれの既知のアミリンファミリーペプチドも、本発明と併せて使用されてもよいことが認識されるべきである。
hCCKおよび種の異形、およびその種々のアナログを含むCCKは、当該分野で知られている。一般的には、CCKは、ヒトにおいて最初に同定された33-アミノ酸配列を有し、ブタ、ラット、トリ、チンチラ、イヌおよびヒトにおいて示されていると報告されている8-アミノ酸インビボC-末端断片 (「CCK-8」)を含む。他の種の異形は、ブタ、イヌおよびモルモットにおいて見受けられる39-アミノ酸配列、ネコ、イヌおよびヒトにおいて見受けられる58-アミノ酸、およびCCKおよびガストリンの両方に対して相同的な47-アミノ酸配列を含む。C-末端硫酸化オクタペプチド配列(CCK-8)は、種にわたり、比較的保存され、齧歯類の周辺における生物活性に対する最小配列であり得る。従って、用語CCK-33は、ヒトCCK(1-33)を指すであろうが、CCK-8 (CCK(26-33))は、特記されない限り、一般的には、硫酸化および非硫酸化の両方のC-末端オクタペプチドを指すであろう。さらに、ペンタガストリンまたはCCK-5は、C-末端ペプチドCCK(29-33)を指し、CCK-4は、C-末端テトラペプチドCCK(30-33)を指すであろう。
また、本発明において有用な構成ペプチドホルモンは、レプチンファミリーペプチドホルモンを含む。天然レプチンファミリーペプチドホルモンは、機能的ペプチドアナログおよび誘導体のように、当該分野で知られる。特定の好ましい天然ペプチド、ペプチドアナログおよび誘導体は本明細書中に記載されるが、当該分野で知られるホルモン活性を呈するいずれかの既知のアミリンファミリーペプチドを、本発明と併せて使用し得ることが認識されるべきである。
また、本発明において有用な構成ペプチドホルモンは、PPおよびPYYを含むPPFペプチドホルモンを含む。天然PPFペプチドホルモンは、機能的ペプチドアナログおよび誘導体のように、当該分野で知られる。特定の好ましい天然ペプチド、ペプチドアナログおよび誘導体は本明細書中に記載されるが、当該分野で知られるホルモン活性を呈するいずれかの既知のアミリンファミリーペプチドを本発明と併せて使用し得ることが認識されるべきである。
また、本発明において有用な構成ペプチドホルモンは、GLP-1ペプチドホルモンを含む。GLP-1(1-37)、GLP-1(7-37)、およびGLP-1(7-36)アミドを含む天然GLP-1ペプチドホルモは、機能的ペプチドアナログおよび誘導体のように、当該分野で知られる。本明細書において使用されるように、GLP-1は、GLP-1ペプチドホルモンの全天然形態を指す。特定の好ましい天然ペプチド、ペプチドアナログおよび誘導体は、本明細書中に記載されるが、当該分野で知られるホルモン活性を呈するいずれかの既知のGLP-1ペプチドを本発明と併せて使用し得ることが認識されるべきである。
上記で論議のように、本発明のハイブリッドポリペプチドは、一般的には、共有結合した少なくとも2つの生理活性ペプチドホルモンモジュールを含む。生理活性ペプチドホルモンモジュールは:(a)天然構成ペプチドホルモン、(b)ホルモン活性を保持する天然構成ペプチドホルモンのアナログまたは誘導体、(c)ホルモン活性を保持する天然構成ペプチドホルモンの断片、(d)ホルモン活性を保持する天然構成ペプチドホルモンのアナログまたは誘導体の断片、(e)所望の化学安定性、立体配座の安定性、代謝的安定性、受容体相互作用、プロテアーゼ阻害、または他の薬物動態特徴をハイブリッドポリペプチドに与える天然構成ペプチドホルモンの構造モチーフ;または(f)所望の化学安定性、立体配座の安定性、代謝的安定性、受容体相互作用、プロテアーゼ阻害、または他の薬物動態特徴をハイブリッドポリペプチドに与える天然構成ペプチドホルモンのアナログまたは誘導体の構造モチーフであってもよい。該構造モチーフ(e)および(f)は、集合的に、本明細書において、「ペプチドエンハンサー」と呼ばれるであろう。
本発明の該ハイブリッドポリペプチドは、一般的には、本発明の少なくとも2つの生理活性ペプチドホルモンモジュールを含み、ここに該生理活性ペプチドホルモンモジュールのうちの少なくとも1つは、少なくとも1つのホルモン活性を呈する。該少なくとも1つのホルモン活性を呈する該生理活性ペプチドホルモンモジュールは、ハイブリッドポリペプチドのN-末端、ハイブリッドポリペプチドのC-末端に位置することができ、あるいはハイブリッドポリペプチドが2を超える生理活性ペプチドホルモンモジュールを含む場合は、ハイブリッドポリペプチドの内部に位置することができる。
本発明の該ハイブリッドポリペプチドを形成するための生理活性ペプチドホルモンモジュールの例示的組合せは:天然ペプチドホルモン、少なくとも1つのホルモン活性を呈するペプチドホルモンのアナログおよび誘導体、少なくとも1つのホルモン活性を呈する天然ペプチドホルモンの断片、少なくとも1つのホルモン活性を呈するペプチドホルモンのアナログおよび誘導体の断片、およびペプチドエンハンサーから選択される2以上の生理活性ペプチドホルモンモジュールの組合せを含み、但し、少なくとも1つのモジュールは少なくとも1つのホルモン活性を呈する。
本発明のもう1つの態様において、治療上または予防上有効量のハイブリッドポリペプチドを、その必要のある対象に投与することを特徴とする肥満を治療または予防するための方法が提供される。好ましい具体例において、該対象は肥満または標準体重を超えた対象である。「肥満」は、一般的には、30を超える肥満度指数として定義されるが、本開示の目的のために、肥満度指数が30未満のものを含む、体重を減らす必要のあるまたは減らしたいと思ういずれの対象も、「肥満」の範囲に含まれる。インスリン耐性、耐糖能異常、またはいずれかの形態の糖尿病(例えば、1型、2型または妊娠性糖尿病)患者は、本方法から利益を得ることができる。
本明細書中に記載の該ハイブリッドポリペプチドは、当該分野で知られる標準組換え技術または化学的ペプチド合成技術を用いて、例えば、自動または半自動ペプチド合成器、または両方を用いて調製し得る。
また、本発明は、該ハイブリッドポリペプチドの送達に有用な医薬上許容される希釈剤、保存料、溶解剤、乳化剤、アジュバントおよび/または担体と一緒に、治療上または予防上有効量の少なくとも1つの本発明のハイブリッドポリペプチド、またはその医薬上許容される塩を含む医薬組成物に関する。そのような組成物は、種々の緩衝剤内容(例えば、Tris-HCl、酢酸塩、リン酸塩)、pHおよびイオン強度の希釈剤;洗浄剤および溶解剤(例えば、Tween 80、Polysorbate 80)、抗酸化剤(例えば、アスコルビン酸、メタ重亜硫酸ナトリウム)、保存料(例えば、チメロサール、ベンジルアルコール)、およびかさ高い物質(例えば、ラクトース、マニトール)のような添加剤;およびポリ乳酸、ポリグリコール酸等のような高分子化合物、またはリポソームと関連した粒状製剤への物質の組み込みを含んでもよい。そのような組成物は、本発明のハイブリッドポリペプチドの物理状態、安定性、インビボ放出の速度、およびインビボクリアランスの速度に影響を及ぼすであろう。例えば、Remington's Pharmaceutical Sciences 1435-712, 18th ed., Mack Publishing Co., Easton, Pennsylvania (1990)参照。
本発明は、本発明をより完全に説明するために提供されるが、その範囲を制限する解釈されるべきではない以下の非限定的実施例への言及をもって、より詳細に記載される。実施例は、本発明のハイブリッドポリペプチドの調製、および本発明のこれらのハイブリッドポリペプチドをインビトロおよび/またはインビボでテストすることを説明する。当業者は、これらの実施例に記載される技術が、発明者らによって記載された本発明の実施において上手く機能する技術を示し、そのようなものとして、その実施に好ましいモードを構成することを理解するであろう。しかしながら、本開示に鑑みて、多くの変更を、開示された特異的な方法においてなし、それでもなお同様のまたは似たような結果を、本発明の精神および範囲から逸脱することなしに得ることができることを、当業者は理解するはずであることが、理解されるべきである。
本発明のペプチドを、0.050-0.100 mmolでの0.43-0.49 mmol/gの負荷または前負荷されたWang Resin (Fmoc-Tyr(tBu)-Wang樹脂) 0.63 mmol/g (Novabiochem)を有するRinkアミド樹脂(Novabiochem)を用いてSymphony ペプチド合成器(Protein Technologies, Inc.)上に並べてもよい。Fmocアミノ酸 (5.0 eq, 0.250-.500 mmol)残基を、1-メチル-2-ピロリジノン中に、0.10 Mの濃度にて溶解する。全ての他の試薬(HBTU, 1-ヒドロキシベンゾトリアゾール水和物およびN,N-ジイソプロピルエチルアミン)を、0.55 Mジメチルホルムアミド溶液として調製する。次いで、Fmoc保護アミノ酸を、HBTU (2.0 eq, 0.100-0.200 mmol)、1-ヒドロキシベンゾトリアゾール水和物(1.8 eq, 0.090-0.18 mmol)、N,N-ジイソプロピルエチルアミン (2.4 eq, 0.120-0.240 mmol)を用いて、2時間、樹脂結合アミノ酸に結合する。該最後のアミノ酸結合の後、該ペプチドを、1時間、ジメチルホルムアミド中の20% (v/v)ピペリジンを用いて脱保護する。一旦、ペプチド配列が完了すると、該Symphonyペプチド合成器をプログラムして、該樹脂を開裂する。樹脂からのペプチドのトリフルオロ酢酸(TFA)開裂を、1時間、93% TFA、3% フェノール、3% 水および1% トリイソプロピルシランを用いて実施する。該開裂されたペプチドを、tert-ブチルメチルエーテルを用いて沈殿させ、遠心分離によってペレットし、凍結乾燥する。該ペレットを、水(10-15 mL)中で再度溶解し、ろ過し、C18カラムおよび0.1% TFAを含有するアセトニトリル/水グラジエントを用いる逆相HPLCを介して精製する。
本発明の該ハイブリッドポリペプチドを、当業者に一般的に知られる結合アッセイ手順を用いる種々の受容体結合アッセイにおいてテストしてもよい。そのようなアッセイは、下記のものを含む。
本発明の該ハイブリッドポリペプチドを、マウス食餌摂取量アッセイにおける食欲抑制についておよび食餌性肥満(DIO)マウスにおける体重増加に対する効果についてテストしてもよい。スクリーンに対する実験プロトコルを下記する。
雄のC57BL/6マウス(研究の開始時に生後4週間)に、高脂肪(HF,脂肪として58%の食餌性kcal)または低脂肪(LF, 脂肪として11%の食餌性kcal)飼料を与える。飼料を始めて4週間後、各マウスに、2週間継続して所定の用量のハイブリッドポリペプチドを皮下投与する浸透圧ポンプ(Alzet # 2002)を移植する。体重および食餌摂取量を毎週測定する (Surwit et al., Metabolism−Clinical and Experimental, 44: 645-51, 1995)。テスト化合物の効果を、少なくとも14匹のマウス/治療群(p<0.05 ANOVA,ダネット検定 , Prism v. 2.01, GraphPad Software Inc., San Diego, California)の%体重変化(つまり、開始時の体重からの%変化)の平均+/-標準偏差として表現する。
本発明の例示的ハイブリッドポリペプチドを、C-末端が切断されたエキセンディン (例えば、エキセンディン-4(1-28)または5Ala,14Leu,25Phe-エキセンディン-4(1-28))および18-36ないし31-36領域におよぶN-末端が切断されたPYYを用いて合成した。そのようなものとして、該例示的ハイブリッドポリペプチドは、一般的には、2つのモジュールを含み、ここに該第1のモジュールはエキセンディン-4アナログの断片であり、該第2のモジュールはPYY切断から選択されたペプチドエンハンサーである。また、比較のために、β-アラニンジペプチドスペーサーを、いくつかの変形において、該ペプチド形成ブロックの間に組み込んだ(表4-1参照)。
本発明のさらなる例示的ハイブリッドポリペプチドを、C-末端が切断されたエキセンディン (1-27)、C-末端が切断されたアミリンペプチド (例えば、アミリン(1-7)、2,7Ala-アミリン(1-7)、およびアミリン(33-27))、および任意のsCT断片(例えば、sCT(8-10)および14Gln,11,18Arg-sCT(8-27))から調製した。両方のハイブリッドポリペプチドは、食欲抑制において非常に活性であった(表4-2参照)が、活性の発現は、該親分子の活性プロファイルと異なった(データ示されず)。
本発明のさらにさらなる例示的ハイブリッドポリペプチドを、直接的にまたはリンカーを介してのいずれかで、CCK-8の該N末端に結合した完全長またはC-末端が切断されたエキセンディン-4から調製して、該CCK-8のN-末端アミドを保存した(表4-3)。さらに、特定のハイブリッドを、天然に生じるTyr(SO3)を組み込んで調製したが、該より安定したPhe(CH2SO3)基を組み込むもう一方のハイブリッドを調製した。全調製されたハイブリッドポリペプチドは、食物摂取量を阻害するのに活性であった(表4-3)。
各ペプチドの切断セグメントを含有するアミリン/PYYハイブリッドポリペプチドを合成した。食物摂取量アッセイにおけるインビボ活性を、表4-4に示す。
Claims (19)
- 少なくとも1つのさらなる生理活性ペプチドホルモンモジュールに共有結合した第1の生理活性ペプチドホルモンモジュールを含むハイブリッドポリペプチドであって;
ここに:
該生理活性ペプチドホルモンモジュールは、独立して:構成ペプチドホルモン、構成ペプチドホルモンの少なくとも1つのホルモン活性を呈する構成ペプチドホルモンの断片、構成ペプチドホルモンの少なくとも1つのホルモン活性を呈する構成ペプチドホルモンのアナログおよび誘導体、および構成ペプチドホルモンの少なくとも1つのホルモン活性を呈する構成ペプチドホルモンのアナログおよび誘導体の断片よりなる群から選択され;
該構成ペプチドホルモンは、独立して:アミリン、およびエキセンディン-4よりなる群の少なくとも2つから選択され;および
該生理活性ペプチドホルモンモジュールのうちの少なくとも1つは、構成ペプチドホルモンの少なくとも1つのホルモン活性を呈することを特徴とする、少なくとも1つのホルモン活性を呈する該ハイブリッドポリペプチド。 - 該アミリンアナログが: アミリン(32-37)、アミリン(33-37)、アミリン(34-37)、アミリン(35-37)、アミリン(36-37)、アミリン(37)、ADM(47-52)、ADM(48-52)、ADM(49-52)、ADM(50-52)、ADM(51-52)、ADM(52)、CT(27-32)、CT(27-32)、CT(28-32)、CT(29-32)、CT(30-32)、CT(31-32)、およびCT(32)よりなる群から選択される請求項1記載のハイブリッドポリペプチド。
- 該第1の生理活性ペプチドホルモンモジュールまたは該少なくとも1つのさらなる生理活性ペプチドホルモンモジュールのうちの少なくとも1つが、構成ペプチドホルモンまたは該構成ペプチドホルモンの少なくとも1つのホルモン活性を呈する構成ペプチドホルモンの断片である請求項1記載のハイブリッドポリペプチド。
- 該第1の生理活性ペプチドホルモンモジュールまたは該少なくとも1つのさらなる生理活性ペプチドホルモンモジュールのうちの少なくとも1つが、少なくとも1つのホルモン活性を呈する構成ペプチドホルモンのアナログまたは誘導体または該構成ペプチドホルモンの少なくとも1つのホルモン活性を呈する構成ペプチドホルモンのアナログまたは誘導体の断片である請求項1記載のハイブリッドポリペプチド。
- 該第1の生理活性ペプチドホルモンモジュールまたは該少なくとも1つのさらなる生理活性ペプチドホルモンモジュールのうちの少なくとも1つが、ペプチドエンハンサーである請求項1記載のハイブリッドポリペプチド。
- 該構成ペプチドホルモンが、独立して:アミリンアナログ、およびエキセンディン-4よりなる群から選択される請求項1記載のハイブリッドポリペプチド。
- 少なくとも1つのホルモン活性を呈する該少なくとも1つの生理活性ペプチドホルモンモジュールが、該ハイブリッドポリペプチドのN-末端部に位置する請求項1記載のハイブリッドポリペプチド。
- 該ハイブリッドポリペプチドの該N-末端部に位置する、少なくとも1つのホルモン活性を呈する該少なくとも1つの生理活性ペプチドホルモンモジュールが、該C-末端からN-末端向きに構成される請求項7記載のハイブリッドポリペプチド。
- 該ハイブリッドポリペプチドのN-末端がアミド化される請求項8記載のハイブリッドポリペプチド。
- 少なくとも1つのホルモン活性を呈する該少なくとも1つの生理活性ペプチドホルモンモジュールが、該ハイブリッドポリペプチドの該C-末端部に位置する請求項1記載のハイブリッドポリペプチド。
- 該ハイブリッドポリペプチドの該C-末端がアミド化される請求項10記載のハイブリッドポリペプチド。
- 1つの生理活性ペプチドホルモンモジュールの該C-末端が、もう1つの生理活性ペプチドホルモンモジュールのN-末端に直接的に結合して、該共有結合を形成する請求項1記載のハイブリッドポリペプチド。
- 該生理活性ペプチドホルモンモジュールが:アルキル;ジカルボン酸PEG;アミノ酸;ポリアミノ酸;二官能性リンカー;アミノカプロイル(Aca)、β-アラニル、8-アミノ-3,6-ジオキサオクタノイル、およびGly-Lys-Arg (GKR)よりなる群から独立して選択される1以上の連結基を用いて共有結合される請求項1記載のハイブリッドポリペプチド。
- 該第1の生理活性ペプチドホルモンモジュールが:エキセンディン-4、少なくとも1つのホルモン活性を呈するエキセンディン-4の断片、少なくとも1つのホルモン活性を呈するエキセンディン-4アナログまたは誘導体、および少なくとも1つのホルモン活性を呈するエキセンディン-4アナログの断片よりなる群から選択され;次いで
該少なくとも1つのさらなる生理活性ペプチドホルモンモジュールが、独立して:アミリン、少なくとも1つのホルモン活性を呈するアミリンの断片、少なくとも1つのホルモン活性を呈するアミリンアナログまたは誘導体、または少なくとも1つのホルモン活性を呈するアミリンアナログの断片よりなる群から選択される請求項1記載の該ハイブリッドポリペプチド。 - 該第1の生理活性ペプチドホルモンモジュールが:エキセンディン-4、エキセンディン-4(1-27)、エキセンディン-4(1-28)、14Leu,25Phe-エキセンディン-4(1-28); 5Ala,14Leu,25Phe-エキセンディン-4(1-28)および14Leu-エキセンディン-4(1-28)よりなる群から選択され;および該少なくとも1つのさらなる生理活性ペプチドホルモンモジュールが、独立して:25,28,29Pro-h-アミリンよりなる群から選択される請求項14記載の該ハイブリッドポリペプチド。
- 該ハイブリッドポリペプチドが、少なくとも3つの生理活性ペプチドホルモンモジュールを含む請求項14記載のハイブリッドポリペプチド。
- 該ハイブリッドポリペプチドが、少なくとも4つの生理活性ペプチドホルモンモジュールを含む請求項14記載のハイブリッドポリペプチド。
- 該第1の生理活性ペプチドホルモンモジュールが、該ハイブリッドポリペプチドの該C-末端に位置し、該少なくとも1つのさらなる生理活性ペプチドホルモンモジュールが、該ハイブリッドポリペプチドの該N-末端に位置する請求項14記載のハイブリッドポリペプチド。
- 該第1の生理活性ペプチドホルモンモジュールが、該ハイブリッドポリペプチドの該N-末端に位置し、該少なくとも1つのさらなる生理活性ペプチドホルモンモジュールが、該ハイブリッドポリペプチドの該C-末端に位置する請求項14記載のハイブリッドポリペプチド。
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