Alice B.
Nongonierma
and
Richard J.
FitzGerald
*
Department of Life Sciences and Food for Health Ireland (FHI), University of Limerick, Castletroy, Limerick, Ireland. E-mail: dick.fitzgerald@ul.ie; Fax: +353 (0) 61 331490; Tel: +353 (0) 61 202598
First published on 26th November 2014
Inhibition of dipeptidyl peptidase-IV (DPP-IV) is used as a means to regulate post-prandial serum glucose in type 2 diabetics. The effect of drug (Sitagliptin®)/peptide and binary peptide mixtures on DPP-IV inhibition was studied using an isobole approach. Five peptides (Ile-Pro-Ile-Gln-Tyr, Trp-Lys, Trp-Pro, Trp-Arg and Trp-Leu), having DPP-IV half maximum inhibitory concentration values (IC50) < 60 μM and reported to act through different inhibition mechanisms, were investigated. The dose response relationship of Sitagliptin
:
peptide (1
:
0, 0
:
1, 1
:
852, 1
:
426 and 1
:
1704 on a molar basis) and binary Ile-Pro-Ile-Gln-Tyr
:
peptide (1
:
0, 0
:
1, 1
:
1, 1
:
2 and 2
:
1 on a molar basis) mixtures for DPP-IV inhibition was characterised. Isobolographic analysis showed, in most instances, an additive effect on DPP-IV inhibition. However, a synergistic effect was observed with two Sitagliptin
:
Ile-Pro-Ile-Gln-Tyr (1
:
426 and 1
:
852) mixtures and an antagonistic effect was seen with one Sitagliptin
:
Trp-Pro (1
:
852) mixture, and three binary peptide mixtures (Ile-Pro-Ile-Gln-Tyr
:
Trp-Lys (1
:
1 and 2
:
1) and Ile-Pro-Ile-Gln-Tyr
:
Trp-Leu (1
:
2)). The results show that Sitagliptin and food protein-derived peptides can interact, thereby enhancing overall DPP-IV inhibition. Combination of Sitagliptin with food protein-derived peptides may help in reducing drug dosage and possible associated side-effects.
Food protein-derived bioactive peptides have been shown to positively affect biomarkers of T2D such as postprandial glycaemia and insulin secretion.2–4 It is thought that the antidiabetic properties of specific food protein hydrolysates may arise from their DPP-IV inhibitory activity.5,6 Food protein hydrolysates, originating mostly from milk, have been reported for their DPP-IV inhibitory potential.7 The peptides therein may inhibit DPP-IV through different modes of inhibition.8–10 In a physiological situation, it is expected that different food protein-derived peptides may concomitantly inhibit DPP-IV. However, the contribution of multiple food protein-derived peptides, as present in food protein hydrolysates, to overall DPP-IV inhibition has not been determined. The combination of milk protein-derived peptides with Sitagliptin was recently shown to have an additive effect on DPP-IV inhibition.11 However, to date the interactive effects of peptide–peptide and peptide–drug combinations on DPP-IV inhibition does not appear to have been extensively studied.
The interactive effects of drug mixtures is conventionally studied using an isobole methodology.12,13 It has been recently proposed that using combinations of antidiabetic drugs and phytochemicals may be a new approach to help reduce the side-effects observed during drug intake.13 Synergistic antidiabetic activity has been shown in vivo when combinations of phytochemicals (ferulic acid) and antidiabetic drugs (metformin and thiazolidinedione) were employed.14 To our understanding, the isobole method has not been previously applied to determine interactive effects between drug–peptide or binary peptide mixtures. The aim of this study was therefore to utilise an isobole methodology to study the interactions between Sitagliptin and food protein-derived DPP-IV inhibitory peptides, and between binary mixtures of DPP-IV inhibitory peptides.
:
1, 1
:
2 and 2
:
1) were also employed for the Sitagliptin/peptide mixtures. For the binary peptide mixtures, only the combinations with the most potent substrate-type competitive DPP-IV inhibitor, Ile-Pro-Ile-Gln-Tyr (IC50 value of 23 μM), and non-competitive (Trp-Lys, Trp-Pro and Trp-Arg) and competitive (Trp-Leu) DPP-IV inhibitors were studied.
The mixtures consisted of aqueous Sitagliptin/peptide solutions with the following ratios of 1
:
0, 1
:
426, 1
:
852, 1
:
1704 and 0
:
1 on a molar basis. Similarly, binary mixtures of peptides consisting of Ile-Pro-Ile-Gln-Tyr and another peptide (Trp-Lys, Trp-Pro, Trp-Arg or Trp-Leu) in the ratios of 1
:
0, 1
:
1, 2
:
1, 1
:
2 and 0
:
1 on a molar basis, were studied. The dose response for DPP-IV inhibition (n = 3) was determined with each of the previous mixtures diluted in HPLC water at 7 different concentrations (Fig. 1A and B).
The mixture of inhibitors 1 and 2 can have an additive (CA = 1), synergistic (CA < 1) or antagonistic effect (CA > 1) on DPP-IV inhibition (Fig. 1C). The theoretical total additivity concentration (Zt) of the mixture was determined as described elsewhere17 using an in-house Matlab program. Zt corresponds to the theoretical concentration of the mixture which should yield 50% DPP-IV inhibition if the two inhibitors have an additive effect. Zt was calculated as follows:
| Peptidea | Protein fragment | Enzyme | Protein source | Protein |
|---|---|---|---|---|
| a Peptide sequence using the three letter code. b RuBisCO: Ribulose bisphosphate carboxylase. | ||||
| Trp-Lys | 40-41 | Pepsin | Oat (Avena sativa) | Avenin |
| Trp-Arg | 212-213 | Trypsin | Wheat (Triticum aestivum) | Large subunit RuBisCOb |
| Trp-Arg | 212-213 | Trypsin | Barley (Hordeum vulgare) | Large subunit RuBisCO |
| Trp-Arg | 212-213 | Trypsin | Oat (Avena sativa) | Large subunit RuBisCO |
| Trp-Arg | 212-213 | Trypsin | Corn (Zea mays) | Large subunit RuBisCO |
| Trp-Arg | 212-213 | Trypsin | Rice (Oryza sativa subsp. Japonica) | Large subunit RuBisCO |
| Trp-Arg | 212-213 | Trypsin | Sorghum (Sorghum vulgare) | Large subunit RuBisCO |
| Trp-Arg | 171-172 | Trypsin | Quinoa (Chenopodium quinoa) | RuBisCO large chain |
| Trp-Arg | 212-213 | Trypsin | Amaranth (Amaranthus hypochondriacus) | Large subunit RuBisCO |
| Trp-Arg | 207-208 | Trypsin | Palmaria palmata (Rhodymenia palmata) | Allophycocyanin α chain |
| Trp-Arg | 171-172 | Trypsin | Palmaria palmata (Rhodymenia palmata) | Allophycocyanin β chain |
| Trp-Arg | 212-213 | Trypsin | Palmaria palmata (Rhodymenia palmata) | Phycocyanin α |
| Trp-Leu | 104-105 | Elastase | Bovine milk (Bos taurus) | α-Lactalbumin |
| Ile-Pro-Ile-Gln-Tyr | 26-30 | Chymotrypsin | Bovine milk (Bos taurus) | κ-Casein |
:
Trp-Lys are shown on Fig. 3. A dose response relationship was seen with Sitagliptin and Ile-Pro-Ile-Gln-Tyr alone, and with all Sitagliptin/peptide and binary peptide mixtures (Fig. 2, 3 and data not shown).
:
Ile-Pro-Ile-Gln-Tyr and Sitagliptin
:
Trp-Pro (1
:
426 and 1
:
852), Sitagliptin
:
Trp-Arg and Sitagliptin
:
Trp-Leu (1
:
426, 1
:
852 and 1
:
1704), Ile-Pro-Ile-Gln-Tyr
:
Trp-Arg and Ile-Pro-Ile-Gln-Tyr
:
Trp-Pro (1
:
2 and 2
:
1) and Ile-Pro-Ile-Gln-Tyr
:
Trp-Leu (2
:
1). For the other mixtures, the values were either in the area of the isobole corresponding to an antagonistic effect or in the area corresponding to a synergistic effect.
Most Zt values were not significantly different (P > 0.05) from the apparent IC50 value (Table 2), suggesting an additive effect of the mixture on DPP-IV inhibition. However, three Sitagliptin/peptide mixtures (Sitagliptin
:
Ile-Pro-Ile-Gln-Tyr (1
:
426 and 1
:
852) and Sitagliptin
:
Trp-Pro (1
:
852)) had apparent IC50 values which were significantly different (P < 0.05) from that of Zt (12.9 vs. 13.8, 8.8 vs. 9.9 and 18.4 vs. 16.9 μM, respectively), indicating a synergistic effect for the Sitagliptin
:
Ile-Pro-Ile-Gln-Tyr mixtures and an antagonistic effect for the Sitagliptin
:
Trp-Pro mixture on DPP-IV inhibition. Similarly, three binary peptide mixtures (Ile-Pro-Ile-Gln-Tyr
:
Trp-Lys (1
:
1 and 2
:
1) and Ile-Pro-Ile-Gln-Tyr
:
Trp-Leu (1
:
2)) had apparent IC50 values significantly higher than that of Zt (36.9 vs. 27.3; 31.2 vs. 25.8 and 45.2 vs. 37.8 μM, respectively), also suggesting an antagonistic effect of the binary peptide mixture on DPP-IV inhibition.
| Peptide | |||||||
|---|---|---|---|---|---|---|---|
| Ile-Pro-Ile-Gln-Tyr | Trp-Lys | Trp-Pro | Trp-Arg | Trp-Leu | |||
a Values represent the mean of triplicate determination (n = 3) of the theoretical additivity concentration (Zt) ± confidence interval (P = 0.05) and the apparent half maximum inhibitory concentration (IC50) ± confidence interval (P = 0.05) for different Ile-Pro-Ile-Gln-Tyr : peptide (1 : 1, 1 : 2 and 2 : 1) and Sitagliptin : peptide (1 : 852, 1 : 426 and 1 : 1704) mixtures. ns: the apparent IC50 value of the mixture is not significantly different from Zt (P > 0.05). *: the apparent IC50 value of the mixture is significantly different from Zt (P < 0.05). na: not applicable.
|
|||||||
Sitagliptin : peptide ratio (on a molar basis)a |
1 : 1704 |
Zt (μM) | 17.3 ± 0.7 | 22.5 ± 3.3 | 22.6 ± 1.3 | 22.6 ± 2.0 | 30.4 ± 2.0 |
| IC50 (μM) | 18.9 ± 2.3ns | 23.5 ± 1.5ns | 22.6 ± 1.7ns | 20.5 ± 2.6ns | 28.3 ± 2.8ns | ||
1 : 852 |
Zt (μM) | 13.8 ± 0.7 | 17.1 ± 2.7 | 16.9 ± 1.1 | 16.9 ± 1.2 | 21.12 ± 1.9 | |
| IC50 (μM) | 12.9 ± 0.6* | 19.6 ± 2.4ns | 18.4 ± 1.0* | 16.2 ± 2.0ns | 19.1 ± 1.3ns | ||
1 : 426 |
Zt (μM) | 9.9 ± 0.8 | 11.5 ± 2.0 | 11.4 ± 1.0 | 11.4 ± 1.0 | 13.2 ± 1.5 | |
| IC50 (μM) | 8.8 ± 0.5* | 13.3 ± 1.1ns | 10.1 ± 1.3ns | 11.3 ± 1.8ns | 11.7 ± 1.0ns | ||
Ile-Pro-Ile-Gln-Tyr : peptide ratio (on a molar basis)a |
1 : 2 |
Zt (μM) | na | 28.8 ± 2.5 | 29.5 ± 2.1 | 29.5 ± 2.5 | 37.9 ± 2.0 |
| IC50 (μM) | na | 33.1 ± 5.4ns | 27.2 ± 2.5ns | 26.4 ± 4.0ns | 45.2 ± 6.3* | ||
1 : 1 |
Zt (μM) | na | 27.1 ± 2.0 | 27.6 ± 0.4 | 27.6 ± 1.8 | 32.8 ± 1.7 | |
| IC50 (μM) | na | 36.9 ± 6.3* | 31.2 ± 3.6ns | 32.2 ± 7.0ns | 36.9 ± 5.3ns | ||
2 : 1 |
Zt (μM) | na | 25.6 ± 1.7 | 26.1 ± 1.5 | 26.0 ± 1.3 | 28.9 ± 1.6 | |
| IC50 (μM) | na | 31.2 ± 1.1* | 30.2 ± 6.2ns | 29.0 ± 7.1ns | 30.6 ± 2.0ns | ||
The synthetic substrate, Gy-Pro-pNA, used herein for the DPP-IV inhibitory assay has a different N-terminal amino acid sequence than that of the incretins (His-Ala for GLP-1 and Tyr-Ala for GIP). However, in the case of the synthetic substrate and the incretins, the presence of a Pro or Ala at position P1 is consistent with the sequence of DPP-IV preferred substrates.22,23 Therefore, the results described herein may be extrapolated to a physiological situation where food protein-derived peptides may inhibit DPP-IV, preventing incretin degradation.
Most Sitagliptin/peptide and binary peptide mixtures showed an additive effect (Table 2 and Fig. 4 and 5). However, the Sitagliptin
:
Trp-Pro (1
:
852) mixture showed an antagonistic effect on DPP-IV inhibition. The extent of apparent IC50 increase compared to Zt was 9% for the Sitagliptin
:
Trp-Pro (1
:
852) mixture. In the case of the Sitagliptin
:
Ile-Pro-Ile-Gln-Tyr (1
:
426 and 1
:
852) mixtures, a synergistic effect was seen with a reduction of the IC50 value compared to Zt of 7 and 11%, respectively. Although the peptides studied have different modes of inhibition (competitive, non-competitive, true or substrate-type inhibitor), there did not seem to be a clear trend showing specific types of interactions in the mixtures in one instance or the other. However, it is interesting to note that, the synergistic effect was seen with a mixture of competitive DPP-IV inhibitors (Sitagliptin and Ile-Pro-Ile-Gln-Tyr). While most antagonistic effects involved a non-competitive DPP-IV inhibitor (Trp-Lys and Trp-Pro). In addition, it was not clear why the antagonistic effect was only seen for certain ratios of the DPP-IV inhibitors studied (Table 2). A number of in silico approaches have suggested that non-competitive DPP-IV inhibitors may interact at a secondary binding site located in the neighbourhood of the active site.24,25 Binding of non-competitive inhibitors to a secondary binding site may, in some instances, restrict access to the active site for competitive DPP-IV inhibitors.
Ile-Pro-Ile-Gln-Tyr behaves like a substrate type DPP-IV inhibitor.8 This may explain the overall increase in DPP-IV inhibition seen in the Sitagliptin
:
Ile-Pro-Ile-Gln-Tyr (1
:
852 and 2
:
426) mixtures. Trp-Lys is an hydrophilic and positively charged peptide, while Ile-Pro-Ile-Gln-Tyr (pI 5.5) is negatively charged at the assay pH (8.0). It may be possible that some electrostatic interactions between Trp-Lys and Ile-Pro-Ile-Gln-Tyr may have reduced the amount of inhibitors available for DPP-IV inhibition. Surprisingly, no antagonistic effect was seen with Trp-Arg, which has very similar characteristics to Trp-Lys. An antagonistic effect was also seen in the Ile-Pro-Ile-Gln-Tyr
:
Trp-Leu (1
:
2) mixture. Both peptides are competitive DPP-IV inhibitors and compete for binding at the same site on DPP-IV. This may explain why an antagonistic effect was seen when Trp-Leu was present at the highest concentration.
The antagonistic activity of peptide mixtures on DPP-IV inhibition could result in the activity of specific peptides being “masked” by the presence of other peptides. This may have consequences in particular in bioassay driven fractionation approaches where specific fractions may be erroneously disregarded even though they contain relatively potent DPP-IV inhibitory peptides. Similar results have been described where the immunomodulatory properties of an hydrolysate was less than that of its associated isoelectric focusing fractions when tested at the same concentration.26 This was explained by the fact that some peptides may interact through physicochemical interactions,27 making them unavailable as bioactive components.
A well-known example of a food drug interaction is the combination of grapefruit juice and drugs. Furanocoumarin from grapefruit juice has been shown to inhibit the drug metabolising enzyme, cytochrome P450 (CYP) 34A.28 In terms of antidiabetic activity, small animal studies have demonstrated that the ingestion of Leu-Pro-Gln-Asn-Ile-Pro-Pro-Leu (β-casein f70-77, DPP-IV IC50 = 160 μM) or a tryptic β-lactoglobulin hydrolysate containing Val-Ala-Gly-Thr-Trp-Tyr (β-lg f15-20, DPP-IV IC50 = 174 μM) could lower plasma glucose following an oral glucose tolerance test.5,6 Recently, it was shown that a porcine skin gelatin hydrolysate could inhibit plasma DPP-IV in rats as well as reducing serum glucose in the post-prandial phase.29 However, little or no data appears to exist on the effect of foods on the pharmacokinetics of Sitagliptin in vivo following food intake.30 There is therefore a need to evaluate the peptide sequences studied herein in humans to assess their in vivo biological activity. The interactions reported with the Sitaglitpin–peptide mixtures suggest that it may be possible to lower drug intake level when combined with food protein-derived DPP-IV inhibitory peptides. This may help to reduce the possible side-effects associated with drug intake.31
Footnote |
| † Electronic supplementary information (ESI) available. See DOI: 10.1039/c4fo00883a |
| This journal is © The Royal Society of Chemistry 2015 |