Mechanism of neuromedin u action and uses thereof

A - Human Necessities – 61 – K

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A61K 38/26 (2006.01) G01N 33/74 (2006.01)

Patent

CA 2741991

The use of neuromedin U receptor agonists to elevate the levels of GLP-1 and/or PYY in an individual in need of an increase in its levels of GLP-1 and/or PYY is described. Further described is the use of neuromedin U receptor agonists to lower the levels of glucagon in an individual in need of lowered glucagon levels. Thus, methods for elevating GLP-1 and/or PYY and lowering glucagon levels in an individual by administering to the individual compositions comprising a neuromedin U receptor agonist and optionally one or more dipeptidyl peptidase IV(DPP-IV) inhibitors are described. In light of the ability of NMU receptor agonists to raise GLP-1 and PYY levels and lower glucagon levels post- administration, methods are described for evaluating the efficacy of a treatment regimen for a metabolic disorder that includes administering a composition comprising a neuromedin U receptor agonist to an individual comprising measuring the level of glucagon- like peptide 1(GLP-1) and/or peptide YY (PYY) and/or glucagon in the individual before, during, and after the treatment regimen.

La présente invention concerne lutilisation dagonistes des récepteurs de la neuromédine U pour élever les taux de GLP-1 et/ou de PYY chez un individu ayant besoin dune augmentation de ses taux de GLP-1 et/ou de PYY. Linvention concerne en outre lutilisation dagonistes des récepteurs de la neuromédine U pour abaisser les taux de glucagon chez un individu ayant besoin dun abaissement de ses taux de glucagon. Ainsi, linvention a pour objet des méthodes délévation des taux de GLP-1 et/ou de PYY et dabaissement des taux de glucagon chez un individu par ladministration à lindividu de compositions renfermant un agoniste du récepteur de la neuromédine U et éventuellement un ou plusieurs inhibiteurs de la dipeptidyl-peptidase IV (DPP-IV). A la lumière de la capacité des agonistes des récepteurs de la NMU à élever les taux de GLP-1 et de PYY et à abaisser les taux de glucagon après ladministration, linvention a pour objet des méthodes dévaluation de lefficacité dun protocole thérapeutique destiné à un trouble métabolique qui comprend ladministration dune composition renfermant un agoniste du récepteur de la neuromédine U à un individu comprenant la mesure du taux de peptide 1 daction type glucagon (GLP-1) et/ou de peptide YY (PYY) et/ou de glucagon chez lindividu avant, pendant et après le protocole thérapeutique.

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