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Catalytic site inhibition of insulin-degrading enzyme by a small molecule induces glucose intolerance in mice
Catalytic site inhibition of insulin-degrading enzyme by a small molecule induces glucose intolerance in mice
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Catalytic site inhibition of insulin-degrading enzyme by a small molecule induces glucose intolerance in mice
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Catalytic site inhibition of insulin-degrading enzyme by a small molecule induces glucose intolerance in mice
Catalytic site inhibition of insulin-degrading enzyme by a small molecule induces glucose intolerance in mice

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Catalytic site inhibition of insulin-degrading enzyme by a small molecule induces glucose intolerance in mice
Catalytic site inhibition of insulin-degrading enzyme by a small molecule induces glucose intolerance in mice
Journal Article

Catalytic site inhibition of insulin-degrading enzyme by a small molecule induces glucose intolerance in mice

2015
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Overview
Insulin-degrading enzyme (IDE) is a protease that cleaves insulin and other bioactive peptides such as amyloid-β. Knockout and genetic studies have linked IDE to Alzheimer’s disease and type-2 diabetes. As the major insulin-degrading protease, IDE is a candidate drug target in diabetes. Here we have used kinetic target-guided synthesis to design the first catalytic site inhibitor of IDE suitable for in vivo studies (BDM44768). Crystallographic and small angle X-ray scattering analyses show that it locks IDE in a closed conformation. Among a panel of metalloproteases, BDM44768 selectively inhibits IDE. Acute treatment of mice with BDM44768 increases insulin signalling and surprisingly impairs glucose tolerance in an IDE-dependent manner. These results confirm that IDE is involved in pathways that modulate short-term glucose homeostasis, but casts doubt on the general usefulness of the inhibition of IDE catalytic activity to treat diabetes. Inhibiting insulin-degrading enzyme (IDE) has been proposed as a potential therapeutic strategy for the treatment of patients with diabetes. Here, the authors develop a novel IDE inhibitor but find that, surprisingly, IDE inhibition has negative effects on glucose tolerance in mice.