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Vol. 289, Issue 2, 742-751, May 1999

SR146131: A New Potent, Orally Active, and Selective Nonpeptide Cholecystokinin Subtype 1 Receptor Agonist. I: In Vitro Studies

Eric Bignon, André Bachy, Robert Boigegrain1, Roger Brodin1, Michèle Cottineau, Danielle Gully, Jean-Marc Herbert, Peter Keane, Christophe Labie, Jean-Charles Molimard1, Dominique Olliero1, Florence Oury-Donat1, Christophe Petereau, Valérie Prabonnaud, Marie-Pierre Rockstroh, Paul Schaeffer, Orlane Servant, Olivier Thurneyssen1, Philippe Soubrié1, Marc Pascal, Jean-Pierre Maffrand and Gérard Le Fur1

Sanofi Recherche, Toulouse Cedex, France

    Abstract
Top
Abstract
Introduction
Experimental Procedures
Results
Discussion
References

SR146131 inhibited the binding of [125I]-Bolton Hunter (BH)-sulfated cholecystokinin octapeptide (CCK-8S) for the human recombinant cholecystokinin subtype 1 (CCK1) receptor (IC50 = 0.56 nM) with high (300-fold) selectivity to the CCK2 receptor. The biological activity of SR146131 was characterized in vitro in a NIH-3T3 cell line expressing the human recombinant CCK1 receptor (3T3-hCCK1). Measuring intracellular calcium release, SR146131 behaved as a full agonist with an efficacy comparable with that of CCK-8S (EC50 = 1.38 ± 0.06 nM). On individual cells, SR146131 induced, like CCK-8S, Ca2+ oscillations at subnanomolar concentrations and sustained responses at higher concentrations. Like CCK-8S, SR146131 also fully stimulated inositol monophosphate formation (EC50 = 18 ± 4 nM). SR146131 partially activated mitogen-activated protein kinase and enhanced the expression of the immediate early gene krox 24. In the human CHP212 and IMR32 neuroblastoma cell lines, which constitutively express the CCK1 receptor, SR146131 behaved as a partial agonist on intracellular calcium release and inositol monophosphate formation. All of these effects of SR146131 were inhibited by the CCK1 receptor antagonists SR27897B and devazepide, suggesting that the effects of SR146131 were entirely mediated by the CCK1 receptor. In contrast, high concentrations (>1 µM) of SR146131 had only minimal effects on CCK-8S-stimulated and unstimulated Chinese hamster ovary (CHO) cells expressing the human CCK2 receptor, indicating that SR146131 is functionally inactive on the CCK2 receptor. In conclusion, these in vitro experiments show that SR146131 is a highly potent and selective agonist of the CCK1 receptor.

    Introduction
Top
Abstract
Introduction
Experimental Procedures
Results
Discussion
References

Two members of the cholecystokinin (CCK) receptor family have been identified to date (Ulrich et al., 1993; de Weerth et al., 1993; Wank et al., 1994). These subtypes were termed CCK1 (or CCKA) and CCK2 (or CCKB) due to their predominant occurrence in the digestive tract and in the brain, respectively. However, it is now clear that CCK1 receptors are also present in the central and peripheral nervous system (Crawley and Corwin, 1994), whereas CCK2 receptors, which are identical to gastrin receptors (Lee et al., 1993), are also found at the periphery (e.g., stomach and kidney).

CCK receptor subtypes have been characterized by various ligands. CCK1 receptors show a high affinity for the sulfated cholecystokinin octapeptide (CCK-8S) and the nonpeptide specific receptor antagonists SR27897B (Gully et al., 1993) and devazepide (Chang and Lotti, 1986). CCK2 receptors have a high affinity for CCK-8S, cholecystokinin tetrapeptide, gastrin, and the nonpeptide specific receptor antagonists L365,260 (Lotti and Chang, 1989) and PD134,308 (Hughes et al., 1990).

The signal transduction pathways linked to CCK1 receptor activation have been extensively studied in pancreatic acinar cells, where CCK stimulates amylase secretion. CCK activates the hydrolysis of polyphosphoinositides by phospholipase C and the subsequent formation of the second messengers inositol 1,4,5-trisphosphate (de Weerth et al., 1993) and 1,2-diacylglycerol, leading to the release of intracellular calcium ([Ca2+]i) (Yule et al., 1993; Dunlop et al., 1997) and the activation of protein kinase C, respectively. In addition, stimulation of the CCK1 receptor activates other intracellular events. CCK stimulates mitogen-activated protein kinase (MAPK) (Duan and Williams, 1994; Dabrowski et al., 1996, 1997; Tateishi et al., 1998), and can also enhance the expression of immediate early genes (Lu and Logsdon, 1992; Day et al., 1994).

The fact that CCK has been found to efficiently suppress food intake in humans (Kissileff et al., 1981; Lieverse et al., 1994) encouraged the search for CCK1 receptor agonists potentially useful for the treatment of eating disorders and obesity. As a consequence, a whole range of different CCK1 receptor agonists has been reported. The peptide derivatives, A-71623 (Lin et al., 1991), A-71378 (Lin et al., 1990; Holladay and Lin, 1992), and ARL-15849 (Simmons et al., 1998) were found to act as full agonists of CCK1 receptors in the guinea pig in vitro. Furthermore, GW5823, a nonpeptide compound, was also described to bind to the human CCK1 receptor with moderate affinity, to contract in vitro isolated gallbladder of the guinea pig, and to be a full agonist for calcium mobilization on Chinese hamster ovary (CHO) cells expressing the human CCK1 receptor (Henke et al., 1997).

However, the characterization of CCK1 agonists is complicated by the fact that the biological responses following CCK1 receptor activation vary across different species. This can be exemplified by JMV-180, a CCK-7 analog, which stimulates amylase secretion from rat pancreatic acini to the same extent as CCK-8S but, unlike CCK-8S, does not reduce amylase secretion at high concentrations (Galas et al., 1988). JMV-180 even inhibits the decrease of amylase secretion produced by CCK-8S, and thus acts as an antagonist in this case. Considering these results, it has been proposed that JMV-180 may act as an agonist at the high-affinity state of CCK1 receptors and as an antagonist at the low-affinity state of CCK1 receptors (Stark et al., 1989). However, the profile of JMV-180 also varies considerably among different species. Thus, JMV-180 exhibits a full agonist profile as activator of amylase secretion in the mouse but behaves as a partial agonist in the guinea pig and rat (Matozaki et al., 1989; Bianchi et al., 1994). Such species-dependent differences in profile of JMV-180 also seem to be related to different effects of the compound on feeding behavior in vivo (Asin and Bednarz, 1992). Similarly, the secretory profile of tetrapeptide analogs of CCK, such as A70,784 and A57,282, varies considerably among these species (Bianchi et al., 1994). The activity of JMV-180, A70,784, and A57,282 on inositol phosphate formation in pancreatic acini was also shown to be species dependent (Bianchi et al., 1994). In this context, studies on the activation of CCK1 receptor-mediated responses in animal tissues are insufficient to ensure that a compound will be an agonist of the human CCK1 receptor. Studies on human tissues or cells are clearly required in this framework.

In the present study, we report the characterization of SR146131, a new potent and selective nonpeptide agonist of the CCK1 receptor. This compound is chemically related to the selective CCK1 receptor antagonist SR27897B (Fig. 1). The aim of this study was to characterize its in vitro properties at the level of the human recombinant and constitutive CCK1 receptors and to assess its specificity using the human recombinant CCK2 receptors (the in vivo evaluation is described in the companion paper by Bignon et al.).


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Fig. 1.   Structures of selective CCK1 receptor antagonist SR27897B and agonist SR146131.

    Experimental Procedures
Top
Abstract
Introduction
Experimental Procedures
Results
Discussion
References

Materials

SR146131 (2-[4-(4-chloro-2,5-dimethoxyphenyl)-5-(2-cyclohexyl-ethyl)-thiazol-2-ylcarbamoyl]-5,7-dimethyl-indol-1-yl-1-acetic acid), was synthesized by Sanofi Recherche (Montpellier, France). SR27897B (Lintitript), devazepide, L365,260 and PD134,308 were synthesized by Sanofi Recherche (Toulouse, France). [125I]-Bolton Hunter (BH)-CCK-8S (2000 Ci/mmol) and myo-[3H]inositol (80-120 Ci/mmol) were obtained from Amersham International (Buckinghamshire, UK). CCK-8S was obtained from Neosystem (Strasbourg, France).

Fura-2 acetomethyl ester (fura-2-AM) was from Molecular Probes (Interchim, Montluçon, France). Cell culture media, antibiotics, calf serum, and fetal calf serum were obtained from Gibco (Cergy Pontoise, France).

Cell Cultures

NIH-3T3 cells stably transfected with the human CCK1 receptor (3T3-hCCK1) were kindly provided by Dr. S. Wank (the National Institutes of Health, Bethesda, MD). 3T3-hCCK1 cells were routinely cultured in 175-cm2 flasks in Dulbecco's minimum essential medium (DMEM) supplemented with 10% heat inactivated calf serum and the antibiotic geneticin (G418) at a concentration of 300 µg/ml.

CHO cells stably transfected with the human CCK2 receptor (CHO-hCCK2) were kindly provided by Dr. D. Fourmy (Institut National de la Santé et de la Recherche Médicale, Unité U151, Toulouse, France). CHO-hCCK2 cells were routinely cultured in 175-cm2 flasks in alpha MEM supplemented with 2.2 g/liter NaHCO3, 10% heat inactivated fetal calf serum, 100 µg/ml streptomycin, 100 µ/ml penicillin, and geneticin (G418) at a concentration of 200 µg/ml.

The human neuroblastoma IMR32 cells were obtained from American Type Culture Collection (Rockville, MD). Cells were routinely cultured in 75-cm2 culture flasks in MEM with Earle's salts, nonessential amino acids, and 10% fetal calf serum.

The human neuroblastoma CHP212 cells were kindly provided by Dr. J. Biedler (Memorial Sloan-Kettering Cancer Center, New York). Cells were routinely cultured in 75-cm2 culture flasks in MEM with Earle's salts, nonessential amino acids, and 10% fetal calf serum.

[125I]-BH-CCK-8S Binding to CCK Receptors

Preparation of Membrane Homogenates. Cells were cultured to confluence and the flasks were washed with 10 ml of PBS and filled with an equal volume of PBS. Cells were detached from the flasks with a cell scraper. After centrifugation at 800g for 5 min, the cell pellet from 40 flasks was homogenized at 4°C using a Polytron (setting 4, 3 times 30 s) in 40 ml of buffer A (50 mM Tris-HCl pH 7.4, 5 mM MgCl2, 0.1 g/liter phenylmethylsulfonyl fluoride, 0.1 g/liter bacitracin) in the case of 3T3-hCCK1 cells, or buffer B (10 mM HEPES pH 6.5, 5 mM MgCl2, 130 mM NaCl, 1 mM EGTA, 0.25 g/liter bacitracin) for CHO-hCCK2 cells. After centrifugation at 45,000g (3T3-hCCK1) or 30,000g (CHO-hCCK2) for 15 min at 4°C, the cell pellet was homogenized at 4°C using a Teflon/glass potter in 30 ml of buffer A. Aliquots of the membrane suspension obtained were stored in liquid nitrogen.

[125I]-BH-CCK-8S Binding to CCK1 Receptors. [125I]-BH-CCK-8S binding to CCK1 receptors was performed according to a modification of the method described by Steigerwalt and Williams (1981) with 10 µg protein/tube of 3T3-hCCK1 cell membranes and 45 pM of radiolabeled CCK. Agonists and antagonists were added in 1% DMSO (final concentration). After incubation at 25°C for 40 min, the incubation mixture was filtered on Whatman GF/B filters presoaked in 0.2% BSA solution for 1 h. The filters were washed with ice-cold buffer A and the radioactivity was determined in a gamma -scintillation counter (LKB 1261 multi gamma, EG & G instruments, Evry, France). [125I]-BH-CCK-8S binding to rat pancreatic membrane was performed as described above. Binding experiments on IMR32 neuroblastoma cells were carried out as previously described (Schaeffer et al., 1994), SR146131 being preincubated for 30 min before the addition of [125I]-BH-CCK-8S.

CCK2 Binding Assay. [125I]-BH-CCK-8S binding to CCK2 receptors was performed according to a modification of the method described by Saito et al. (1981) with 3 µg protein/tube of CHO-hCCK2 cell membranes and 25 pM of radiolabeled CCK. Nonspecific binding was evaluated in the presence of 1 µM unlabeled CCK-8S. After incubation at 25°C for 90 min, the incubation mixture was filtered on Whatman GF/B filters presoaked as above. The filters were washed with ice-cold buffer B.

Measurement of [Ca2+]i Increase

3T3-hCCK1 cells and IMR32 and CHP212 human neuroblastoma cells cultured as described above were detached with a nonenzymatic cell dissociation solution (Sigma, Saint Quentin Fallavier, France), scraped from the flasks, and centrifuged (400g, 10 min). 3T3-hCCK1 cells were then suspended in culture medium containing 5 µM fura-2-AM and incubated for 10 min at 25°C. Thereafter, cells were first washed in culture medium; then in buffer C (10 mM HEPES/NaOH pH 7.4, 137 mM NaCl, 5.4 mM KCl, 0.34 mM Na2HPO4, 0.44 mM KH2PO4, 0.8 mM MgSO4, 5.5 mM glucose and 4.2 mM NaHCO3) containing 0.1 mM EGTA (to avoid cell adhesion) and resuspended in buffer C and kept in the dark at room temperature. Experiments were carried out under constant stirring in a Perkin Elmer LS50 B spectrofluorometer (Courtabeuf, France) using about 600,000 cells in 3-ml fluorescence cuvettes at 37°C.

IMR32 and CHP212 neuroblastoma cells were resuspended in a physiological salt solution (PSS; 5 mM HEPES/NaOH, pH 7.4, 145 mM NaCl, 5 mM KCl, 1 mM MgCl2, 1 mM CaCl2, and 5.6 mM glucose) containing fura-2-AM (1 µM) and incubated at 37°C for 30 min. The cell suspension was then diluted five times with PSS and incubated for a further 60 min at 37°C. After two washes with PSS to remove extracellular fura-2-AM, cells were resuspended in PSS and kept in the dark at room temperature. Experiments were carried out at 37°C using about 300,000 cells in a PTI spectrofluorometer (Kontron, Paris, France).

[Ca2+]i was determined as described by Grynkiewicz et al. (1985). The maximal fluorescence was obtained by lysing the cells with Triton X-100 (0.1%) in the presence of 1 mM Ca2+, followed by EGTA (final concentration: 5 mM) to obtain minimal fluorescence. A value of 224 nM was used for the Kd of fura-2 as previously reported (Grynkiewicz et al., 1985).

Measurement of [Ca2+]i Release in Individual Cells

3T3-hCCK1 cells were plated in culture medium at a density of 0.5 to 1 × 105 cells/ml, into 35-mm diameter fibronectin-coated Petri culture dishes in which a 16-mm diameter hole had been made on the bottom and covered by a thin (0.17-mm) glass coverslip stuck with a silicon glue.

Loading Procedure. After 1 to 3 days of culture, cells were incubated for 60 min at 20°C in the dark with 3 µM fura-2-AM in HEPES-Ringer buffer, pH 7.4, containing 145 mM NaCl, 5.6 mM KCl, 1 mM MgCl2, 2.5 mM CaCl2, 1 mM Na2HPO4, 5 mM glucose, 10 mM HEPES, and 0.1% BSA. Cells were washed twice with the same buffer and the dish was placed on the plate of the microscope.

Measurement of [Ca2+]i. The bath was continuously perfused at 2 ml/min using a peristaltic pump equipped with silicon-coated tubes. The buffer was warmed to 37°C by passing through a temperature-controlled heating coil placed immediately before the cells. Before beginning the recording, cells were perfused for 2 to 4 min with the buffer, which contained, as needed, no added drug or one of the test compounds. The cells were allowed to stabilize for 90 s and were then exposed to the test substance. Fluorescent [Ca2+]i measurements were made on single isolated cells. Digital imaging was performed using an IMSTAR (Paris, France) imaging system. Cells were viewed with a Nikon (Tokyo, Japan) Diaphot-TMD microscope through a Nikon UV-Fluor 40× (NA 1.3) oil-immersion objective. Fura-2 fluorescence was excited alternatively at 350 and 380 nm. Cellular fluorescence was filtered by a 490- to 530-nm bandpass filter (Nikon) and measured with a Darkstar-800 CCD camera (Photonic Sciences, Millham, UK). Images were digitized via an 8-bit Imaging Technology Inc., Video Frame Grabber 512 × 512 × 4 numerization card into a PC 486/50 MHz computer and analyzed using IMSTAR STARWISE FLUO software. Ratiometric Ca2+ images were generated at 5-s intervals. Background compensation was performed by subtracting the illumination from an area of the image that contained no cells. The [Ca2+]i values were calculated from the 350/380-nm fluorescence ratios as described by Grynkiewicz et al. (1985), using Rmin and Rmax values of 0.35 and 8.00, respectively; the Kd of Ca2+ for fura-2 was assumed to be 224 nM (Grynkiewicz et al., 1985). Except when their [Ca2+]i levels were extraordinarily high or unstable, every cell in the field of the digitized image was quantified. The [Ca2+]i values generated by the IMSTAR STARWISE FLUO software were transferred into an Excel software, which allowed displaying and printing of [Ca2+]i in each cell for individual analysis.

Determination of Inositol Phosphate Formation

Cells cultured on six-well plate dishes were incubated for 24 h in culture medium containing 5 µCi/ml of myo-[3H]inositol. The cell monolayers were washed twice with PBS and incubated for 15 min with culture medium supplemented with 20 mM LiCl. Cells were then stimulated in the same medium containing the test compounds for an additional 40 min (CHO-hCCK2 cells) or 120 min (3T3-hCCK1 and neuroblastoma cells) at 37°C. At the end of the incubation period, the buffer was aspirated and the cells were extracted with an ice-cold methanol/HCl 0.1 N (50:50) solution. Extracts were then neutralized with 1 M Na2CO3, and [3H]inositol monophosphate (IP1) separated as described by Berridge (1983) using columns containing 1 ml of AG1-X8 resin. IP1 was eluted with 0.2 M ammonium formate/0.1 M formic acid. Radioactivity was quantified by liquid scintillation counting.

MAPK Activity Measurements

3T3-hCCK1 cells grown to subconfluence in 6-well cluster plates were washed with fresh medium. Twenty-four hours later, the cells were stimulated for 15 min with various concentrations of CCK-8S or SR146131. The reaction was stopped by aspiration of the medium and by rapid addition of a lysis buffer containing 50 mM Tris-HCl, pH 7.4, 150 mM NaCl, 1 mM EGTA, 1 mM phenylmethylsulfonyl fluoride, 1 mM Na3PO4, 1 mM NaF, 0.25% Nonidet P40, 0.5% sodium deoxycholate, 1 mM dithiothreitol, 10 µg/ml leupeptin, and 10 µg/ml aprotinin. After 15 min of incubation at 4°C, the lysates were collected and centrifuged for 10 min at 800g. The MAPK activity present in the 800g supernatant was determined with the MAPK assay kit from Amersham.

Immediate Early Gene Activation

Isolation of RNA and S1 Nuclease Analysis. Cytoplasmic RNA was extracted from confluent cell monolayers lysed in extraction buffer (50 mM Tris-HCl, pH 8, 100 mM NaCl, 5 mM MgCl2, and 0.5% Nonidet P-40). After proteinase K (0.15 mg/ml) treatment and phenol extraction, RNA was ethanol precipitated, and the pellets were resuspended in water.

Quantitative S1 analyses were performed using 32P-labeled oligonucleotide probes complementary to krox 24 mRNA. The sizes and complementary positions of mouse oligonucleotide sequence (M22326 from GenBank) was: 45mer-krox 241767 to 1811.

Solution hybridization was carried out overnight on 25 to 50 µg of cytoplasmic RNA at 52°C with 5 × 104 cpm of oligonucleotide (~109 cpm/µg) in 0.16 M HEPES, pH 7.5, 0.33 mM EDTA, and 1 M NaCl. The excess probe was digested with 270 µl of buffer containing an S1 nuclease digestion solution (0.28 M NaCl, 0.05 M Na-acetate, pH 5.2, 4.5 mM ZnSO4, and 1000 U/ml of S1 nuclease) for an additional 60 min at 37°C. The reaction was stopped with 5 mM EDTA, and hybrids were precipitated with ethanol using 10 µg of transfer RNA as a carrier. The pellets were resuspended in the loading buffer (80% formamide, 10 mM EDTA, 1 mg/ml of xylene cyanol, and bromophenol blue) and analyzed on denaturing polyacrylamide/8 M urea gel. Autoradiography of dry gels was performed at -80°C with an intensifying screen for 16 h. After densitometric analysis of the autoradiograms (Spot.sam system, Unilog, Grenoble, France), the amounts of mRNA were expressed as optical densities (O.D.) of protected bands normalized by the amount of hybridized cytoplasmic RNA. The data are expressed as percentage of respective control values and are the means ± S.E.M. of four independent determinations.

Data Analysis

Specific binding was defined as the difference between total and nonspecific binding. IC50 values were determined using a nonlinear least square regression analysis (Munson and Rodbard, 1980) using RS/1 (BBN Software Product Corporation, Cambridge, MA) and an internal computerized interactive procedure. Values were expressed as the mean ± S.E.M. of at least three determinations.

[Ca2+]i concentration increase in cell population, IP1 formation, and MAPK activity upon treatment with drug was defined as the difference between the level obtained in the absence (baseline) and in the presence of the drug. Results were expressed as a percentage of the level obtained in the same experiment with CCK-8S: they are the mean ± S.E.M. of at least three independent determinations. EC50 and IC50 values were determined using weighted least square fitting of experimental data to a four-parameter logistic model (Ratkovsky and Reedy, 1986) with a nonlinear curve fitting RS/1 program (BBN Software Products Corporation). Stimulation at the highest dose of SR146131 was compared with stimulation at the highest dose of CCK-8S (100%) by calculating the 95% confidence interval of the mean ratio. Paired Student's t test was applied in the IP1 study in CHO-CCK2 cells. In the krox 24 study, intergroup comparisons were performed using ANOVA, followed as appropriate by Dunnett's test (for comparisons with a single control group), or Duncan's test (for all pairwise comparisons).

    Results
Top
Abstract
Introduction
Experimental Procedures
Results
Discussion
References

Affinity of SR146131 for Human CCK1 and CCK2 Receptors

As shown in Fig. 2A, SR146131 inhibited in a concentration-dependent manner the binding of [125I]-BH-CCK-8S to CCK1 sites on 3T3-hCCK1 cell membranes with an IC50 value of 0.56 ± 0.10 nM (mean ± S.E.M., n = 3), which was slightly better than that of CCK-8S (IC50 of 1.17 ± 0.11 nM). At much higher concentrations, SR146131 also inhibited the binding of radiolabeled CCK to CCK2 sites in CHO-hCCK2 membranes with an IC50 of 162 ± 27 nM. Under the same experimental conditions, CCK-8S inhibited the binding of radiolabeled CCK to CCK2 sites with an IC50 value of 0.31 ± 0.07 nM (Fig. 2B). Moreover, SR146131 did not interact (IC50 > 10 µM) with over 50 receptors of nonpeptide (e.g., histamine, alpha - and beta -adrenergics, opiate, dopamine, serotonin, adenosine, benzodiazepine, and L-type calcium channel) or peptide ligands (e.g., neuropeptide Y, vasopressin, galanin, and endothelin) (data not shown).


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Fig. 2.   Inhibition by CCK1 and CCK2 agonists and antagonists of specific [125I]-BH-CCK-8S binding to 3T3-hCCK1 and CHO-hCCK2 membranes. Membranes from 3T3-hCCK1 (A) and CHO-hCCK2 (B) cells were incubated in the presence of [125I]-BH-CCK-8S (45 pM and 25 pM, respectively) with increasing concentrations of SR146131 (), CCK-8S (open circle ) SR27897B (black-square), devazepide (), L365,260 (triangle ) or PD134,308 (black-triangle). Results are expressed as a percentage of specific [125I]-BH-CCK-8S binding and represent means of three independent experiments performed in duplicate.

Because the biological activity of CCK1 receptor agonists is often species dependent (Matozaki et al., 1989; Bianchi et al., 1994), and because the in vivo pharmacological effects of the compounds were determined in rodents (Bignon et al., companion paper), we studied the effect of SR146131 on the binding of [125I]-BH-CCK-8S to rat pancreatic membranes. SR146131 inhibited the binding of [125I]-BH-CCK-8S to CCK1 receptors on these membranes, with an IC50 value of 0.84 ± 0.09 nM, which was slightly better than that of CCK-8S (IC50 = 1.65 ± 0.16 nM) (data not shown).

Effects of SR146131 on 3T3-hCCK1 Cells

[Ca2+]i Increase in Cell Population. In 3T3-hCCK1 cells, CCK-8S and SR146131 induced a strong and transient increase of [Ca2+]i. As shown in Fig. 3A, CCK-8S and SR146131 stimulated in a concentration-dependent manner the increase of [Ca2+]i. SR146131 demonstrated an efficacy comparable with that of CCK-8S (EC50 of 1.38 ± 0.06 nM and 1.08 ± 0.28 nM, respectively), with a mean maximum stimulation of 81% of CCK-8S, (minimum, 70%; maximum, 99%, P > .05), thus indicating that SR146131 is a full CCK1 receptor agonist on this cell system response. The selective CCK1 receptor antagonists SR27897B and devazepide totally inhibited the increase of [Ca2+]i induced by 100 nM SR146131 (IC50 of 1.53 ± 0.32 nM and 2.07 ± 0.19 nM, respectively; Fig. 3B), suggesting that these effects of SR146131 were entirely mediated by the CCK1 receptor.


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Fig. 3.   Effect of SR146131 and CCK-8S on [Ca2+]i in a 3T3-hCCK1 cell population. A, stimulation of [Ca2+]i by SR146131 and CCK-8S. Increasing concentrations of SR146131 () or CCK-8S (open circle ) were added and [Ca2+]i was measured as described under in Experimental Procedures. Results are expressed as a percentage of effect obtained with 100 nM CCK-8S, and represent means ± S.E.M. of three independent experiments. B, inhibition by selective CCK1 antagonists of increase of [Ca2+]i induced by SR146131. Increasing concentrations or SR27897B (black-square) or devazepide () were added in the presence of 100 nM SR146131, and [Ca2+]i was measured as described in Experimental Procedures. Results are expressed as a percentage of effect obtained with 100 nM SR146131 and represent means ± S.E.M. of three independent experiments.

[Ca2+]i Increase in Individual Cells. Superfusion of 3T3-hCCK1 cells with CCK-8S resulted in an increase in [Ca2+]i. At low CCK-8S concentrations, the signal consisted of [Ca2+]i oscillations (repetitive transient increases in free [Ca2+]i levels) (Fig. 4A), but at higher concentrations, CCK-8S induced a typical biphasic response consisting of a large peak followed by a slow return to baseline (Fig. 4B). SR146131 also induced [Ca2+]i oscillations at low concentrations and provoked a large peak at higher concentrations. The effects of SR146131 and CCK-8S on single 3T3-hCCK1 cells were also compared by the analysis of the percentage of the responding cells in terms of oscillation or peaks (Fig. 4C). Low concentrations of CCK-8S and SR146131 induced oscillations in these cells, and higher concentrations of the two agonists induced peaks with a concomitant decrease of oscillations. CCK-8S induced peaks in 100% of the cells with an EC50 value of 0.20 ± 0.08 nM (n = 5). SR146131 was as potent as CCK-8S and also induced peaks in 100% of the cells (Fig. 4C), with an EC50 value of 0.75 ± 0.20 nM (n = 5). The maximum amplitudes of the peaks induced by 10 nM CCK-8S and 100 nM SR146131 were similar [% of basal values of 316 ± 40 (n = 5), and 302 ± 47 (n = 5), respectively; data not shown]. The selective CCK1 receptor antagonist SR27897B, at a concentration of 100 nM, antagonized the oscillations induced by 1 nM SR146131 or 100 pM CCK-8S, and also prevented the peaks induced by 10 nM SR146131 or 1 nM CCK-8S (inhibition of 89% and 75%, respectively; data not shown). Similar results were obtained with the CCK1 receptor antagonist devazepide. Thus, when measured in single 3T3-hCCK1 cells, SR146131 presents a CCK1 receptor agonist profile very close to that observed for CCK-8S itself.


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Fig. 4.   Effect of SR146131 and CCK-8S on [Ca2+]i in individual 3T3-hCCK1 cells. A, repetitive Ca2+ transients or oscillations induced by continuous perfusion with 100 pM SR146131 and CCK-8S in this example. Each plot is from one representative individual cell. Horizontal line indicates period of perfusion of cells with tested compound. [Ca2+]i values are expressed in percentage of basal values. B, peaks followed by a more or less elevated sustained plateau induced by continuous perfusion with 10 nM SR146131 and CCK-8S. C, concentration-response relationships. Results are expressed as a percentage of responding cells and represent means ± S.E.M. of five independent experiments. Oscillations obtained with SR146131 () and CCK-8S (open circle ); peaks obtained with SR146131 (black-square) and CCK-8S ().

Inositol Phosphate Formation. As shown in Fig. 5A, in 3T3-hCCK1 cells, CCK-8S as well as SR146131 stimulated IP1 formation in a concentration-dependent manner with EC50 values of 2.2 ± 0.4 nM and 18 ± 4 nM, respectively. For SR146131, the maximal activation of IP1 formation, occurring at approximately 100 nM, was comparable with that of CCK-8S (88% of CCK-8S effect: minimum, 81%; maximum, 95%, P > .05). Both specific CCK1 receptor antagonists SR27897B and devazepide inhibited IP1 formation induced by 10 nM SR146131 with IC50 values of 2.4 ± 1.3 nM and of 3.3 ± 1.0 nM, respectively (Fig. 5B).


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Fig. 5.   Effect of SR146131 and CCK-8S on IP1 formation in 3T3-hCCK1 cells. A, stimulation of IP1 formation was induced by increasing concentrations of SR146131 () and CCK-8S (open circle ). Results are expressed as a percentage of effect obtained with 100 nM CCK-8S and represent means ± S.E.M. of three independent experiments performed in triplicate. B, inhibition by selective CCK1 antagonists SR27897B (black-square) and devazepide () of increase of IP1 formation induced by 10 nM SR146131. Results are expressed as a percentage of effect obtained with 10 nM SR146131 and represent means ± S.E.M. of three independent experiments performed in triplicate.

MAPK Activity. The capacity of CCK-8S and SR146131 to stimulate MAPK activity in 3T3-hCCK1 cells is shown in Fig. 6. As found for [Ca2+]i and IP1 formation, CCK-8S activated MAPK activity at subnanomolar concentrations (EC50 of 0.55 ± 0.15 nM), whereas SR146131 was less potent in inducing this effect (EC50 of 290 ± 80 nM). The maximum MAPK activation observed at 10 µM SR146131, although not significantly different than that observed with 1 µM CCK-8S, represented only 73% (minimum, 54%; maximum, 83%, P > .05) of the CCK-8S effect. The MAPK activity induced by 1 µM SR146131 was completely and concentration dependently inhibited by both SR27897B and devazepide, with IC50 values of 14 ± 2 nM and 2.5 ± 1.0 nM, respectively, demonstrating the CCK1 receptor-dependence of this effect (Fig. 6B).


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Fig. 6.   Effect of SR146131 and CCK-8S on MAP kinase activity in 3T3-hCCK1 cells. A, stimulation of MAPK was induced by increasing concentrations of SR146131 () and CCK-8S (open circle ). Results are expressed as a percentage of effect obtained with 100 nM CCK-8S and represent means ± S.E.M. of three independent experiments performed in triplicate. B, inhibition by selective CCK1 antagonists SR27897B (black-square) and devazepide () of MAPK activation induced by 1 µM SR146131. Results are expressed as a percentage of effect obtained with 1 µM SR146131 and represent means ± S.E.M. of three independent experiments performed in triplicate.

Immediate Early Gene Activation. Preliminary experiments indicated that the maximal effect of CCK-8S on krox 24 mRNA levels in the 3T3-hCCK1 cells was obtained at 10 nM (data not shown). In the present study, CCK-8S (10 nM), but not SR146131 (10 nM) increased krox 24 mRNA after 15 min of incubation (Fig. 7A). The maximum effect of CCK-8S was observed after 30 min of incubation, and SR146131 also increased krox 24 mRNA levels at this time. The effect of both compounds was less after 60 min, remaining significant for CCK-8S but not for SR146131. As shown in Fig. 7B, SR146131 induced a gradual, concentration-dependent increase in krox 24 mRNA expression, which attained statistical significance at the concentration of 10 nM. However, the increase in krox 24 mRNA produced by SR146131 (100 nM) was significantly lower than that produced by CCK-8S (10 nM) (t = 8.53, P < .05). SR27897B (100 nM) antagonized the increase in krox 24 produced by both CCK-8S [10 nM, F(2,8) = 145.25, P < .01] and SR146131 [100 nM, F(2,9) = 33.87, P < .01] (data not shown).


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Fig. 7.   Effect of SR146131 and CCK-8S on krox 24 mRNA levels in 3T3-hCCK1 cells. A, time course of krox 24 mRNA expression: 3T3-hCCK1 cells were incubated for indicated times with vehicle (0.1% DMSO) (), CCK-8S (10 nM) (open circle ), or SR146131 (10 nM) (). krox 24 mRNA expression was determined as described in Experimental Procedures. B, concentration effect of SR146131 on krox 24 mRNA expression: 3T3-hCCK1 cells were incubated for 30 min with vehicle, CCK-8S (10 nM) or indicated concentrations of SR146131. krox 24 mRNA expression was determined as described in Experimental Procedures. Results are mean ± S.E.M. of experiments performed in triplicate. Statistical analysis by ANOVA. A, 15 min F(2,8) = 10.77, P < .01; 30 min F(2,8) = 63.59, P < .01; 60 min F(2,9) = 4.58, P < .05; post hoc tests: *p < .05, **p < .01 Dunnett's test versus control. B, F(4,14) = 59.25, P < .01; post hoc tests: *p < .05, **p < .01 Duncan's t test versus control.


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Fig. 8.   Effect of SR146131 on [Ca2+]i and phosphoinositide turnover in IMR32 human neuroblastoma cells. A, effect of SR146131 (30 nM) on [Ca2+]i in IMR32 cells. Arrow indicates time at which vehicle or SR146131 (30 nM) were added to fura-2-loaded neuroblastoma cells. Data are representative of three to seven experiments. B, effect of SR146131 on phosphoinositide turnover in IMR32 cells. Cell monolayers were incubated with increasing concentrations of SR146131 for 120 min at 37°C and IP1 formation was determined as described in Experimental Procedures. Data are representative of three to five experiments performed in triplicate. Bars represent S.E.M.

Effects of SR146131 in Human CHP212 and IMR32 Neuroblastoma Cells

Two human neuroblastoma cell lines, IMR32 and CHP212, have been reported to constitutively express a small number of CCK1 receptors (Barrett et al., 1989; Schaeffer et al., 1994). We showed previously that [125I]-BH-CCK-8S specifically labels CCK1 receptors on IMR32 neuroblastoma cells (Schaeffer et al., 1994). SR146131 inhibited [125I]-BH-CCK-8S with an IC50 value of 31 ± 17 nM, showing that it interacts with CCK1 receptors on IMR32 cells. However, SR146131 not only bound to CCK1 receptors on these cells, but also activated these receptors: as shown in Fig. 9A, 30 nM SR146131 induced a clear but transient increase of [Ca2+]i in IMR32 neuroblastoma cells (higher concentrations of SR146131 could not be studied in this particular assay because the autofluorescence of the compound interfered with the measurement). This effect (mean maximum stimulation of 39 ± 3% (minimum, 35%; maximum, 43%) was significantly different (P < .05) from the maximal effect of CCK-8S (100 nM). The effect of SR146131 was related to CCK1 receptor activation, because it was abolished by low concentrations (10 nM) of the CCK1 receptor antagonists SR27897B (83 ± 4% inhibition, n = 4) or devazepide, (78 ± 6% inhibition, n = 4).


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Fig. 9.   Effect of SR146131 on [Ca2+]i and phosphoinositide turnover in CHP212 human neuroblastoma cells. A, effect of SR146131 (30 nM) on [Ca2+]i in CHP212 cells. Arrow indicates time at which vehicle or SR146131 (30 nM) were added to fura-2-loaded CHP212 cells. Data are representative of two to three experiments. B, effect of SR146131 on phosphoinositide turnover in CHP212 cells. Cell monolayers were incubated with increasing concentrations of SR146131 for 120 min at 37°C and IP1 formation was determined as described in Experimental Procedures. Data are representative of four experiments performed in triplicate. Bars represent S.E.M.

Further evidence for the activation of CCK1 receptors by SR146131 was obtained by studying the effect of the agonist on phosphoinositide turnover in these cells. As shown in Fig. 8B, incubation with 1 µM SR146131 nearly doubled the level of IP1 in these cells. This effect of SR146131, which was observed at low concentrations of the compound (EC50 = 6.0 ± 3.1 nM), represented 38 ± 10% (minimum, 20%; maximum, 68%, P < .05) of the maximal effect of CCK-8S (100 nM) and was CCK1 receptor-mediated, because it was strongly decreased by the addition of 1 µM SR27897B (47 ± 23% inhibition, n = 3) or 100 nM devazepide (86 ± 5% inhibition, n = 3).

Similar effects were observed in CHP212 neuroblastoma cells (Fig. 9A) in which SR146131 (30 nM) induced an increase in [Ca2+]i, which represented 54 ± 4% (minimum, 50%; maximum, 58%, P < .05) of the maximal effect of CCK-8S (100 nM). This effect of SR146131 was strongly inhibited by 100 nM SR27897B (75 ± 5% inhibition, n = 3) as well as by 10 nM devazepide (50 ± 13% inhibition, n = 3). SR146131 also stimulated phosphoinositide turnover in these cells, with an EC50 value of 9.3 ± 2.8 nM (Fig. 9B). This effect of SR146131, which reached 66 ± 8 (minimum, 54%; maximum, 86%, P < .05) of the maximal effect of CCK-8S (100 nM), was again due to a selective activation of the CCK1 receptor (Fig. 9B), because it was abolished by 100 nM SR27897B (99 ± 1% inhibition, n = 4) and devazepide (100 ± 1% inhibition, n = 3).

Further evidence of the agonist activity of SR146131 was obtained on the increase of [Ca2+]i in individual CHP212 cells (data not shown). SR146131 induced peaks in 61% of the cells with an EC50 value of 9.3 ± 3.4 nM (n = 5). CCK-8S was slightly more potent and induced peaks in 92% of the cells, with an EC50 value of 2.8 ± 0.9 nM (n = 4). The maximal amplitudes of the peaks induced by 1 µM SR146131 or CCK-8S were similar [256 ± 43 (n = 5), and 271 ± 49 (n = 4) % of basal values, respectively].

Effects of SR146131 in Human CHO-hCCK2 Cells

Functional activity at the CCK2 receptor was determined in the CHO-hCCK2 cell line. In these cell line, CCK-8S stimulated IP1 formation with an EC50 value of 0.94 ± 0.11 nM (Fig. 10A). This effect was completely inhibited by the selective CCK2 antagonists L365,260 and PD134,308, with IC50 values of 25 ± 5 nM and 12 ± 2 nM, respectively (Fig. 10B). At a 10-µM concentration, SR146131 did not stimulate IP1 formation (Fig. 10A) and slightly (30%) but significantly (t(2) = 9.41, P < .05) inhibited 3 nM CCK-8S induced IP1 formation (Fig. 10B).


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Fig. 10.   Effect of SR146131 and CCK-8S on IP1 formation in CHO-hCCK2 cells. A, effect of SR146131 and CCK-8S on IP1 formation in CHO-hCCK2 cells. Cell monolayers were incubated for 40 min at 37°C with increasing concentrations of SR146131 () or CCK-8S (open circle ) and IP1 formation was determined as described in Experimental Procedures. Results are expressed as percentage of effect obtained with 100 nM CCK-8S. B, effect of SR146131 (), L365,260 (diamond ) and PD134,308 (black-triangle) on CCK-8S (3 nM)-induced IP1 formation. Results are expressed as a percentage of effect obtained with 3 nM CCK-8S. Results represent means ± S.E.M. of three independent experiments performed in triplicate.

    Discussion
Top
Abstract
Introduction
Experimental Procedures
Results
Discussion
References

Although molecular cloning of CCK1 receptors has revealed a high degree of homology across species (Wank, 1998), and CCK-8S has similar pharmacological profiles in a variety of animal species including humans, the biological activity of synthetic CCK1 agonists is often species-dependent. For example, the CCK1 receptor agonists JMV-180 and cholecystokinin tetrapeptide derivatives elicited responses varying from antagonist to full agonist activities (relative to CCK) on [Ca2+]i uptake or phosphoinositide breakdown in human neuroblastoma cells or pancreas of rats, mice, and guinea-pigs (Schaeffer et al., 1994; Bianchi et al., 1994). For this reason, and with the objective to develop a therapeutic agent, we determined the biochemical characteristics of SR146131 on the human CCK1 and CCK2 receptors.

SR146131 is the first potent nonpeptide, selective CCK1 receptor agonist reported to date. Moreover, it is one of the rare examples in which we were able, starting from a full antagonist SR27897B, to design an agonist of a neuropeptide receptor. SR146131 binds with a very high affinity (IC50 = 0.56 nM) to the human CCK1 receptor. The affinity of SR146131 for the CCK1 receptor was slightly better than that of CCK-8S (IC50 of 1.17 ± 0.11 nM). SR146131 shows a high level of selectivity for the CCK1 receptor versus the CCK2 receptor (300-fold) and a variety of receptors of nonpeptide or peptide ligands. In this respect, SR146131 has a much higher affinity for the human CCK1 receptor and higher selectivity over the CCK2 receptor compared with the recently reported CCK1 receptor agonist: the 1,5-benzodiazepine GW5823 (Henke et al., 1997).

In vitro biological characterization of SR146131 in 3T3-hCCK1 cells showed that SR146131 is a full agonist on [Ca2+]i release with an efficiency comparable with that of CCK-8S (EC50 ~ 1 nM). The increase of [Ca2+]i is probably due to calcium release from intracellular stores, because the measurements were performed in the absence of extracellular calcium. The effects of CCK-8S were similar to those reported in CHO cells expressing the CCK1 receptor (Dunlop et al., 1997). SR146131 is more potent than GW5823, reported to be a full agonist in CHO cells bearing the human CCK1 receptor (Henke et al., 1997). On individual 3T3-hCCK1 cells, SR146131 induced, like CCK-8S, oscillations and peaks of calcium: the proportion of the cells that responded with oscillations or peaks was comparable for both agonists and varied as a function of the concentrations tested. The maximum amplitudes of the peaks induced by CCK-8S and SR146131 were very similar, confirming that SR146131 is a potent and full CCK1 receptor agonist on this type of response. These results suggest that SR146131 is a much more potent CCK1 receptor agonist than JMV180, which, in contrast, appears to exhibit a partial agonist or agonist-antagonist profile at the CCK1 receptor (Schaeffer et al., 1994). For example, JMV180 induces sustained calcium responses in only 65% of CHO cells stably transfected with the cloned rat CCK1 receptor (Yule et al., 1993), and in rat pancreatic acini, the peptide elicits only calcium oscillations and acts as an antagonist to block the effect of high concentrations of CCK-8S to induce large transient increases of [Ca2+]i (Matozaki et al., 1990).

The present study also clearly demonstrates that SR146131 stimulates with a high efficacy (EC50 of 18 ± 4 nM) IP1 formation in 3T3-hCCK1 cells. The amplitude of the effect induced by SR146131 was similar to that elicited by CCK-8S, demonstrating that SR146131 is a full agonist on this response. These results again indicate a stronger CCK1 receptor agonist activity of SR146131 versus that observed for JMV180, because the latter could only slightly stimulate IP1 formation in isolated pancreatic acini from rodents (Bianchi et al., 1994) and in CHO cells stably transfected with the cloned rat CCK1 receptor (Yule et al., 1993). In 3T3-hCCK1 cells, the agonist activity of SR146131 on calcium release and IP1 formation (EC50: 1.38 and 18 nM, respectively) was consistent with its affinity for the CCK1 receptor. Moreover, the selective CCK1 receptor antagonists SR27897B or devazepide inhibited in a concentration-dependent manner these agonist effects of SR146131, therefore suggesting that the observed effects of SR146131 are entirely mediated by the CCK1 receptor.

It has been shown previously that CCK1 receptors are capable of interacting with multiple G proteins and that the signal observed upon stimulation depends on the nature of the host cell and its diversity of intracellular signaling components (Yule et al., 1993). In the present study, we investigated the effect of SR146131 on the activity of MAPK, another coupling mechanism previously described to be linked to CCK1 receptor activation (Duan and Williams, 1994). SR146131, like CCK-8S, stimulated MAPK activity in 3T3-hCCK1 cells. However, the maximal stimulation produced by SR146131 was lower than that of CCK-8S, and higher concentrations of SR146131 were required to activate MAPK than to stimulate [Ca2+]i or IP1 formation. Nevertheless, we found that this response was antagonized in a concentration-dependent manner by SR27897B and devazepide, demonstrating a selective CCK1 receptor-dependent activation by SR146131.

Recently, Day et al. (1994) showed that the selective activation of CCK1 receptors increased the levels of a number of immediate early gene mRNAs, including krox 24 (nerve growth factor-induced gene A) and c-fos in several brain regions in vivo. We have found that the incubation of 3T3-hCCK1 cells with SR146131 and CCK-8S increased mRNA of krox 24 (and also of c-fos, our unpublished observation), supporting the observation of Day et al. (1994), and indicating that SR146131 behaved as a CCK1 receptor agonist on immediate early gene expression. However, SR146131 was unable to activate this early gene to the same maximum extent as CCK-8S. Furthermore, the effect of SR146131 differs from that of JMV-180, which has been shown not to stimulate the mRNA levels of transcription factors but rather to inhibit the increase in c-fos mRNA induced by CCK-8S (Lu and Logsdon, 1992).

Collectively, these results suggest that SR146131 elicits a more efficient coupling of the CCK1 receptor with phospholipase C than with the krox 24 and MAPK pathways, MAPK activation and krox 24 expression probably being linked, as already suggested in another receptor-coupled system (Bouaboula et al., 1995).

SR146131 activated CCK1 receptors not only in transfected cells, but also in cells expressing this receptor in a constitutive manner: IMR32 and CHP212 human neuroblastoma cell lines. In IMR32 cells, SR146131 inhibited the binding of radiolabeled CCK-8S and increased [Ca2+]i and IP1 formation. Although maximal activation of [Ca2+]i increase and IP1 formation was lower than that observed for CCK-8S, SR146131 appeared as a much more stronger agonist than the CCK analog JMV180, which was devoid of agonistic activity but acted as an antagonist in this cell line (Schaeffer et al., 1994). Similarly in CHP212 cells, SR146131 stimulated phosphoinositide turnover and [Ca2+]i increase to 54% and 66%, respectively, of the maximal effect of CCK-8S. The partial agonist effect of SR146131 on [Ca2+]i in this cell population might be related to the fact that only 61% of the cells induced peaks (when measured in individual cells) during SR146131 perfusion (versus 92% with CCK-8S). On the other hand, the maximal amplitudes of the peaks induced in the responding cells by SR146131 and CCK-8S were similar.

Because the in vivo pharmacological effects of the compounds were determined in rodents (Bignon et al., companion paper), we also studied the effect of SR146131 at the rat CCK1 pancreatic receptor. SR146131 binds with a very high affinity (IC50 = 0.84 ± 0.09 nM) to this CCK1 receptor. The affinity of SR146131 for the rat CCK1 receptor was slightly better than that of CCK-8S (IC50 = 1.65 ± 0.16 nM).

SR146131 was found to be functionally inactive at the CCK2 receptor, because, even at micromolar concentrations, it did not stimulate and only poorly inhibited CCK-8S-induced IP1 formation in CHO cells expressing the human recombinant CCK2 receptor.

Our in vitro study demonstrates that SR146131 is a potent CCK1 agonist on several intracellular events linked to CCK1 receptor activation in various cell types: on [Ca2+]i release and IP1 formation, SR146131 appears as a full CCK1 receptor agonist in the 3T3-hCCK1 cells, but a partial CCK1 receptor agonist on MAPK activation and early gene expression in this cell line. SR146131 also acts as a partial agonist in the two neuroblastoma cell lines that we have studied. SR146131 appears to be much more potent than the previously described nonpeptide CCK1 receptor agonists. In summary, SR146131 is a very potent and selective nonpeptide agonist of the CCK1 receptor, which might be useful for the treatment of eating disorders and obesity.

    Acknowledgments

We thank Paule Delagne, Claude Dufour, Joëlle Lassalle, Anne-Laure Nestor, Yves Rouzier, and Patricia Saubusse for excellent technical support, and Marilyne Laborde and Danielle Lasserre for expert secretarial assistance. Christophe Agut and his biostatistical team are gratefully acknowledged for reviewing the data.

    Footnotes

Accepted for publication December 23, 1998.

Received for publication October 14, 1998.

1 Current address: Sanofi Recherche, 371 rue du Professeur Joseph Blayac 34184 Montpellier Cedex, France.

Send reprint requests to: Dr. Eric Bignon, Sanofi Recherche, Exploratory Research Department, 195 route d'Espagne, 31036 Toulouse Cedex, France. E-mail: eric.bignon{at}sanofi.com

    Abbreviations

[Ca2+]i, intracellular calcium concentration; CCK, cholecystokinin; CCK-8S, sulfated cholecystokinin octapeptide; CHO, Chinese hamster ovary; IP1, inositol monophosphate; MEM, minimum essential medium.

    References
Top
Abstract
Introduction
Experimental Procedures
Results
Discussion
References


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