Catalytic site inhibition of insulin-degrading enzyme by a small molecule induces glucose intolerance in mice
- Nat Commun. 2015 Sep 23;6:8250. doi: 10.1038/ncomms9250.
- 1. Institut Pasteur de Lille, Lille F-59000, France.
- 2. Université de Lille, Institut Federatif de Recherche 114, Lille F-59000, France.
- 3. Institut National de la Sante et de la Recherche Medicale, U1177 Drugs and Molecules for Living Systems, Lille F-59000, France.
- 4. Institut Federatif de Recherche 142, Molecular and Cellular Medicine, Lille F-59000, France.
- 5. Pole de Recherche Interdisciplinaire pour le Medicament, Lille F-59000, France.
- 6. Institut National de la Sante et de la Recherche Medicale, U1011 Nuclear Receptors, Cardiovascular Diseases and Diabetes, European Genomic Institute for Diabetes, Lille F-59000, France.
- 7. Ben-May Institute for Cancer Research, The University of Chicago, Chicago, Illinois 60637, USA.
- 8. Institut National de la Sante et de la Recherche Medicale, Unité 1151; Université Paris Descartes, Sorbonne Paris Cité; Centre National de la Recherche Scientifique, , Unité 8253, Paris, France.
- 9. Centre National de la Recherche Scientifique, UMR 8576, Structural and Functional Glycobiology, Université de Lille, Lille F-59000, France.
- 10. Université d'Artois, LBHE, EA2465, Lens F-62300, France.
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.