GLP-1R antibodies are monoclonal or engineered antibodies designed to modulate GLP-1 receptor activity. These antibodies function as either antagonists (blocking receptor signaling) or agonists (activating receptor pathways), depending on therapeutic goals.
Antagonists: Used to study GLP-1R's physiological roles or treat conditions like congenital hyperinsulinism by preventing hypoglycemia .
Agonists: Mimic GLP-1's effects to enhance insulin secretion and promote weight loss .
Key structural features include:
Fab-arm specificity: Enables high-affinity binding to extracellular GLP-1R domains .
Cross-species reactivity: Some antibodies (e.g., Glp1R0017) target human, mouse, rat, and primate receptors .
In vivo antibody painting: A novel delivery method covalently links GLP-1 agonists to IgGs, extending half-life and efficacy in diabetic mice .
TB59-2: Demonstrated comparable cAMP activation to native GLP-1, with a 2-day half-life in preclinical models .
Glucose control: Antagonists like TB-222-023 improved glucose tolerance in hyperinsulinemic models .
Weight loss: Agonist-linked antibodies reduced body weight in obese mice at lower doses than standard therapies .
GLP-1R antibodies show neuroprotective effects by reducing neuroinflammation and enhancing synaptic plasticity .
Vascular benefits include improved endothelial function and reduced cardiovascular risk .
Preclinical studies suggest GLP-1R antibodies inhibit tumor growth (e.g., pancreatic, prostate) via PI3K/AKT pathway suppression .