RT Journal Article SR Electronic T1 Asprosin Neutralizing Antibodies as a Treatment for Metabolic Syndrome JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.09.15.298489 DO 10.1101/2020.09.15.298489 A1 Ila Mishra A1 Clemens Duerrschmid A1 Zhiqiang Ku A1 Wei Xie A1 Elizabeth Sabath Silva A1 Jennifer Hoffmann A1 Wei Xin A1 Ningyan Zhang A1 Zhiqiang An A1 Atul R. Chopra YR 2020 UL http://biorxiv.org/content/early/2020/10/04/2020.09.15.298489.abstract AB Recently, we discovered a new glucogenic and centrally-acting orexigenic hormone – asprosin. Asprosin is elevated in metabolic syndrome (MS) patients, and importantly, its genetic loss results in reduced appetite, leanness and robust insulin sensitivity, leading to protection from MS. Here we demonstrate that anti-asprosin monoclonal antibodies (mAbs) are a dual-effect pharmacologic therapy that targets the two key pillars of MS – over-nutrition and the blood glucose burden. Anti-asprosin mAbs from three distinct species lowered appetite and body weight, and improved blood glucose in a dose-dependent and epitope-agnostic fashion in three independent MS mouse models, with an IC50 of ∼1.5 mg/kg. In addition, mAb treatment ameliorated MS associated dyslipidemia and hepatic dysfunction. The mAbs displayed half-life of over 3 days in vivo, with equilibrium dissociation-constants in picomolar to low nanomolar range. This evidence paves the way for further development towards an investigational new drug application and subsequent human trials for treatment of MS, a defining physical ailment of our time.Competing Interest StatementCompeting Financial interests A.R.C. is a cofounder and director of Vizigen, Inc.