Abstract
Background and objectives
Dual amylin and calcitonin receptor agonists (DACRAs) are therapeutic candidates in the treatment of obesity with beneficial effects on weight loss superior to suppression of food intake. Hence, suggesting effects on energy expenditure by possibly targeting mitochondria in metabolically active tissue.
Methods
Male rats with HFD-induced obesity received a DACRA, KBP-336, every third day for 8 weeks. Upon study end, mitochondrial respiratory capacity (MRC), - enzyme activity, - transcriptional factors, and -content were measured in perirenal (pAT) and inguinal adipose tissue. A pair-fed group was included to examine food intake-independent effects of KBP-336.
Results
A vehicle-corrected weight loss (23.4 ± 2.8%) was achieved with KBP-336, which was not observed to the same extent with the food-restricted weight loss (12.4 ± 2.8%) (P < 0.001). Maximal coupled respiration supported by carbohydrate and lipid-linked substrates was increased after KBP-336 treatment independent of food intake in pAT (P < 0.01). Moreover, oligomycin-induced leak respiration and the activity of citrate synthase and β-hydroxyacetyl-CoA-dehydrogenase were increased with KBP-336 treatment (P < 0.05). These effects occurred without changes in mitochondrial content in pAT.
Conclusions
These findings demonstrate favorable effects of KBP-336 on MRC in adipose tissue, indicating an increased energy expenditure and capacity to utilize fatty acids. Thus, providing more mechanistic insight into the DACRA-induced weight loss.

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Data availability
The datasets generated during and analyzed during the current studies are available from the corresponding author on reasonable request.
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Emilie A. Petersen designed and performed the animal study, performed analyses, and wrote the manuscript. Ida Blom, Simone A. Melander, Mays Al-Rubai, Marina Vidotto, and Louise T. Dalgaard performed analyses. Morten A. Karsdal assisted with study design and data interpretation. Kim Henriksen, Steen Larsen, and Anna T. Larsen: assisted with study design, data interpretation, and manuscript writing. All authors approved the final version of the manuscript.
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We acknowledge the Danish Innovation Foundation and The Danish Research Foundation for funding. MAK and KH own stock in Nordic Bioscience A/S. EAP, ATL, MAK, and KH are employed by Nordic Bioscience A/S.
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Petersen, E.A., Blom, I., Melander, S.A. et al. DACRA induces profound weight loss, satiety control, and increased mitochondrial respiratory capacity in adipose tissue. Int J Obes 48, 1421–1429 (2024). https://doi.org/10.1038/s41366-024-01564-w
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DOI: https://doi.org/10.1038/s41366-024-01564-w