In 2001, it was reported that in a human study examining the usefulness of CNTF for treatment of motor neuron disease, CNTF produced an unexpected and substantial weight loss in the study subjects. Further investigation revealed that CNTF could reduce food intake without causing hunger or stress, making it a candidate for weight control in leptin-resistant subjects, as CNTF is believed to operate like leptin, but by a non-leptin pathway.
A recombinant version of human CNTF (rhCNTF), trade name Axokine, is a modified version with a 15 amino acid truncation of the C-terminus and two amino acid substitutions. It is three to five times more potent than CNTF in in vitro and in vivo assays and has improved stability properties. Like CNTF it is a neurotrophic factor, and may stimulate nerve cells to survive. It was tested in the 1990s as a treatment for amyotrophic lateral sclerosis. It did not improve muscle control as much as expected, but trial participants did report a loss of appetite.
Phase III clinical trials for the drug against obesity were conducted in 2003 by Axokine's maker, Regeneron, demonstrating a small positive effect in some patients, but the drug was not commercialized. A major problem with the treatment was that in nearly 70% of the subjects tested, antibodies against Axokine were produced after approximately three months of treatment. In the minority of subjects who did not develop the antibodies, weight loss averaged 12.5 pounds in one year, versus 4.5 pounds for placebo-treated subjects. In order to obtain this benefit, subjects needed to receive daily subcutaneous injections of one microgram Axokine per kilogram body weight.
Xencor patent application raises the disturbing idea that subjects producing antibodies against CNTF analogues may eventually suffer severe adverse effects, as these antibodies could potentially interfere with the neuroprotective functions of endogenous CNTF. The application claims methods of designing CNTF analogues with lower immunogenicity than Axokine based on analysis of affinity of each modified epitope for each of 52 class II MHC alleles, and provides specific examples of such modifications. No such analogues are currently listed in Xencor's product pipeline.
NT-501 is a product being developed by Neurotech that consists of encapsulated human cells genetically modified to secrete ciliary neurotrophic factor (CNTF). In a clinical trial, NT-501 demonstrated a statistically significant reduction of photoreceptor degradation in patients with retinitis pigmentosa.
^Lam A, Fuller F, Miller J, Kloss J, Manthorpe M, Varon S, Cordell B (Sep 1991). "Sequence and structural organization of the human gene encoding ciliary neurotrophic factor". Gene102 (2): 271–6. doi:10.1016/0378-1119(91)90089-T. PMID1840538.
^McGregor NE, Poulton IJ, Walker EC, Pompolo S, Quinn JM, Martin TJ, Sims NA (Mar 2010). "Ciliary neurotrophic factor inhibits bone formation and plays a sex-specific role in bone growth and remodeling". Calcified Tissue International86 (3): 261–70. doi:10.1007/s00223-010-9337-4. PMID20157807.
^Peterson WM, Wang Q, Tzekova R, Wiegand SJ (June 2000). "Ciliary neurotrophic factor and stress stimuli activate the Jak-STAT pathway in retinal neurons and glia". J. Neurosci.20 (11): 4081–90. PMID10818143.
^Schuster B, Kovaleva M, Sun Y, Regenhard P, Matthews V, Grötzinger J, Rose-John S, Kallen KJ (March 2003). "Signaling of human ciliary neurotrophic factor (CNTF) revisited. The interleukin-6 receptor can serve as an alpha-receptor for CTNF". J. Biol. Chem.278 (11): 9528–35. doi:10.1074/jbc.M210044200. PMID12643274.
^Schooltink H, Stoyan T, Roeb E, Heinrich PC, Rose-John S (December 1992). "Ciliary neurotrophic factor induces acute-phase protein expression in hepatocytes". FEBS Lett.314 (3): 280–4. doi:10.1016/0014-5793(92)81489-9. PMID1281789.
McDonald JR, Ko C, Mismer D, et al. (1991). "Expression and characterization of recombinant human ciliary neurotrophic factor from Escherichia coli.". Biochim. Biophys. Acta1090 (1): 70–80. doi:10.1016/0167-4781(91)90038-n. PMID1883844.
Lichter P, Tang CJ, Call K, et al. (1990). "High-resolution mapping of human chromosome 11 by in situ hybridization with cosmid clones.". Science247 (4938): 64–9. doi:10.1126/science.2294592. PMID2294592.
Saggio I, Paonessa G, Gloaguen I, et al. (1995). "Nonradioactive receptor binding assay for ciliary neurotrophic factor.". Anal. Biochem.221 (2): 387–91. doi:10.1006/abio.1994.1430. PMID7810882.
Takahashi R, Yokoji H, Misawa H, et al. (1994). "A null mutation in the human CNTF gene is not causally related to neurological diseases.". Nat. Genet.7 (1): 79–84. doi:10.1038/ng0594-79. PMID8075647.
Giovannini M, Romo AJ, Evans GA (1993). "Chromosomal localization of the human ciliary neurotrophic factor gene (CNTF) to 11q12 by fluorescence in situ hybridization.". Cytogenet. Cell Genet.63 (1): 62–3. doi:10.1159/000133504. PMID8449041.
Robledo O, Auguste P, Coupey L, et al. (1996). "Binding interactions of leukemia inhibitory factor and ciliary neurotrophic factor with the different subunits of their high affinity receptors.". J. Neurochem.66 (4): 1391–9. doi:10.1046/j.1471-4159.1996.66041391.x. PMID8627290.
Gutman CR, Strittmatter WJ, Weisgraber KH, Matthew WD (1997). "Apolipoprotein E binds to and potentiates the biological activity of ciliary neurotrophic factor.". J. Neurosci.17 (16): 6114–21. PMID9236223.
Cargill M, Altshuler D, Ireland J, et al. (1999). "Characterization of single-nucleotide polymorphisms in coding regions of human genes.". Nat. Genet.22 (3): 231–8. doi:10.1038/10290. PMID10391209.