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Endocrinology Vol. 144, No. 11 4755-4762
Copyright © 2003 by The Endocrine Society

Selective Inhibition of 11ß-Hydroxysteroid Dehydrogenase Type 1 Improves Hepatic Insulin Sensitivity in Hyperglycemic Mice Strains

Pteris Alberts, Cecilia Nilsson, Göran Selén, Lars O. M. Engblom, Naimie H. M. Edling, Solveig Norling, Gunnel Klingström, Catarina Larsson, Margareta Forsgren, Mandana Ashkzari, Catrine E. Nilsson, Maj Fiedler, Elisabet Bergqvist, Birgitta Öhman, Eva Björkstrand and Lars B. Abrahmsén

Biovitrum SE12, SE-112 76, Stockholm, Sweden

Address all correspondence and requests for reprints to: Dr. P. Alberts, Pharmacology 2, Department of Biology, Biovitrum SE12, SE-112 76 Stockholm, Sweden. E-mail: peteris.alberts{at}biovitrum.com.

11ß-Hydroxysteroid dehydrogenase type 1 (11ß-HSD1) has been proposed as a new target for type 2 diabetes drugs. The aim of the present study was to assess the effects of inhibition of 11ß-HSD1 on blood glucose levels, glucose tolerance, and insulin sensitivity in mouse models of type 2 diabetes. BVT.2733 is an isoform-selective inhibitor of mouse 11ß-HSD1. Hyperglycemic and hyperinsulinemic ob/ob, db/db, KKAy, and normal C57BL/6J mice were orally administered BVT.2733 (200 mg/kg·d, twice daily). In hyperglycemic, but not in normal mice, BVT.2733 lowered circulating glucose (to 50–88% of control) and insulin (52–65%) levels. In oral glucose tolerance tests in ob/ob and KKAy mice, glucose concentrations were 65–75% of vehicle values after BVT.2733 treatment, and in KKAy mice insulin concentrations were decreased (62–74%). Euglycemic, hyperinsulinemic clamps demonstrated decreased endogenous glucose production (21–61%). Analysis of hepatic mRNA in KKAy mice showed reduced phosphoenolpyruvate carboxykinase mRNA (71%). A slight reduction in food intake was observed in ob/ob and KKAy mice. Cholesterol, triglycerides, and free fatty acid levels were decreased to 81–86% in KKAy mice after a 4-h fast. The results support previous suggestions that selective 11ß-HSD1 inhibitors lower blood glucose levels and improve insulin sensitivity in different mouse models of type 2 diabetes.




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