期刊
DIABETES OBESITY & METABOLISM
卷 22, 期 11, 页码 1985-1994出版社
WILEY
DOI: 10.1111/dom.14111
关键词
drug mechanism; energy regulation; liver; pharmacodynamics; type 2 diabetes
资金
- Medical Research Council UK [MR/P002854/1]
- MRC [MR/P002854/1] Funding Source: UKRI
Aim To test the hypothesis that glucokinase activators (GKAs) induce hepatic adaptations that alter intra-hepatocyte metabolite homeostasis. Methods C57BL/6 mice on a standard rodent diet were treated with a GKA (AZD1656) acutely or chronically. Hepatocytes were isolated from the mice after 4 or 8 weeks of treatment for analysis of cellular metabolites and gene expression in response to substrate challenge. Results Acute exposure of mice to AZD1656 or a liver-selective GKA (PF-04991532), before a glucose tolerance test, or challenge of mouse hepatocytes with GKAsex vivoinduced various Carbohydrate response element binding protein (ChREBP) target genes, including Carbohydrate response element binding protein beta isoform (ChREBP-beta),GckrandG6pc. Both glucokinase activation and ChREBP target gene induction by PF-04991532 were dependent on the chirality of the molecule, confirming a mechanism linked to glucokinase activation. Hepatocytes from mice treated with AZD1656 for 4 or 8 weeks had lower basal glucose 6-phosphate levels and improved ATP homeostasis during high substrate challenge. They also had raised basal ChREBP-beta mRNA and AMPK-alpha mRNA (Prkaa1, Prkaa2) and progressively attenuated substrate induction of some ChREBP target genes andPrkaa1 and Prkaa2. Conclusions Chronic GKA treatment of C57BL/6 mice for 8 weeks activates liver ChREBP and improves the resilience of hepatocytes to compromised ATP homeostasis during high-substrate challenge. These changes are associated with raised mRNA levels of ChREBP-beta and both catalytic subunits of AMP-activated protein kinase.
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