Long-term administration of the α-amylase inhibitor acarbose effective against type 2 diabetes symptoms in C57BL/6 mice

Authors

  • Natalya A. Borozdina Branch of the Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences ORCID logo https://orcid.org/0000-0002-2320-655X
  • Ekaterina N. Kazakova Branch of the State Scientific Centre Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences
  • Irina N. Gladkikh G.B. Elyakov Pacific Institute of Bioorganic Chemistry, Far Eastern Branch, Russian Academy of Sciences ORCID logo https://orcid.org/0000-0001-9668-319X
  • Elena V. Leychenko G.B. Elyakov Pacific Institute of Bioorganic Chemistry, Far Eastern Branch, Russian Academy of Sciences ORCID logo https://orcid.org/0000-0002-2360-1365
  • Igor A. Dyachenko Branch of the Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences ORCID logo https://orcid.org/0000-0002-3053-2804

DOI:

https://doi.org/10.18413/rrpharmacology.10.455

Abstract

Introduction: α-amylase inhibitors are an important class of second-line antihyperglycemic drugs. They slow down the breakdown and absorption of carbohydrates, reducing peak glucose concentration with meals. Recent reports have also shown other beneficial effects of α-amylase inhibitors on type 2 diabetes mellitus (T2DM).

Materials and Methods: T2DM was modeled by keeping C57BL/6 mice on a high-fat diet for 21 weeks. Starting at week 18, the animals were orally administered acarbose at a dose of 24 mg/kg or the comparative drug metformin at a dose of 200 mg/kg for 4 weeks. Body weight gain, visceral fat mass, and adipocyte diameter were monitored during the period of test substances administration. At weeks 17, 19 and 21 of the study, glucose tolerance starch test and insulin resistance test were performed, and fasting blood glucose was measured.

Results: Administration of acarbose for 2 and 4 weeks resulted in a significant reduction of postprandial glucose concentration in the starch test; glucose AUC was significantly lower after administration of acarbose at a dose of 24 mg/kg on the background of T2DM modeling. Acarbose at a dose of 24 mg/kg effectively reduced fasting glucose concentration after 2 and 4 weeks of daily treatment on par with metformin. Administration of acarbose at a dose of 24 mg/kg for 2 and 4 weeks resulted in a significant decrease in the glucose AUC in the insulin resistance test. Acarbose promoted a significant decrease in adipocyte diameter and body weight gain against the background of T2DM modeling.

Conclusion: Long-term acarbose administration at a daily dose of 24 mg/kg is effective in reducing postprandial glucose concentration in mice with T2DM due to its α-amylase inhibitory activity. Additionally, it can alleviate insulin resistance, lower fasting glucose concentration, and prevent obesity development by stimulating GLP-1 secretion.

Graphical Abstract

Keywords:

acarbose, α-amylase inhibitors, insulin resistance, type 2 diabetes mellitus, C57BL/6 mice

References

Altay M (2022) Acarbose is again on the stage. World Journal of Diabetes 13(1): 1–4. https://doi.org/10.4239/wjd.v13.i1.1

Borozdina NA, Shaikhutdinova ER, Slashcheva GA, Goryacheva NA, Zamyatina AV, Sadovnikova ES, Pakhomova IA, Pavlov VM, Perepechenova NA, Severyukhina MS, Fedotova AY, Popkova DV, Gladkikh IN, Leichenko EV, Dyachenko IA (2023) Characterization of risk factors for modeling of a type 2 diabetes mellitus induced by a high-fat diet in C57BL/6 mice. Bulletin of Experimental Biology and Medicine [Byulleten’ Eksperimental’noi Biologhii i Meditsiny] 176(10): 460–464. https://doi.org/10.47056/0365-9615-2023-176-10-460-464 [in Russian]

Dalsgaard NB, Gasbjerg LS, Hansen LS, Hansen NL, Stensen S, Hartmann B, Rehfeld JF, Holst JJ, Vilsbøll T, Knop FK (2021) The role of GLP-1 in the postprandial effects of acarbose in type 2 diabetes. European Journal of Endocrinology 184(3): 383–394.https://doi.org/10.1530/EJE-20-1121

Gerstein HC, Coleman RL, Scott CAB, Xu S, Tuomilehto J, Rydén L, Holman RR (2020) ACE Study Group. Impact of acarbose on incident diabetes and regression to normoglycemia in people with coronary heart disease and impaired glucose tolerance: Insights from the ACE Trial. Diabetes Care 43(9): 2242–2247. https://doi.org/10.2337/dc19-2057

Krasilnikova EI, Blagosklonnaya YV, Baranova EI, Grineva EN, Bystrova AA, Ryumina IA, Volkova AR, Karonova TL (2023) The role of acarbose in the treatment and prevention of diabetes mellitus type 2: New opportunities in cardiovascular risk decrease. Arterial Hypertension [Arterial’naya Ghipertenziya] 15(6): 640–647. https://doi.org/10.18705/1607-419X-2009-15-6-640-647 [in Russian]

Lee JO, Lee SK, Kim JH, Kim N, You GY, Moon JW, Kim SJ, Park SH, Kim HS (2012) Metformin regulates glucose transporter 4 (GLUT4) translocation through AMP-activated protein kinase (AMPK)-mediated Cbl/CAP signaling in 3T3-L1 preadipocyte cells. Journal of Biological Chemistry 287(53): 44121–4412https://doi.org/10.1074/jbc.m113.492017

Li Y, Zhang W, Zhao R, Zhang X (2022) Advances in oral peptide drug nanoparticles for diabetes mellitus treatment. Bioactive Materials 15: 392–408. https://doi.org/10.1016/j.bioactmat.2022.02.025

Petersons CJ (2018). Second steps in managing type 2 diabetes. Australian Prescriber 41(5): 141–144. https://doi.org/10.18773/austprescr.2018.043

Rosak C, Mertes G (2012) Critical evaluation of the role of acarbose in the treatment of diabetes: patient considerations. Diabetes, Metabolic Syndrome and Obesity 5: 357–367. https://doi.org/10.2147/DMSO.S28340

Shestakova EA (2017) Second line therapy in type 2 diabetes: legacy effect activation. Diabetes Mellitus [Sakharnyi Diabet] 20(5): 356–362. https://doi.org/10.14341/DM8793[in Russian]

Song LL, Wang X, Yang ZJ, Kong XM, Chen XP, Zhang B, Yang WY (2020) Factors associated with improvement in waist-to-height ratio among newly diagnosed type 2 diabetes patients treated with acarbose or metformin: A randomized clinical trial study. World Journal of Diabetes 11(11): 514–526. https://doi.org/10.4239/wjd.v11.i11.514

Taslimi P, Aslan HE, Demir Y, Oztaskin N, Maraş A, Gulçin İ, Beydemir S, Goksu S (2018) Diarylmethanon, bromophenol and diarylmethane compounds: Discovery of potent aldose reductase, α-amylase and α-glycosidase inhibitors as new therapeutic approach in diabetes and functional hyperglycemia. International Journal of Biological Macromolecules 119: 857–863. https://doi.org/10.1016/j.ijbiomac.2018.08.008

Tomic D, Shaw JE, Magliano DJ (2022) The burden and risks of emerging complications of diabetes mellitus. Nature Reviews Endocrinology 18(9): 525–539. https://doi.org/10.1038/s41574-022-00690-7

Wong TY, Liew G, Tapp RJ, Schmidt MI, Wang JJ, Mitchell P, Klein R, Klein BE, Zimmet P, Shaw J (2008) Relation between fasting glucose and retinopathy for diagnosis of diabetes: three population-based cross-sectional studies. Lancet 371(9614): 736–43. https://doi.org/10.1016/S0140-6736(08)60343-8

Zamanian MY, Giménez-Llort L, Nikbakhtzadeh M, Kamiab Z, Heidari M, Bazmandegan G (2023) The therapeutic activities of metformin: focus on the Nrf2 signaling pathway and oxidative stress amelioration. Current Molecular Pharmacology 16(3): 331–345. https://doi.org/10.2174/1874467215666220620143655

Author Contribution

Natalya A. Borozdina, Branch of the Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences

Junior researcher of Branch of the State Scientific Centre IBCh RAS, Pushchino, Russia; e-mail: borozdina@bibch.ru; ORCID ID https://orcid.org/0000-0002-2320-655X. Experimental design and methodology, article writing, statistical analysis.

Ekaterina N. Kazakova, Branch of the State Scientific Centre Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences

Junior researcher of Branch of the State Scientific Centre IBCh RAS, Pushchino, Russia; e-mail: katerina_scoryh86@mail.ru. Methodology and statistical analysis.

Irina N. Gladkikh, G.B. Elyakov Pacific Institute of Bioorganic Chemistry, Far Eastern Branch, Russian Academy of Sciences

Ph.D. in Chemistry, Senior Researcher of the Laboratory of Molecular Pharmacology and Biomedicine Elyakov Pacific Institute of Bioorganic Chemistry FEB RAS, Vladivostok, Russia; e-mail: irinagladkikh@gmail.com; ORCID ID https://orcid.org/0000-0001-9668-319X. Project manager, discussion of results, and statistical analyses.

Elena V. Leychenko, G.B. Elyakov Pacific Institute of Bioorganic Chemistry, Far Eastern Branch, Russian Academy of Sciences

Ph.D. in Chemistry, Head of the Laboratory of Molecular Pharmacology and Biomedicine Elyakov Pacific Institute of Bioorganic Chemistry FEB RAS, Vladivostok, Russia; e-mail: leychenko@gmail.com; ORCID ID https://orcid.org/0000-0002-2360-1365. Discussing the design of the experiment and results, and providing materials.

Igor A. Dyachenko, Branch of the Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences

Ph.D. in Biology, Senior Researcher, Supervisor Laboratory of Biological Testing, Branch of the State Scientific Centre Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences; Associate Professor of ROSBIOTECH University, Pushchino, Russia; e-mail: dyachenko@bibch.ru; ORCID ID https://orcid.org/0000-0002-3053-2804. Responsible implementer, discussion of methodology and results.

Downloads

Published

28-06-2024

How to Cite

Borozdina NA, Kazakova EN, Gladkikh IN, Leychenko EV, Dyachenko IA (2024) Long-term administration of the α-amylase inhibitor acarbose effective against type 2 diabetes symptoms in C57BL/6 mice. Research Results in Pharmacology 10(2): 65–72. https://doi.org/10.18413/rrpharmacology.10.455

Issue

Section

Experimental Pharmacology

Most read articles by the same author(s)