Long-term administration of the α-amylase inhibitor acarbose effective against type 2 diabetes symptoms in C57BL/6 mice
DOI:
https://doi.org/10.18413/rrpharmacology.10.455Abstract
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 miceReferences
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
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Copyright (c) 2024 Natalya A. Borozdin, Ekaterina N. Kazakova, Irina N. Gladkikh, Elena V. Leychenko, Igor A. Dyachenko
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