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      Sustained glucagon receptor antagonism in insulin-deficient high-fat-fed mice

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          Abstract

          Discerning modification to the amino acid sequence of native glucagon can generate specific glucagon receptor (GCGR) antagonists, that include desHis 1Pro 4Glu 9-glucagon and the acylated form desHis 1Pro 4Glu 9(Lys 12PAL)-glucagon. In the current study, we have evaluated the metabolic benefits of once-daily injection of these peptide-based GCGR antagonists for 18 days in insulin-resistant high-fat-fed (HFF) mice with streptozotocin (STZ)-induced insulin deficiency, namely HFF-STZ mice. Administration of desHis 1Pro 4Glu 9-glucagon moderately ( P < 0.05) decreased STZ-induced elevations of food intake. Body weight was not different between groups of HFF-STZ mice and both treatment interventions delayed ( P < 0.05) the onset of hyperglycaemia. The treatments reduced ( P < 0.05– P < 0.001) circulating and pancreatic glucagon, whilst desHis 1Pro 4Glu 9(Lys 12PAL)-glucagon also substantially increased ( P < 0.001) pancreatic insulin stores. Oral glucose tolerance was appreciably improved ( P < 0.05) by both antagonists, despite the lack of augmentation of glucose-stimulated insulin release. Interestingly, positive effects on i.p. glucose tolerance were less obvious suggesting important beneficial effects on gut function. Metabolic benefits were accompanied by decreased ( P < 0.05– P < 0.01) locomotor activity and increases ( P < 0.001) in energy expenditure and respiratory exchange ratio in both treatment groups. In addition, desHis 1Pro 4Glu 9-glucagon increased ( P < 0.01 –P < 0.001) O 2 consumption and CO 2 production. Together, these data provide further evidence that peptidic GCGR antagonists are effective treatment options for obesity-driven forms of diabetes, even when accompanied by insulin deficiency.

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          Most cited references55

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          Streptozotocin-Induced Diabetic Models in Mice and Rats.

          Streptozotocin (STZ) is an antibiotic that produces pancreatic islet β-cell destruction and is widely used experimentally to produce a model of type 1 diabetes mellitus (T1DM). Detailed in this unit are protocols for producing STZ-induced insulin deficiency and hyperglycemia in mice and rats. Also described are protocols for creating animal models for type 2 diabetes using STZ. These animals are employed for assessing the pathological consequences of diabetes and for screening potential therapies for the treatment of this condition.
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            The mechanisms of alloxan- and streptozotocin-induced diabetes.

            S Lenzen (2008)
            Alloxan and streptozotocin are toxic glucose analogues that preferentially accumulate in pancreatic beta cells via the GLUT2 glucose transporter. In the presence of intracellular thiols, especially glutathione, alloxan generates reactive oxygen species (ROS) in a cyclic redox reaction with its reduction product, dialuric acid. Autoxidation of dialuric acid generates superoxide radicals, hydrogen peroxide and, in a final iron-catalysed reaction step, hydroxyl radicals. These hydroxyl radicals are ultimately responsible for the death of the beta cells, which have a particularly low antioxidative defence capacity, and the ensuing state of insulin-dependent 'alloxan diabetes'. As a thiol reagent, alloxan also selectively inhibits glucose-induced insulin secretion through its ability to inhibit the beta cell glucose sensor glucokinase. Following its uptake into the beta cells, streptozotocin is split into its glucose and methylnitrosourea moiety. Owing to its alkylating properties, the latter modifies biological macromolecules, fragments DNA and destroys the beta cells, causing a state of insulin-dependent diabetes. The targeting of mitochondrial DNA, thereby impairing the signalling function of beta cell mitochondrial metabolism, also explains how streptozotocin is able to inhibit glucose-induced insulin secretion.
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              Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease

              Abstract The ability to efficiently adapt metabolism by substrate sensing, trafficking, storage, and utilization, dependent on availability and requirement, is known as metabolic flexibility. In this review, we discuss the breadth and depth of metabolic flexibility and its impact on health and disease. Metabolic flexibility is essential to maintain energy homeostasis in times of either caloric excess or caloric restriction, and in times of either low or high energy demand, such as during exercise. The liver, adipose tissue, and muscle govern systemic metabolic flexibility and manage nutrient sensing, uptake, transport, storage, and expenditure by communication via endocrine cues. At a molecular level, metabolic flexibility relies on the configuration of metabolic pathways, which are regulated by key metabolic enzymes and transcription factors, many of which interact closely with the mitochondria. Disrupted metabolic flexibility, or metabolic inflexibility, however, is associated with many pathological conditions including metabolic syndrome, type 2 diabetes mellitus, and cancer. Multiple factors such as dietary composition and feeding frequency, exercise training, and use of pharmacological compounds, influence metabolic flexibility and will be discussed here. Last, we outline important advances in metabolic flexibility research and discuss medical horizons and translational aspects.

                Author and article information

                Journal
                J Endocrinol
                J Endocrinol
                JOE
                The Journal of Endocrinology
                Bioscientifica Ltd (Bristol )
                0022-0795
                1479-6805
                24 August 2022
                01 November 2022
                : 255
                : 2
                : 91-101
                Affiliations
                [1 ]Biomedical Sciences Research Institute , Centre for Diabetes, Ulster University, Coleraine, Northern Ireland, UK
                Author notes
                Correspondence should be addressed to N Irwin: n.irwin@ 123456ulster.ac.uk
                Author information
                http://orcid.org/0000-0003-4855-964X
                Article
                JOE-22-0106
                10.1530/JOE-22-0106
                9513641
                36005280
                4a574828-059b-4eff-aec8-e6adb442d955
                © The authors

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 19 August 2022
                : 24 August 2022
                Categories
                Research

                Endocrinology & Diabetes
                glucagon,glucose homeostasis,insulin sensitivity,high-fat-fed mice,streptozotocin

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