دورية أكاديمية

Lorcaserin improves glycemic control via a melanocortin neurocircuit.

التفاصيل البيبلوغرافية
العنوان: Lorcaserin improves glycemic control via a melanocortin neurocircuit.
المؤلفون: Burke LK; Department of Pharmacology, University of Cambridge, Cambridge, UK; Department of Medicine and Wellcome Trust/MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK., Ogunnowo-Bada E; Department of Medicine and Wellcome Trust/MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK., Georgescu T; The Rowett Institute, University of Aberdeen, Aberdeen, UK., Cristiano C; The Rowett Institute, University of Aberdeen, Aberdeen, UK., de Morentin PBM; The Rowett Institute, University of Aberdeen, Aberdeen, UK., Valencia Torres L; Department of Pharmacology, University of Cambridge, Cambridge, UK; The Rowett Institute, University of Aberdeen, Aberdeen, UK., D'Agostino G; Department of Pharmacology, University of Cambridge, Cambridge, UK; The Rowett Institute, University of Aberdeen, Aberdeen, UK., Riches C; Department of Medicine and Wellcome Trust/MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK., Heeley N; Department of Medicine and Wellcome Trust/MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK., Ruan Y; Department of Medicine and Wellcome Trust/MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK., Rubinstein M; Instituto de Investigaciones en Ingeniería Genética y Biología Molecular, Consejo Nacional de Investigaciones Científicas y Técnicas, 1428 Buenos Aires, Argentina., Low MJ; Department of Molecular and Integrative Physiology, University of Michigan Medical School, Ann Arbor, MI, USA., Myers MG; Division of Metabolism, Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA., Rochford JJ; The Rowett Institute, University of Aberdeen, Aberdeen, UK., Evans ML; Department of Medicine and Wellcome Trust/MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK. Electronic address: mle24@cam.ac.uk., Heisler LK; Department of Pharmacology, University of Cambridge, Cambridge, UK; The Rowett Institute, University of Aberdeen, Aberdeen, UK. Electronic address: lora.heisler@abdn.ac.uk.
المصدر: Molecular metabolism [Mol Metab] 2017 Oct; Vol. 6 (10), pp. 1092-1102. Date of Electronic Publication: 2017 Jul 21.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier GmbH Country of Publication: Germany NLM ID: 101605730 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2212-8778 (Electronic) Linking ISSN: 22128778 NLM ISO Abbreviation: Mol Metab Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [München] : Elsevier GmbH, 2012-
مواضيع طبية MeSH: Benzazepines/*pharmacology , Blood Glucose/*drug effects , Receptor, Serotonin, 5-HT2C/*drug effects, Animals ; Benzazepines/metabolism ; Body Weight/drug effects ; Diabetes Mellitus, Type 2/drug therapy ; Disease Models, Animal ; Eating/drug effects ; Energy Metabolism/drug effects ; Glucose/metabolism ; Glucose Tolerance Test ; Homeostasis/physiology ; Humans ; Insulin Resistance/physiology ; Melanocortins/pharmacology ; Mice ; Mice, Transgenic ; Obesity/drug therapy ; Receptors, Melanocortin/drug effects ; Weight Loss/drug effects
مستخلص: Objective: The increasing prevalence of type 2 diabetes (T2D) and associated morbidity and mortality emphasizes the need for a more complete understanding of the mechanisms mediating glucose homeostasis to accelerate the identification of new medications. Recent reports indicate that the obesity medication lorcaserin, a 5-hydroxytryptamine (5-HT, serotonin) 2C receptor (5-HT 2C R) agonist, improves glycemic control in association with weight loss in obese patients with T2D. Here we evaluate whether lorcaserin has an effect on glycemia without body weight loss and how this effect is achieved.
Methods: Murine models of common and genetic T2D were utilized to probe the direct effect of lorcaserin on glycemic control.
Results: Lorcaserin dose-dependently improves glycemic control in mouse models of T2D in the absence of reductions in food intake or body weight. Examining the mechanism of this effect, we reveal a necessary and sufficient neurochemical mediator of lorcaserin's glucoregulatory effects, brain pro-opiomelanocortin (POMC) peptides. To clarify further lorcaserin's therapeutic brain circuit, we examined the receptor target of POMC peptides. We demonstrate that lorcaserin requires functional melanocortin4 receptors on cholinergic preganglionic neurons (MC4R ChAT ) to exert its effects on glucose homeostasis. In contrast, MC4R ChAT signaling did not impact lorcaserin's effects on feeding, indicating a divergence in the neurocircuitry underpinning lorcaserin's therapeutic glycemic and anorectic effects. Hyperinsulinemic-euglycemic clamp studies reveal that lorcaserin reduces hepatic glucose production, increases glucose disposal and improves insulin sensitivity.
Conclusions: These data suggest that lorcaserin's action within the brain represents a mechanistically novel treatment for T2D: findings of significance to a prevalent global disease.
(Copyright © 2017 The Authors. Published by Elsevier GmbH.. All rights reserved.)
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معلومات مُعتمدة: WT098012 United Kingdom WT_ Wellcome Trust; R01 DK056731 United States DK NIDDK NIH HHS; R01 DK078056 United States DK NIDDK NIH HHS; R56 DK066604 United States DK NIDDK NIH HHS; 100574/Z/12/Z United Kingdom WT_ Wellcome Trust; MR/P009824/1 United Kingdom MRC_ Medical Research Council; BB/K001418/1 United Kingdom BB_ Biotechnology and Biological Sciences Research Council; BB/NO17838/1 United Kingdom BB_ Biotechnology and Biological Sciences Research Council; 093566/Z/10/A United Kingdom WT_ Wellcome Trust; R01 DK066604 United States DK NIDDK NIH HHS; MR/L002620/1 United Kingdom MRC_ Medical Research Council; R37 DK056731 United States DK NIDDK NIH HHS; MC/PC/15077 United Kingdom MRC_ Medical Research Council; WT081713 United Kingdom WT_ Wellcome Trust; R01 DK068400 United States DK NIDDK NIH HHS; BB/K017772/1 United Kingdom BB_ Biotechnology and Biological Sciences Research Council; P30 DK020572 United States DK NIDDK NIH HHS; MC_PC_15077 United Kingdom MRC_ Medical Research Council; United Kingdom WT_ Wellcome Trust
فهرسة مساهمة: Keywords: 5-HT2c receptor; Hypothalamus; Lorcaserin; Melanocortin4 receptor (Mc4r); Pro-opiomelanocortin (POMC); Type 2 diabetes
المشرفين على المادة: 0 (Benzazepines)
0 (Blood Glucose)
0 (Melanocortins)
0 (Receptor, Serotonin, 5-HT2C)
0 (Receptors, Melanocortin)
637E494O0Z (lorcaserin)
IY9XDZ35W2 (Glucose)
تواريخ الأحداث: Date Created: 20171017 Date Completed: 20181212 Latest Revision: 20220330
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC5641625
DOI: 10.1016/j.molmet.2017.07.004
PMID: 29031711
قاعدة البيانات: MEDLINE
الوصف
تدمد:2212-8778
DOI:10.1016/j.molmet.2017.07.004