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2011 ADA Posters 1261-2041.indd - Diabetes

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Integrated Physiology/<br />

Obesity<br />

POSTERS<br />

body fat content in dietary-induced obese rats (DIO rats). PPARg agonists,<br />

like Pioglitazone (Pio), are effi cacious drugs for the treatment of type 2<br />

diabetes. However, a common side effect of this drug class is weight gain.<br />

Here, we investigated whether BI 10773 could attenuate Pio-induced<br />

weight gain of DIO rats after 4 weeks treatment with 10mg/kg BI 10773,<br />

10mg/kg Pio and the combination of both (n=10 per group). Pio signifi cantly<br />

increased body weight (+6.8 %), whereas BI 10773 led to weight loss (-3.1%)<br />

compared to control animals. Animals that received BI 10773 in combination<br />

with Pio had no signifi cant increase in body weight (+1.6% vs. vehicle).<br />

As DIO rats are insulin-resistant and hyperinsulinemic we investigated<br />

the effect of the combination on metabolic parameters. Both compounds<br />

signifi cantly reduced fed plasma insulin levels (vehicle: 5.27 ± 0.7; BI 10773:<br />

3.53 ± 0.4; Pio: 2.27 ± 0.3 ng/ml) which was further reduced (p=0.054) by the<br />

combination (BI 10773 + Pio: 1.55 ± 0.1 ng/ml). Furthermore, the combination<br />

of BI 10773 + Pio reduced plasma triglyceride levels, whereas either<br />

compound alone had no effect. As expected, BI 10773 and BI 10773 + Pio<br />

markedly increased urinary glucose excretion.<br />

After termination of the study carcass analysis was performed to assess<br />

body composition. The fat content was 147.4 + 7.8 g in the vehicle group<br />

compared to 140.7 + 7.1 g (BI 10773). Pio increased body fat content to<br />

170 + 6.8 g but the gain in body fat was prevented by combination treatment<br />

(BI 10773 + Pio: 149.6 + 7.2 g).<br />

Our data show that BI 10773 prevented the Pio-induced body weight gain<br />

and the associated gain of body fat after 4 week treatment of DIO rats.<br />

Furthermore, BI 10773 improved hyperinsulinemia of DIO rats alone and in<br />

combination with Pio. Our data support the concept of a combination of BI<br />

10773 with Pio for the treatment of type 2 diabetes.<br />

1852-P<br />

Tissue-Specifi c Dysregulation of Hexose-6-Phosphate Dehydrogenase<br />

and Glucose-6-Phosphate Transporter Expression in a Mouse<br />

Model of Type 2 <strong>Diabetes</strong><br />

YANJUN LIU, YUICHI NAKAGAWA, YING WANG, WEI WANG, JUAN ORTEGA,<br />

THEODORE C. FRIEDMAN, Los Angeles, CA, Hamamatsu, Japan<br />

Tissue-specifi c amplifi cation of glucocorticoid action through 11β-hydroxysteroid<br />

dehydrogenase type 1 (11β-HSD1) affects the develop ment of the<br />

metabolic syndrome.<br />

Hexose-6-phosphate dehydrogenase (H6PDH) mediates intracellular<br />

NADPH availability for 11β-HSD1 and depends on the glucose-6-phosphate<br />

transporter (G6PT). To assess whether the tissue-specifi c alterations of<br />

H6PDH and G6PT expression could contribute to local glucocorticoid action<br />

and insulin resistance in type 2 diabetes and obesity, we characterized the<br />

role of H6PDH and G6PT in pre-receptor metabolism of glucocorticoids by<br />

examining the production of the hepatic 11β-HSD1-H6PDH-G6PT system in<br />

a mouse model of type 2.<br />

We observed that increased production of hepatic H6PDH in diabetic<br />

db/db mice was paralleled by upregulation of hepatic G6PT production and<br />

elevated circulating levels of corticosterone. In contrast, pharmacological<br />

inhibition of H6PDH and G6PT expression decreased NADPH production<br />

accompanied by reduction of 11β-HSD1 in the liver and subcutaneous fat,<br />

and attenuated the phenotype of type 2 diabetes. Incubation of mouse<br />

hepatocytes with corticosterone enhanced G6PT and H6PDH production<br />

with corresponding activation of 11β-HSD1 and PEPCK. Knockdown of<br />

H6PDH by siRNA attenuated the corticosterone-induced H6PDH production<br />

in these intact cells. Addition of the G6PT inhibitor to primary hepatocytes<br />

suppressed H6PDH production. These fi ndings suggest that increased<br />

hepatic and adipose H6PDH and G6PT expression may contribute to<br />

11β-HSD1 upregulation of local glucocorticoid action that may be related to<br />

the development of type 2 diabetes.<br />

Supported by: NIDDK SC1DK087655<br />

1853-P<br />

TrkB Agonist Induces Body Weight Loss by Activating Satiety Centers<br />

in the Brain<br />

TIFFANY GARESKI, SARAH WILL, DAVID KUBASIAK, THADDEUS UNGER,<br />

KIMBERLY COUGHLAN, GUO FENG, YING SUN, XIANGPING LI, ARIFUL QADRI,<br />

DARRELL PANZA, SEUNG HAHM, JULI JONES, JANET PAULSEN, RUTH GIMENO,<br />

MYLENE PERREAULT, Cambridge, MA<br />

Brain-derived neurotrophin factor (BDNF) and its receptor, tropomyosinrelated<br />

kinase B (TrkB), have emerged as critical regulators of central neural<br />

circuits involved in energy homeostasis.<br />

The potential therapeutic application of TrkB activation has been<br />

demonstrated in several rodent models in which BDNF administration<br />

induced weight loss mainly through appetite suppression. In this study, we<br />

For author disclosure information, see page 785.<br />

OBESITY—HUMAN<br />

CATEGORY<br />

A500<br />

sought to determine the biological effects of a TrkB agonist and identify its<br />

mechanism of action.<br />

Diet-induced obese (DIO) mice were injected with a potent and highly<br />

selective mouse monoclonal TrkB agonist and the effects on body weight<br />

and food intake were determined. We observed that TrkB activation induced<br />

robust and reversible weight loss accompanied by a concomitant reduction in<br />

food intake. To gain further insight into the hypophagic effect of the agonist,<br />

we studied circadian meal patterns and observed that TrkB agonism reduced<br />

the amount of food ingested per meal but did not affect meal frequency.<br />

In addition, pair-feeding experiments showed that body weight was mostly<br />

regulated by food intake. Given the high selectivity of the blood-brain-barrier,<br />

it is unknown whether the effects of this TrkB agonist on food intake are<br />

mediated through activation of TrkB receptors in the central nervous system<br />

(CNS) or periphery. To address this, we peripherally injected fl uorescently<br />

labeled TrkB agonist and detected fl uorescence in the medium eminence and<br />

the arcuate nucleus of the hypothalamus as well as the dorsal vagal complex<br />

of the hindbrain. Collectively, our studies show that TrkB agonism decreases<br />

body weight mainly by increasing satiety through direct activation of the<br />

brain satiety centers.<br />

1854-P<br />

Weight Control Diminishes Progression of Insulin Resistance Due<br />

to Estrogen-Deprived Condition<br />

MUJALIN PRASANNARONG, KANOKWAN VICHAIWONG, VITOON SAENGSIRI-<br />

SUWAN, Bangkok, Thailand<br />

Prolonged estrogen deprivation in ovariectomized rats resulted in the<br />

phenotypic features of the metabolic syndrome including increased visceral<br />

fat accumulation, dyslipidemia, impaired glucose tolerance, and insulin<br />

resistance of skeletal muscle. Because these animals are also hyperphagic,<br />

the development of metabolic defects under estrogen-deprived condition<br />

could be confounded by excessive calorie consumption. To determine the role<br />

of calorie consumption in the development of the phenotypic characteristics<br />

of the metabolic syndrome in animal under prolonged estrogen deprivation,<br />

adult female Sprague-Dawley rats were randomly assigned to shamoperated<br />

(SHAM), ovariectomized (OVX), pair-fed ovariectomized (OVX+PF),<br />

or body weight-controlled ovariectomized (OVX+WC) groups. After a 12week<br />

experimental period, whole-body glucose tolerance, skeletal muscle<br />

insulin action, intra-abdominal fat content and serum lipid profi le were<br />

evaluated. When compared to OVX group, both pair-feeding and weight<br />

control paradigms signifi cantly reduced intra-abdominal fat accumulation by<br />

32% and 44% (p

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