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METABOLISM, TRANSPORT, AND PHARMACOGENOMICS
Departments of Endocrinology and Metabolic Diseases (E.T.P., J.P.S.-v.d.E., E.P.M.C., L.M.H., J.A.R., H.P.), Internal Medicine (L.M.H., H.P.), and Cardiology (L.M.H.), Leiden University Medical Center, Leiden, The Netherlands; Centocor R&D, Inc., Discovery Research, Radnor, Pennsylvania (K.P., K.O., V.S.-S., T.O.); and Organization of Applied Scientific Research-Prevention and Health, Gaubius Laboratory, Leiden, The Netherlands (L.M.H.)
CNTO736 is a glucagon-like peptide (GLP) 1 receptor agonist that incorporates a GLP-1 peptide analog linked to the Mimetibody platform. We evaluate the potential of acute and chronic CNTO736 treatment on insulin sensitivity and very low-density lipoprotein (VLDL) metabolism. For acute studies, diet-induced insulin-resistant C57BL/6 mice received a single intraperitoneal injection of CNTO736 or vehicle. Chronic effects were studied after 4 weeks of daily intraperitoneal administration. A hyperinsulinemic-euglycemic clamp monitored insulin sensitivity. A single dose of CNTO736 reduced fasting plasma glucose levels (CNTO736, 4.4 ± 1.0; control, 6.3 ± 2.4 mM) and endogenous glucose production (EGP) (CNTO736, 39 ± 11; control, 53 ± 13 µmol/min/kg) and increased insulin-mediated glucose uptake (CNTO736, 76 ± 25; control, 54 ± 13 µmol/min/kg). Chronic administration of CNTO736 reduced fasting glucose levels (CNTO736, 4.1 ± 0.8; control 6.0 ± 1.0 mM), improved insulin-dependent glucose uptake (CNTO736, 84 ± 19; control, 61 ± 15 µmol/min/kg), and enhanced inhibition of EGP (CNTO736, 91 ± 18; control, 80 ± 10% inhibition). In addition, chronic dosing with CNTO736 reduced fasting EGP (CNTO736, 39 ± 9; control, 50 ± 8 µmol/min/kg) and VLDL production (CNTO736, 157 ± 23; control, 216 ± 36 µmol/h/kg). These results indicate that CNTO736 reinforces insulin's action on glucose disposal and production in diet-induced insulin-resistant mice. In addition, CNTO736 reduces basal hepatic glucose and VLDL output in these animals. The data suggest that CNTO736 may be a useful tool in the treatment of type 2 diabetes.
Address correspondence to: Hanno Pijl, Leiden University Medical Center, Department of Endocrinology and Metabolic Diseases. P.O. Box 9600, 2300 RC Leiden, The Netherlands. E-mail: h.pijl{at}lumc.nl