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ABSORPTION, DISTRIBUTION, METABOLISM, AND EXCRETION
Unité de recherches sur les obésités, Institut National de la Santé et de la Recherche Médicale U586, Institut Fédératif de Recherche 31, Centre Hospitalier Universitaire de Toulouse, Université Paul Sabatier, Toulouse, France (V.V., S.B., D.P., P.V., C.C.); and Departamento de Fisiologia y Farmacologia, Facultad de Medicina, Universidad de Salamanca, Salamanca, Spain (M.C.I.-O., M.J.G.-B., M.F.P.-M., J.M.)
Received December 1, 2003; accepted February 19, 2004.
| Abstract |
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The following results show that in vivo benzylamine improved by its own the glucose disposal and attenuated lipid mobilization. In vitro, benzylamine was able to stimulate glucose uptake and to reduce lipolytic activity in fat cells in a semicarbazide-sensitive manner, whereas it was unable to increase insulin secretion in vivo or in isolated pancreatic islets. Accordingly, benzylamine was much more oxidized by adipose tissues and muscles than by pancreas. These observations allow us to consider that, in rabbits as well as in mice, the non-naturally occurring amine oxidase substrate benzylamine is an insulin-mimicking rather than an insulin-releasing drug.
| Materials and Methods |
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Animals and Tissue Sampling. Male New Zealand White rabbits aged 7 to 12 months (body weight between 2.8 and 3.5 kg) were individually housed at 22°C with free access to food and water. The 20- to 30-week-old mice used in this study were of both sexes from the C57BL/6J strain. They were grown under rodent standard chow diet or submitted for 3 months to a very high fat diet containing, as percentage of energy content, 72% fat (corn oil and lard), 28% protein, and <1% carbohydrate (Burcelin et al., 2002
). Drug administration and blood sampling necessary for GTTs were performed in conscious animals, whereas in vitro experiments were performed with tissues removed from euthanized animals and immediately used for pancreatic islet or fat cell isolation and subsequent determinations of insulin secretion, glucose transport, or lipolysis. Samples of plasma, pancreas, adipose, or muscular tissues were frozen until determination of amine oxidase activity.
Intravenous Glucose Tolerance Tests. The experimental design carried out in 24-h fasted rabbits has been fully described in previous publications (Moratinos et al., 1988
; García-Barrado et al., 2001
). Arterial blood was sampled by means of an indwelling cannula placed in the central artery of one ear. Two control samples separated by an interval of 30 min were taken before drug infusion. Drug solutions were infused at a constant rate (0.15 ml/min) for 30 min through an indwelling cannula in the marginal vein of the contralateral ear. The arterial cannula was kept functional by a slow constant infusion of physiological saline (0.07 ml/min). Plasma glucose was estimated by means of the glucose oxidase procedure using a commercial kit (Roche Diagnostics, Mannheim, Germany); immunoreactive insulin was determined by using a radioimmunoassay kit (CIS Radioquímica-Schering, Madrid, Spain).
Intraperitoneal Glucose Tolerance and Lipid-Mobilizing Tests. Mice of 25 to 30 g were fasted during 6 h (from 8:00 AM to 2:00 PM) before GTT. A bolus of benzylamine hydrochloride at 1 mg/kg (7 µmol/kg) or vehicle (0.9% NaCl, saline) was i.p. administered 15 min before a glucose load. Blood samples were drawn from tail vein of conscious animals at the indicated times before and after the glucose load (i.p. bolus of 1 g/kg injected in saline at time 0). Blood glucose was determined with Glucotrend II glucometer (Roche Diagnostics). Similarly, lipid mobilization was tested in response to isoproterenol (0.4 µmol/kg i.p.), and plasma free fatty acids (FFA) was determined using a spectrophotometric kit (NEFA C; Wako Chemicals, Neuss, Germany).
Insulin Secretion in Pancreatic Islets. Islets were isolated by collagenase digestion of rabbit or mouse pancreas. After isolation, islets were first preincubated for 60 min at 37°C in a bicarbonate buffer medium, pH 7.4, containing 15 mM glucose and supplemented with 1 mg/ml bovine serum albumin fraction V (Roche Diagnostics). Batches of three islets were then incubated for 60 min in 1 ml of medium containing appropriate concentrations of glucose and test substances, as detailed in Jonas et al. (1994
). At the end of the incubation, a portion of the medium was withdrawn for insulin determination with a radioimmunoassay kit (CIS Radioquímica-Schering).
Lipolytic Activity in Isolated Adipocytes. The epididymal and perirenal fat pads (intra-abdominal white adipose tissue, INWAT) were removed and minced with scissors in Krebs-Ringer containing 15 mM sodium bicarbonate, 10 mM HEPES, and bovine serum albumin [3.5% (w/v)] (pH 7.4). The white adipose tissues were digested for 35 to 45 min at 37°C with 1.5 mg/ml collagenase. Isolated fat cells were washed three times in a large amount (around 20 ml) of the same buffer without collagenase. After being washed, the floating fat cells were diluted in around 10-fold their volume of Krebs-Ringer containing 15 mM sodium bicarbonate, 10 mM HEPES, and bovine serum albumin, and 400 µl of the cell suspension was immediately distributed under shaking into plastic incubation vials containing 4 µl of drug dilutions at 100x the final concentration to be tested. After a 90-min incubation, the glycerol released into the medium was enzymatically assayed as described previously (Morin et al., 2001
).
Deoxyglucose Transport in Isolated Adipocytes. Fat cell suspensions were prepared as described above in the presence of pyruvate 2 mM instead of glucose 6 mM. Incubations with the tested drugs lasted 45 min at 37°C in a final volume of 400 µl. Then, 2-DG (0.4 µCi) was added at a final concentration of 0.1 mM for 10 min. Assays were stopped with 100 µl of 100 µM cytochalasin B, and aliquots of the cell suspension were centrifuged in microtubes containing di-isononyl phthalate (density 0.974 g/ml), which allowed to separate adipocytes from the buffer and to count the radioactive intracellular 2-DG as described previously (Morin et al., 2002
).
Amine Oxidase Activity. Oxidase activity was measured using [14C]benzylamine according to the radiochemical method developed by Fowler and Tipton (1981
) with slight modifications described previously (Morin et al., 2002
). Briefly, homogenates of thawed tissues were incubated for 30 min at 37°Cin200 µl phosphate buffer in the presence of 0.1 mM of an isotopic dilution of [14C]benzylamine (approx. 220,000 dpm) after a 15-min preincubation without (total oxidation) or with either 0.5 mM pargyline or 1 mM semicarbazide to delineate the respective proportions of MAO and SSAO activity.
Statistical Analyses. Results are given as mean ± S.E.M. Statistical significance was assessed by use of Student's t test.
| Results |
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Influence of a Chronic Treatment with Semicarbazide on the Benzylamine-Dependent Improvement of Glucose Tolerance in the Conscious Rabbit. In rabbits previously treated for 3 weeks (45 µmol/kg/d) with semicarbazide, an SSAO inhibitor of reference, the IVGTT induced the same hyperglycemic response than in nonsemicarbazide-treated animals. However, benzylamine showed no evident antihyperglycemic effect (Fig. 1C). Although in these animals the insulin levels found when infusing benzylamine + glucose were higher than those registered in nonsemicarbazide-treated rabbits, again these values were not statistically significant compared with the response attained with glucose alone (Fig. 1D). Interestingly, semicarbazide-treated rabbits showed basal insulin levels that were significantly higher than mean preinfusion values found in non semicarbazide-treated animals (22.5 ± 2.5 µIU/ml, n = 17 versus 10.7 ± 0.5 µIU/ml, n = 31, p < 0.05; data not shown), without any change in mean basal glycemia.
Benzylamine oxidation thus seemed to improve glucose disposal in rabbits in an SSAO-dependent manner. Although convenient for in vivo studies, the rabbit is not commonly used as a model of diabetes; therefore, we investigated whether the antihyperglycemic effect of benzylamine was also found in a more widely used model of glucose intolerance, the mouse.
Influence of an Acute Administration of Benzylamine on Glucose Tolerance and Lipid Mobilization in Conscious Mice. The intraperitoneal glucose tolerance tests (IPGTTs) were conducted on mice rendered obese and diabetic by 3 months of feeding with very high fat diet, as described previously (Burcelin et al., 2002
). Table 1 shows the characteristics of the animals used for IPGTTs to substantiate our hypothesis: they showed increased fatness and moderate fasting hyperglycemia together with a relative glucose intolerance, assessed by increased areas under the curve (AUC) of the glycemia in response to IPGTT. When benzylamine was administered in the hyperglycemic/obese mice 15 min before the glucose load via an i.p bolus of 7 µmol/kg, (corresponding to the total amount of benzylamine infused during 30 min in rabbits), it provoked a significant reduction of the hyperglycemic response (Fig. 2A). Single administration of the same dose of benzylamine did not modify the elevated fasting blood glucose level of VHFD mice (data not shown). A higher dose of benzylamine (700 µmol/kg) was not more effective in reducing the hyperglycemic response of the hyperglycemic/obese mice: mean AUC values of the integrated increase in blood glucose were, in arbitrary units, 830 ± 52 for saline and 624 ± 62 for benzylamine 700 µmol/kg, respectively (n = 4, p < 0.05). As in rabbits, a previous treatment with semicarbazide (27 µmol/kg/d i.p. for 3 days) did not modify the IPGTT-provoked hyperglycemia but abolished the benzylamine antihyperglycemic effect (Fig. 2B). The semicarbazide-treated mice exhibited unchanged fasting blood glucose (9.9 ± 0.3 versus 9.4 ± 0.2 mM in untreated mice, n = 22, N.S.) and insulin levels (28.2 ± 5.3 versus 24.9 ± 1.0 µIU/ml, N.S.).
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The capacity to reduce lipid mobilization, another possible insulin-like effect of benzylamine, was evaluated in fasted VHFD mice. Intraperitoneal administration of benzylamine at 7 µmol/kg did not modify on its own the circulating levels of FFAs, but partially counteracted the lipid-mobilizing effect of isoproterenol, a lipolytic
-adrenergic agonist of reference (Fig. 3).
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Insulin-Like Effects of Benzylamine on Isolated Adipocytes. Because benzylamine administration resulted in a net improvement of glycemic control and a limitation of lipid mobilization, we tested the in vitro capacities of this amine to stimulate glucose uptake or to reduce lipolysis in rabbit and mouse fat cells. A significant enhancement of 2-deoxyglucose transport was found with 0.1 mM benzylamine in both rabbit and mouse adipocytes; it represented a 2-fold increase over basal uptake (Fig. 4). The stimulation of glucose uptake by benzylamine did not reach the maximal effect of insulin even when the amine was tested at 1 mM. At this dose, the small but significant effect of benzylamine reproduced only 12 ± 2, 25 ± 5, and 21 ± 4% of the maximal insulin effect in rabbits, high fat diet-fed, and control mice (data not shown). Although moderate, compared with the maximal effect of 100 nM insulin, the benzylamine-induced stimulation of hexose uptake was similar to that obtained with physiological doses of the hormone, i.e., ranging between 1 and 10 nM (Fig. 4). Vanadate (0.1 mM), which was without any effect on basal or on insulin-dependent uptake, was unable to potentiate the partial effect of benzylamine in rabbit. However, the combination of vanadate with benzylamine 0.1 and 1 mM increased uptake in murine adipocytes up to 46 ± 8 and 59 ± 10% of the maximal insulin effect (n = 5, p < 0.01). Semicarbazide 1 mM inhibited almost totally the effect of 0.1 mM benzylamine alone or in combination with vanadate, the remaining stimulation representing only 0 ± 1 and 11 ± 2% of the maximal insulin effect (n = 5; data not shown).
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Antilipolytic capacity of benzylamine was then tested on isoproterenol-induced lipolysis. Figure 5 shows that, in fat cells from both species, 1 mM benzylamine induced a rightward shift of the isoproterenol dose-response curve. Again, this partial antilipolytic effect was weaker than that of insulin. For instance, in mouse adipocytes, the submaximal stimulation induced by 0.1 µM isoproterenol was inhibited by only 18 ± 4% with 1 mM benzylamine alone and by 58 ± 8% with 100 nM insulin (data not shown). Vanadate (0.1 mM) was unable to modify benzylamine antilipolytic effect in rabbit (data not shown), whereas it slightly improved it in mouse (reaching 33 ± 2% of inhibition of 0.1 µM isoproterenol, n = 6, p < 0.01). This partial antilipolytic action of benzylamine plus vanadate was totally prevented by 1 mM semicarbazide because inhibition returned to 4 ± 3% (n = 4). Benzylamine was also able to counteract other lipolytic agents. Table 2 show that benzylamine inhibited in a dose-dependent manner the lipolytic action of forskolin (direct activator of adenylyl cyclase) and 3-isobutyl-1-methylxanthine (inhibitor of phosphodiesterases). Therefore, partial inhibition of the lipolytic action of isoproterenol by benzylamine was not resulting from an impairment of
-adrenoceptor activation, but was rather the consequence of postreceptor antilipolytic actions.
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Single and Repeated Semicarbazide in Vivo Administrations Inhibit Benzylamine Oxidation, Benzylamine-Dependent Glucose Uptake, and Antilipolysis in Mouse Fat Cells. Because in vivo administration semicarbazide was shown to inhibit the antihyperglycemic effects of benzylamine (Figs. 1 and 2), we verified whether this treatment also inhibited the metabolic effects of benzylamine on isolated adipocytes. Both single (81 µmol/kg) and repeated (27 µmol/kg/d during 1 week) administration of semicarbazide profoundly reduced the adipose SSAO activity, without significant change in the small MAO-dependent benzylamine oxidation. Both in vivo treatments with the irreversible SSAO inhibitor impaired the insulin-like effects of benzylamine in isolated murine adipocytes, namely, activation of glucose uptake and inhibition of lipolysis (Table 3). Inhibition of SSAO activity was not followed by a clear inhibition of the insulin-dependent activation of glucose and inhibition of lipolysis. The insulin-like effect of hydrogen peroxide on glucose uptake was also unchanged in adipocytes from semicarbazide-treated mice.
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Influence of Benzylamine on Insulin Secretion by Isolated Pancreatic Islets from Rabbit and Mouse. Alongside to its insulin-like properties, benzylamine could have increased glucose tolerance in rabbit and mouse via an enhanced insulin secretion. To verify this hypothesis, benzylamine was tested on insulin release by isolated pancreatic islets. In the presence of glucose 8 mM, isolated islets responded to the secretagogue agent forskolin (1 µM) by showing stimulated levels equivalent to 250 ± 36 and 540 ± 72% of spontaneous insulin secretion in rabbit and mouse, respectively. However, islets did not increase their insulin release in response to 60-min incubation with benzylamine 20 µMor 1 mM (Fig. 6).
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Benzylamine Oxidation in Rabbit and Mouse Tissues. The comparison of the capacity of insulin-sensitive tissues (i.e., skeletal muscles and adipose tissues) to oxidize benzylamine is presented in Fig. 7. In rabbits and in obese diabetic mice, benzylamine was mainly oxidized by SSAO in the adipose tissues and by MAO in muscles. Noteworthy, the benzylamine oxidation was surprisingly higher in mouse than in rabbit adipose tissues, whereas the reverse was observed for muscles. In the rabbit, the amount of benzylamine oxidized per gram of tissue was almost similar in skeletal muscles and in adipose tissues. Thus, it can be assumed that in rabbits, the capacity of benzylamine to activate glucose uptake was comparable in these two insulin-sensitive tissues. In the mouse, benzylamine was probably more prone to be oxidized, and to exert insulin-like effects, in adipose tissues than in muscles, as a consequence of both the richness in SSAO and the enlargement of the fat depots. In both species, the anatomical location of the fat depots (intra-abdominal white adipose tissue) did not influence its content in MAO or SSAO activities. Finally, pancreas represented a quantitatively minor site of benzylamine oxidation: although reaching 1.8 ± 0.4 nmol/g tissue/min in mice (n = 15; data not shown) and being predominantly due to MAO, the total capacity of this organ to oxidize benzylamine was limited compared with the overall mass and the amine oxidase activities of muscular and adipose tissues.
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| Discussion |
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Benzylamine administration did not change fasting plasma glucose levels either in rabbits or mice. Thus, the synthetic amine seemed to be devoid of a strong hypoglycemic activity. Nevertheless, it provoked clear-cut antihyperglycemic response at the dose of 7 µmol/kg in both species. Blockade of this response in rabbits and in mice treated with the SSAO inhibitor semicarbazide is in complete agreement with former observations made in normoglycemic and streptozotocin-induced diabetic rats, which demonstrated that benzylamine antihypergycemic effect was dependent on its oxidation (Marti et al., 2001
). It can be supposed that the in vitro effects of benzylamine observed in rabbit adipocytes were also semicarbazide-sensitive, because this SSAO inhibitor blocked lipolysis inhibition and glucose transport stimulation induced by benzylamine alone or in combination with vanadate in mouse (this report; Yu et al., 2004
) and human and rat adipocytes (Enrique-Tarancon et al., 1998
; Morin et al., 2001
; Visentin et al., 2003
). We report here that regardless of its mode of administration (in vitro or in vivo), semicarbazide inhibits SSAO activity and benzylamine, but not insulin, effects. However, chronic semicarbazide treatment induced an increase in basal insulin levels without changing the glycemia in fasting rabbits. Considering that the non-naturally occurring SSAO substrate benzylamine improves glucose clearance, it could be hypothesized that SSAO inhibitors could impair a putative action of biogenic amines and may predispose to insulin resistance, therefore explaining the hyperinsulinism observed in treated rabbits, or provoke glucose intolerance, as very recently evidenced in another model of obese diabetic mice (Yu et al., 2004
). Thus, the proposed use of SSAO inhibitors in diabetic states, assumed to limit the deleterious effects on vasculature resulting from SSAO-catalyzed methylamine oxidation (Yu et al., 2003
), seems less useful at present and deserves further consideration.
Because benzylamine improved glucose clearance without enhancing insulin circulating levels, we focused our interest in testing a direct stimulatory action on glucose uptake in peripheral tissues. Although the hexose uptake stimulation induced by benzylamine alone in isolated adipocytes was of small amplitude compared with insulin maximal effect (obtained at 100 nM), it can explain, at least partly, the reduced hyperglycemia found in benzylamine-treated animals. On the one hand, a parallelism was noticed between the plateau obtained with 0.11 mM benzylamine on hexose uptake and the plateau of the antihyperglycemic effect of benzylamine, found between 7 and 70 to 700 µmol/kg. On the other hand, the 2-fold increase in glucose uptake provoked by benzylamine was comparable with the effect of physiological concentrations of insulin, that should be lower than 10 nM (Fig. 5) because, during IVGTT in rabbits, plasma insulin levels varied from around 10 µIU/ml to less than 100 µIU/ml, corresponding to around 0.07 to 0.7 nM (approximating that for insulin: 1 µIU/ml = 0.04 ng/ml = 0.007 pmol/ml). Accordingly, benzylamine plus vanadate has also been reported to induce a 2-fold increase in glucose uptake into fat cells, but not muscles, of rat (Yu et al., 2004
).
In addition to glucose uptake activation, benzylamine exerted another insulin-like action: antilipolysis. Again, this effect was limited compared with the insulin maximal effect, as described previously in human and rat fat cells (Morin et al., 2001
; Visentin et al., 2003
). Reduction of triacylglycerol breakdown in adipose tissue is likely the mechanism by which benzylamine counteracts the lipid-mobilizing effect of isoproterenol. Moreover, this inhibition of lipolysis can also contribute to the glucose lowering action of benzylamine by limiting the detrimental effect of FFA on glucose disposal in peripheral tissues (Randle et al., 1963
, 1988
; Randle, 1998
).
It is known that hydrogen peroxide and vanadate could, like insulin, stimulate glucose utilization and inhibit lipolysis (May and De Haën, 1979
; Little and De Haën, 1980
; Castan et al., 1999
). It has also been reported that a relatively low dose of vanadate, without effect on its own, acts in synergism with benzylamine or tyramine to improve glucose tolerance in streptozotocin-induced diabetic rats (Marti et al., 2001
; Morin et al., 2002
), to inhibit lipolysis (Visentin et al., 2003
), or to increase glucose transport in rat adipocytes (Enrique-Tarancon et al., 1998
; Marti et al., 1998
). Vanadate has been demonstrated to chemically interact with the hydrogen peroxide formed by amine oxidases, resulting in the generation of peroxovanadium. This compound, which is one of the most powerful insulin mimickers (Nolte et al., 2003
), is at the origin of the synergism between amines, or hydrogen peroxide, and vanadate. Although the combination of vanadate plus benzylamine was required in rodent adipocytes to observe activation of intracellular events belonging to insulin signaling (Enrique-Tarancon et al., 2000
), benzylamine alone stimulated glucose uptake in human adipocytes, without need for exogenous vanadate (Morin et al., 2001
). Therefore, our study extends the insulin-mimicking properties of benzylamine per se found in human cells to rabbits and obese diabetic mice. However, it cannot be concluded that the vanadate requirement for the occurrence of an amine-induced insulin-like effect shows only interspecific differences. In a given species, there are also unexplained variations, because 1) vanadate was required to observe benzylamine stimulation of glucose uptake in 3T3-L1 (Mercier et al., 2003
), but not 3T3 F442A (Fontana et al., 2001
) murine preadipocyte lineages; and 2) in rat, 0.1 mM vanadate was necessary for the tyramine stimulation of hexose uptake into adipocytes but not into cardiomyocytes (Morin et al., 2002
). Because tyrosine phosphatases are key elements in insulin signaling and because their inhibition by hydrogen peroxide, vanadate, or by peroxovanadium is mediated by different mechanisms (Huyer et al., 1997
), they may play a role in the vanadate requirement for benzylamine action. The different fates of hydrogen peroxide (oxidation of proteins and lipids, degradation by scavenger enzymes) may also vary according to the cell model and may be involved in these unexplained differences. Although a clearer characterization of the impact of SSAO end products on glycemic control is needed, the improvement of glucose tolerance by benzylamine in rabbit and mouse favors further studies on these models. The former will allow to follow functional changes that may occur during amine administration (cardiovascular parameters, neuroendocrine functions, or lipid metabolism), whereas the latter will allow to test the influence of chronic treatments, including amine supplementation in food, on the control of glucose utilization in genetically or nutritionally induced insulin-resistant states.
To further assess the hypothesis of an amine oxidase-mediated improvement of glucose disposal in response to benzylamine, we have evaluated benzylamine oxidation by adipose tissues, skeletal muscles, and pancreas. We showed that, in rabbit, adipose tissues and skeletal muscles shared the same overall oxidative activity toward the synthetic amine, when data of oxidation were expressed per gram of tissue. Because skeletal muscles, which account for the most quantitatively important insulin-sensitive tissue, regarding glucose utilization, are also very important in term of mass, one could expect that a non-negligible proportion of the administered benzylamine is oxidized at the muscular level. Of note, SSAO was predominantly involved in fat depots, whereas MAO was mostly in muscles. A different pattern was observed in mice because adipose tissues were able to oxidize a greater amount of benzylamine than muscles. The remarkably high benzylamine oxidation of murine adipose tissue is mainly due to an SSAO activity and is in agreement with the extremely elevated SSAO expression found in rat adipocytes (Morris et al., 1997
) and in fat cells from obese diabetic mice (Yu et al., 2004
). The limited SSAO activity of endocrine pancreas is in agreement with the lack of benzylamine effect on insulin secretion. Therefore, one could expect that, in obese diabetic mice, the considerably developed fat stores metabolize a substantial part of the administered benzylamine, increase their glucose uptake, and then facilitate the reduction of hyperglycemia independently from changes in plasma insulin.
Summarizing, our observations show that benzylamine administration can influence glucose homeostasis. Although antidiabetic actions of the combination of benzylamine plus vanadate has been already reported in rat (Marti et al., 2001
; Abella et al., 2003
), the present study shows that in other animal species, benzylamine on its own can increase glucose clearance independently from variations in plasma insulin levels. These data have to be considered together with our former demonstration of a benzylamine-induced activation of glucose transport in human subcutaneous fat cells (Morin et al., 2001
). Although it remains to be demonstrated in vivo that benzylamine really produces hydrogen peroxide at a sufficient level to activate glucose uptake in different anatomical locations, it can already be proposed that administration of any amine oxidase substrate may improve glucose clearance. Improvement of the benzylamine properties by drug design could generate amine derivatives with remarkable antihyperglycemic actions that will deserve to be tested in mouse, rabbit, or human when possible, to assess the risks/benefits ratio of such promising antidiabetic treatments.
| Acknowledgements |
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| Footnotes |
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ABBREVIATIONS: SSAO, semicarbazide-sensitive amine oxidase; GTT, glucose tolerance test; 2-DG, 2-[1,2-3H]deoxyglucose; FFA, free fatty acid; MAO, monoamine oxidase; IVGTT, intravenous glucose tolerance test; IPGTT, intraperitoneal glucose tolerance test; AUC, area under the curve; INWAT, internal white adipose tissue; VHFD, very high fat diet.
Address correspondence to: Dr. Carpéné Christian; INSERM U586, IFR 31, Bat. L3, CHU Rangueil, 31403 Toulouse, France. E-mail: carpene{at}toulouse.inserm.fr
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