Imeglimin lowers glucose primarily by amplifying glucose-stimulated insulin secretion in high-fat-fed rodents

Rachel J Perry, Rebecca L Cardone, Max C Petersen, Dongyan Zhang, Pascale Fouqueray, Sophie Hallakou-Bozec, Sébastien Bolze, Gerald I Shulman, Kitt Falk Petersen, Richard G Kibbey

    16 Citations (Scopus)

    Abstract

    Imeglimin is a promising new oral antihyperglycemic agent that has been studied in clinical trials as a possible monotherapy or add-on therapy to lower fasting plasma glucose and improve hemoglobin A1c (1-3, 9). Imeglimin was shown to improve both fasting and postprandial glycemia and to increase insulin secretion in response to glucose during a hyperglycemic clamp after 1-wk of treatment in type 2 diabetic patients. However, whether the β-cell stimulatory effect of imeglimin is solely or partially responsible for its effects on glycemia remains to be fully confirmed. Here, we show that imeglimin directly activates β-cell insulin secretion in awake rodents without affecting hepatic insulin sensitivity, body composition, or energy expenditure. These data identify a primary amplification rather than trigger the β-cell mechanism that explains the acute, antidiabetic activity of imeglimin.

    Original languageEnglish
    JournalAmerican Journal of Physiology: Endocrinology and Metabolism
    Volume311
    Issue number2
    Pages (from-to)E461-70
    ISSN0193-1849
    DOIs
    Publication statusPublished - 1 Aug 2016

    Keywords

    • Animals
    • Blood Glucose
    • Diet, High-Fat
    • Fasting
    • Glucose
    • Glucose Clamp Technique
    • Hypoglycemic Agents
    • Insulin
    • Insulin Resistance
    • Insulin-Secreting Cells
    • Liver
    • Male
    • Mice
    • Mice, Inbred C57BL
    • Postprandial Period
    • Rats
    • Rats, Sprague-Dawley
    • Triazines
    • Journal Article

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