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Abstract: Background: The metabolic syndrome is an obesity-associated disease manifested as severe insulin resistance, hyperlipidemia, hepatic steatosis, and diabetes. Previously we proposed that a nonapeptide, FIAWLVKGRamide, GLP-1(28–36)amide, derived from the gluco-incretin hormone, glucagon-like peptide-1 (GLP-1), might have insulin-like actions. Recently, we reported that the nonapeptide appears to enter hepatocytes, target to mitochondria, and suppress glucose production and reactive oxygen species. Therefore, the effects of GLP-1(28–36)amide were examined in diet-induced obese, insulin-resistant mice as a model for the development of human metabolic syndrome. Methods and results: Three- to 11-week infusions of GLP-1(28–36)amide were administered via osmopumps to mice fed a very high fat diet (VHFD) and to control mice on a normal low fat diet (LFD). Body weight, DXA, energy intake, plasma insulin and glucose, and liver triglyceride levels were assessed. GLP-1(28–36)amide inhibited weight gain, accumulation of liver triglycerides, and improved insulin sensitivity by attenuating the development of fasting hyperglycemia and hyperinsulinemia in mice fed VHFD. GLP-1(28–36)amide had no observable effects in control LFD mice. Surprisingly, the energy intake of peptide-infused obese mice is 25–70% greater than in obese mice receiving vehicle alone, yet did not gain excess weight. Conclusions: GLP-1(28–36)amide exerts insulin-like actions selectively in conditions of obesity and insulin resistance. The peptide curtails weight gain in diet-induced obese mice in the face of an increase in energy intake suggesting increased energy expenditure. These findings suggest utility of GLP-1(28–36)amide, or a peptide mimetic derived there from, for the treatment of insulin resistance and the metabolic syndrome. [Copyright &y& Elsevier]

Abstract: Background: Uncontrolled hepatic glucose production (gluconeogenesis), and glycogenolysis, is a major contributor to the fasting hyperglycemia associated with type 2 diabetes. Here we report the discovery of a C-terminal nonapeptide (FIAWLVKGRamide) derived from GLP-1 that suppresses glucose production and oxidative stress in isolated mouse hepatocytes. The nonapeptide, GLP-1(28–36)amide, was reported earlier to be a major product derived from the cleavage of GLP-1 by the endopeptidase NEP 24.11. Methods and results: Hepatocytes were isolated from the livers of normal and diet-induced obese mice. We find that the GLP-1(28–36)amide nonapeptide rapidly enters isolated mouse hepatocytes by GLP-1 receptor-independent mechanisms, and targets to mitochondria where it inhibits gluconeogenesis and oxidative stress. Conclusions: These findings suggest that GLP-1 not only acts on a cell surface G-protein coupled receptor activating kinase-regulated signaling pathways, but a small C-terminal peptide derived from GLP-1 also enters cells, targets mitochondria, and exerts insulin-like actions by modulating oxidative phosphorylation. GLP-1(28–36)amide, or a peptide mimetic derived there from, might prove to be a useful treatment for fasting hyperglycemia and metabolic syndrome in type 2 diabetes. [Copyright &y& Elsevier]

AMP-activated protein kinase (AMPK) is a fuel-sensing enzyme that responds to decreases in cellular energy state by activating processes that generate adenosine triphosphate (ATP) (e.g. fatty acid oxidation), and inhibiting others that consume ATP but are not acutely necessary for survival (e.g. fatty acid, triglyceride and protein synthesis). In contrast, sustained decreases in AMPK or a failure to activate it appropriately have been implicated in the pathogenesis of the metabolic syndrome. Recent studies suggest that various hormones can activate or inhibit AMPK. One of these hormones, adiponectin (Adn), an adipokine released by the fat cell, activates AMPK in liver, muscle, primary rat adipocytes, cultured endothelium and almost certainly other cells. Low plasma levels of Adn are associated with the metabolic syndrome; thus, in both humans and experimental animals, they are often accompanied by obesity, insulin resistance, ectopic lipid deposition, and a predisposition to both type 2 diabetes and atherosclerotic heart disease. Recent studies suggest that thiazoledinediones (TZDs), agents used to treat diabetes because they diminish insulin resistance, exert this effect in great measure by increasing the synthesis and release of adiponectin by the adipocyte and secondarily increasing AMPK activity in the liver and other tissues. Another cytokine that has been shown to activate AMPK is interleukin-6 (IL-6). Studies in IL-6 knockout (KO) mice have revealed that AMPK activity is diminished in their muscle and adipose tissue at 3 months of age and that, like the adiponectin KO mice, they are predisposed to obesity, glucose intolerance and hypertriglyceridemia. Likewise, when bred on an Apo E–/– they develop more severe atherosclerosis than control mice. Whether AMPK activation by other means prevents the development of the metabolic syndrome in the IL-6 or adiponectin KO mice remains to be determined. [ABSTRACT FROM AUTHOR]