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Diabetes and Vascular Disease Research
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The sibutramine metabolite M2 improves muscle glucose uptake and reduces hepatic glucose output: preliminary data

Dawn K Coletta

Division of Diabetes, Department of Medicine, The University of Texas Health Science Center at San Antonio, Texas 78229-3900, US

Sarah H Bates

Faculty of Life Sciences, University College London, London, UK

Robert B Jones

RenaSci Consultancy Limited, BioCity, Nottingham, UK

Clifford J Bailey

School of Life and Health Sciences, Aston University, Birmingham, UK

The satiety agent sibutramine acts in part through a primary amine metabolite, M2. To investigate whether M2 could affect glycaemia independently of satiety and weight loss, groups of normal mice received a single dose of M2 (1 or 10 mg/kg) and food was withheld. Compared with controls (who received vehicle only), M2 (10 mg/kg) decreased basal plasma glucose concentrations, with a maximal decrease of about 25% at 4-8 hours (p<0.05). Soleus muscles were isolated from the mice at intervals: insulin-mediated glucose uptake by the muscles from controls progressively decreased over 24 hours whereas uptake was maintained by muscles from M2-treat-ed mice. Hepatic gluconeogenesis was reduced about 40% by liver snips isolated from M2-treated mice after 24 hours (p<0.05).

These preliminary results suggest that the M2 metabolite of sibutramine can reduce glycaemia, maintain insulin-mediated muscle glucose uptake and reduce hepatic gluconeogenesis independently of satiety and weight loss.

Key Words: sibutramine • basal plasma glucose • insulin-mediated glucose uptake • hepatic gluconeogenesis • mice

Diabetes and Vascular Disease Research, Vol. 3, No. 3, 186-188 (2006)
DOI: 10.3132/dvdr.2006.028


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Y.-Y. Lin, C.-W. Hsu, S.-J. Chu, and S.-H. Tsai
Another dangerous combination for hypoglycemic coma: concurrent use of sibutramine and lorazepam
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