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Publication
SGLT2 deletion improves glucose homeostasis and preserves pancreatic beta-cell
function.
Authors Jurczak MJ, Lee HY, Birkenfeld AL, Jornayvaz FR, Frederick DW, Pongratz RL, Zhao
X, Moeckel GW, Samuel VT, Whaley JM, Shulman GI, Kibbey RG
Submitted By Submitted Externally on 11/10/2015
Status Published
Journal Diabetes
Year 2011
Date Published
Volume : Pages 60 : 890 - 8
PubMed Reference 21357472
Abstract Inhibition of the Na(+)-glucose cotransporter type 2 (SGLT2) is currently being
pursued as an insulin-independent treatment for diabetes; however, the
behavioral and metabolic consequences of SGLT2 deletion are unknown. Here, we
used a SGLT2 knockout mouse to investigate the effect of increased renal glucose
excretion on glucose homeostasis, insulin sensitivity, and pancreatic ß-cell
function., SGLT2 knockout mice were fed regular chow or a high-fat diet (HFD)
for 4 weeks, or backcrossed onto the db/db background. The analysis used
metabolic cages, glucose tolerance tests, euglycemic and hyperglycemic clamps,
as well as isolated islet and perifusion studies., SGLT2 deletion resulted in a
threefold increase in urine output and a 500-fold increase in glucosuria, as
well as compensatory increases in feeding, drinking, and activity. SGLT2
knockout mice were protected from HFD-induced hyperglycemia and glucose
intolerance and had reduced plasma insulin concentrations compared with
controls. On the db/db background, SGLT2 deletion prevented fasting
hyperglycemia, and plasma insulin levels were also dramatically improved.
Strikingly, prevention of hyperglycemia by SGLT2 knockout in db/db mice
preserved pancreatic ß-cell function in vivo, which was associated with a 60%
increase in ß-cell mass and reduced incidence of ß-cell death., Prevention of
renal glucose reabsorption by SGLT2 deletion reduced HFD- and obesity-associated
hyperglycemia, improved glucose intolerance, and increased glucose-stimulated
insulin secretion in vivo. Taken together, these data support SGLT2 inhibition
as a viable insulin-independent treatment of type 2 diabetes.




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