1. Potentiation of Glibenclamide Hypoglycaemia in Mice by MK-467, a Peripherally Acting Alpha2-Adrenoceptor Antagonist
- Author
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Tomi Streng, Ville Ranta-Panula, Paulina Chrusciel, Mika Scheinin, Sanna Bastman, and Suvi T. Ruohonen
- Subjects
Agonist ,Blood Glucose ,Male ,medicine.medical_specialty ,Mean arterial pressure ,Time Factors ,medicine.drug_class ,medicine.medical_treatment ,Type 2 diabetes ,Pharmacology ,Toxicology ,ta3111 ,Glibenclamide ,Heart Rate ,Internal medicine ,Glyburide ,medicine ,Adrenergic alpha-2 Receptor Agonists ,Animals ,Hypoglycemic Agents ,Insulin ,Telemetry ,Arterial Pressure ,ta317 ,Dose-Response Relationship, Drug ,business.industry ,Antagonist ,Drug Synergism ,General Medicine ,Adrenergic alpha-2 Receptor Antagonists ,Medetomidine ,medicine.disease ,Hypoglycemia ,Blockade ,Mice, Inbred C57BL ,Endocrinology ,Drug Therapy, Combination ,business ,Antagonism ,Biomarkers ,Quinolizines ,medicine.drug - Abstract
Pharmacological antagonism and genetic depletion of pancreatic α2A-adrenoceptors increase insulin secretion in mice and enhance the insulinotropic action of glibenclamide, a representative of the sulphonylurea class of insulin secretagogues used in the therapy of type 2 diabetes. Antagonism of α2-adrenoceptors in the central nervous system (CNS) causes tachycardia and hypertension, making generalized α2-adrenoceptor blockade unfavourable for clinical use despite its potential to decrease blood glucose levels. The purpose of this study was to test the acute effects of the peripherally acting α2-adrenoceptor antagonist MK-467 alone and in combination with glibenclamide in non-diabetic C57BL/6N mice. Cardiovascular safety was assessed in freely moving mice with radiotelemetry. Dose-dependent decreases in blood glucose and increases in plasma insulin concentrations were seen with the combination of MK-467 and glibenclamide; the combinations were much more potent than glibenclamide or MK-467 alone. Furthermore, MK-467 had no effect on mean arterial pressure or heart rate in freely moving mice and did not prevent the centrally mediated hypotensive effect of the α2-adrenoceptor agonist medetomidine. Thus, peripheral blockade of α2-adrenoceptors does not evoke the same cardiovascular adverse effects as antagonism of CNS α2-adrenoceptors. The current results indicate that the combined use of small doses of a peripherally acting α2-adrenoceptor antagonist with a sulphonylurea drug could provide a novel option for the treatment of type 2 diabetes, especially in patients with increased tonic α2-adrenoceptor-mediated inhibition of insulin secretion.
- Published
- 2015