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Dual-action lipophilic iminosugar improves glycemic control in obese rodents by reduction of visceral glycosphingolipids and buffering of carbohydrate assimilation.

Abstract
The lipophilic iminosugar N-[5-(adamantan-1-ylmethoxy)pentyl]-1-deoxynojirimycin (2, AMP-DNM) potently controls hyperglycemia in obese rodent models of insulin resistance. The reduction of visceral glycosphingolipids by 2 is thought to underlie its beneficial action. It cannot, however, be excluded that concomitant inhibition of intestinal glycosidases and associated buffering of carbohydrate assimilation add to this. To firmly establish the mode of action of 2, we developed a panel of lipophilic iminosugars varying in configuration at C-4/C-5 and N-substitution of the iminosugar. From these we identified the l-ido derivative of 2, l-ido-AMP-DNM (4), as a selective inhibitor of glycosphingolipid synthesis. Compound 4 lowered visceral glycosphingolipids in ob/ob mice and ZDF rats on a par with 2. In contrast to 2, 4 did not inhibit sucrase activity or sucrose assimilation. Treatment with 4 was significantly less effective in reducing blood glucose and HbA1c. We conclude that the combination of reduction of glycosphingolipids in tissue and buffering of carbohydrate assimilation by 2 produces a superior glucose homeostasis.
AuthorsTom Wennekes, Alfred J Meijer, Albert K Groen, Rolf G Boot, Johanna E Groener, Marco van Eijk, Roelof Ottenhoff, Nora Bijl, Karen Ghauharali, Hang Song, Tom J O'Shea, Hanlan Liu, Nelson Yew, Diane Copeland, Richard J van den Berg, Gijsbert A van der Marel, Herman S Overkleeft, Johannes M Aerts
JournalJournal of medicinal chemistry (J Med Chem) Vol. 53 Issue 2 Pg. 689-98 (Jan 28 2010) ISSN: 1520-4804 [Electronic] United States
PMID20000679 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Blood Glucose
  • Glycated Hemoglobin A
  • Glycosphingolipids
  • Imino Sugars
  • hemoglobin A1c protein, human
Topics
  • Absorption (drug effects)
  • Animals
  • Blood Glucose (drug effects)
  • Carbohydrate Metabolism (drug effects)
  • Glycated Hemoglobin (drug effects)
  • Glycosphingolipids (metabolism)
  • Imino Sugars (chemistry, pharmacology, therapeutic use)
  • Mice
  • Mice, Obese
  • Obesity (drug therapy)
  • Rats
  • Rats, Zucker
  • Structure-Activity Relationship
  • Viscera (metabolism)

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