Literature DB >> 26386462

Hyperinsulinemia caused by dexamethasone treatment is associated with reduced insulin clearance and lower hepatic activity of insulin-degrading enzyme.

André Otávio Peres Protzek1, Luiz Fernando Rezende1, José Maria Costa-Júnior1, Sandra Mara Ferreira1, Ana Paula Gameiro Cappelli1, Flávia Maria Moura de Paula1, Jane Cristina de Souza1, Mirian Ayumi Kurauti1, Everardo Magalhães Carneiro1, Alex Rafacho2, Antonio Carlos Boschero3.   

Abstract

OBJECTIVES: Glucocorticoid treatment induces insulin resistance (IR), which is counteracted by a compensatory hyperinsulinemia, due to increased pancreatic β-cell function. There is evidence for also reduced hepatic insulin clearance, but whether this correlates with altered activity of insulin-degrading enzyme (IDE) in the liver, is not fully understood. Here, we investigated whether hyperinsulinemia, in glucocorticoid-treated rodents, is associated with any alteration in the insulin clearance and activity of the IDE in the liver. MATERIALS/
METHODS: Adult male Swiss mice and Wistar rats were treated with the synthetic glucocorticoid dexamethasone intraperitoneally [1mg/kg body weight (b.w.)] for 5 consecutive days.
RESULTS: Glucocorticoid treatment induced IR and hyperinsulinemia in both species, but was more impactful in rats that also displayed glucose intolerance and hyperglycemia. Insulin clearance was reduced in glucocorticoid-treated rats and mice, as judged by the reduction of insulin decay rate and increased insulin area-under-the-curve (47% and 87%, respectively). These results were associated with reduced activity (35%) of hepatic IDE in rats and a tendency to reduction (p=0.068) in mice, without alteration in hepatic IDE mRNA content, in both species.
CONCLUSION: In conclusion, the reduced insulin clearance in glucocorticoid-treated rodents was due to the reduction of hepatic IDE activity, at least in rats, which may contributes to the compensatory hyperinsulinemia. These findings corroborate the idea that short-term and/or partial inhibition of IDE activity in the liver could be beneficial for the glycemic control.
Copyright © 2015 Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  Dexamethasone; Glucocorticoid; Glucose homeostasis; Insulin clearance; Insulin sensitivity; Insulin-degrading enzyme (IDE)

Mesh:

Substances:

Year:  2015        PMID: 26386462     DOI: 10.1016/j.jsbmb.2015.09.020

Source DB:  PubMed          Journal:  J Steroid Biochem Mol Biol        ISSN: 0960-0760            Impact factor:   4.292


  13 in total

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