Diabetes, Vol 47, Issue 10 1630-1636, Copyright © 1998 by American Diabetes Association
Plasma glucose levels are reduced in rats and mice treated with an inhibitor of glucose-6-phosphate translocase
JC Parker, MA VanVolkenburg, CB Levy, WH Martin, SH Burk, Y Kwon, C Giragossian, TG Gant, PA Carpino, RK McPherson, P Vestergaard and JL Treadway
Department of Cardiovascular and Metabolic Diseases, Pfizer Inc., Groton, Connecticut 06340, USA. janice_c_parker@groton.pfizer.com
The activity of glucose-6-phosphatase (G-6-Pase) in isolated rat microsomes
was inhibited by a new selective inhibitor of the multi-subunit G-6-Pase
system, 1-[2-(4-chloro-phenyl)-cyclopropylmethoxy]-3,4-dihydroxy-5-(3-imid
azo[4,5-b]pyridin-1-yl-3-phenyl-acryloyloxy)-cyclohexanecarboxylic acid
(compound A) with a 50% inhibitory concentration (IC50) of approximately 10
nmol/l. Compound A (500 nmol/l) inhibited the uptake of
[14C]glucose-6-phosphate (G-6-P) into intact isolated rat microsomes,
confirming that this agent blocks G-6-P translocation, as suggested by
previous studies using intact and permeabilized microsomes. The inhibition
of microsomal G-6-P transport by compound A was associated with inhibition
of the rate of glucose output from rat hepatocytes incubated in the
presence of 25 nmol/l glucagon (IC50 approximately 320 nmol/l.) Compound A
(1 micromol/l) also inhibited the basal rate of glucose production by rat
hepatocytes by 47%. Intraperitoneal administration of compound A to fasted
mice lowered circulating plasma glucose concentrations dose-dependently at
doses as low as 1 mg/kg. This effect was comparatively short-lived; glucose
lowering was maximal at 30 min after dosing with 100 mg/kg compound A
(-71%) and declined thereafter, being reversed within 3 h. A similar time
course of glycemic response was observed in fasted rats; glucose lowering
was maximal 30 min after dosing with 100 mg/kg compound A (-36%) and
declined until the effect was fully reversed by 3 h postdose. In rats
subjected to compound A treatment, liver glycogen content was increased.
G-6-P and lactate levels were maximally elevated 30 min after dosing and
declined thereafter. Cumulatively, these results suggest that the mechanism
of glucose lowering by compound A was via inhibition of G-6-Pase activity,
mediated through inhibition of the T1 subunit of the microsomal G-6-Pase
enzyme system. Drug levels measured over the same time course as that used
to assess in vivo efficacy peaked within 30 min of administration, then
declined, which is consistent with the transient changes in plasma glucose
and liver metabolites.