Harada, M. ; Han, S. ; Shi, M. ; Ge, J. ; Yu, S. ; Adam, J. ; Adamski, J. ; Scheerer, M.F. ; Neschen, S. ; Hrabě de Angelis, M. ; Wang-Sattler, R.
Metabolic effects of SGLT2i and metformin on 3-hydroxybutyric acid and lactate in db/db mice.
Int. J. Biol. Macromol. 265:130962 (2024)
Combining a Sodium-Glucose-Cotransporter-2-inhibitor (SGLT2i) with metformin is recommended for managing hyperglycemia in patients with type 2 diabetes (T2D) who have cardio-renal complications. Our study aimed to investigate the metabolic effects of SGLT2i and metformin, both individually and synergistically. We treated leptin receptor-deficient (db/db) mice with these drugs for two weeks and conducted metabolite profiling, identifying 861 metabolites across kidney, liver, muscle, fat, and plasma. Using linear regression and mixed-effects models, we identified two SGLT2i-specific metabolites, X-12465 and 3-hydroxybutyric acid (3HBA), a ketone body, across all examined tissues. The levels of 3HBA were significantly higher under SGLT2i monotherapy compared to controls and were attenuated when combined with metformin. We observed similar modulatory effects on metabolites involved in protein catabolism (e.g., branched-chain amino acids) and gluconeogenesis. Moreover, combination therapy significantly raised pipecolate levels, which may enhance mTOR1 activity, while modulating GSK3, a common target of SGLT2i and 3HBA inhibition. The combination therapy also led to significant reductions in body weight and lactate levels, contrasted with monotherapies. Our findings advocate for the combined approach to better manage muscle loss, and the risks of DKA and lactic acidosis, presenting a more effective strategy for T2D treatment.
Impact Factor
Scopus SNIP
Web of Science
Times Cited
Scopus
Cited By
Altmetric
Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Typ der Hochschulschrift
Herausgeber
Schlagwörter
Branched-chain Amino Acids ; Diabetic Ketoacidosis ; Lactic Acidosis ; Metformin Adds To Sglt2i ; Sglt2i Monotherapy; Glycogen-synthase Kinase-3; Cotransporter 2 Inhibitor; Type-2 Diabetes-mellitus; Ketone-bodies; Lactic-acidosis; Kidney-disease; Glucose; Protection; Benefits; Mass
Keywords plus
Sprache
englisch
Veröffentlichungsjahr
2024
Prepublished im Jahr
0
HGF-Berichtsjahr
2024
ISSN (print) / ISBN
0141-8130
e-ISSN
1879-0003
ISBN
Bandtitel
Konferenztitel
Konferzenzdatum
Konferenzort
Konferenzband
Quellenangaben
Band: 265,
Heft: Pt 1,
Seiten: ,
Artikelnummer: 130962
Supplement: ,
Reihe
Verlag
Elsevier
Verlagsort
Radarweg 29, 1043 Nx Amsterdam, Netherlands
Tag d. mündl. Prüfung
0000-00-00
Betreuer
Gutachter
Prüfer
Topic
Hochschule
Hochschulort
Fakultät
Veröffentlichungsdatum
0000-00-00
Anmeldedatum
0000-00-00
Anmelder/Inhaber
weitere Inhaber
Anmeldeland
Priorität
Begutachtungsstatus
Peer reviewed
POF Topic(s)
30205 - Bioengineering and Digital Health
30202 - Environmental Health
30201 - Metabolic Health
90000 - German Center for Diabetes Research
Forschungsfeld(er)
Genetics and Epidemiology
PSP-Element(e)
G-506700-001
G-504091-004
G-500600-001
G-501900-062
G-504000-010
Förderungen
German Federal Ministry of Health (Berlin, Germany)
EFPIA
European Union
Innovative Medicines Initiative 2 Joint Undertaking (JU)
Uehara Memorial Foundation
Copyright
Erfassungsdatum
2024-04-12