Excessive glucose production by the liver contributes significantly to diabetic hyperglycemia.
The enzyme system glucose-6-phosphatase plays a key role in regulating hepatic glucose
production and therefore its inhibition is a potential therapeutic target for the
correction of hyperglycemia. It has previously been shown that sulfated steroids,
such as estrone sulfate and dehydroepiandrosterone sulfate, inhibit the glucose-6-phosphatase
system in vitro, principally through inhibition of endoplasmic reticulum glucose-6-phosphate transport.
We report here that in the obese/diabetic ob/ob mouse model, orally administered estrone sulfate reduces the abnormally elevated
hepatic glucose-6-phosphatase enzyme activity and enzyme protein levels that are characteristic
in the ob/ob mouse, and that this reduction is associated with normalization of blood glucose
levels. Other sulfated and non-sulfated steroids also reduced, to a lesser extent,
glucose-6-phosphatase enzyme activity - with the exception of dehydroepiandrosterone
sulfate, which had no apparent effect on this system in ob/ob mice. Estrone sulfate is therefore an effective antihyperglycemic agent in ob/ob mice, and the glucose-6-phosphatase system can be successfully targeted for the therapeutic
management of hyperglycemia in this animal model of non-insulin-dependent diabetes
mellitus.
Key words:
Diabetes - Blood Glucose - Steroid Sulfates - Hepatic Gluconeogenesis - Metabolism
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Prof. Ann Burchell
Tayside Institute of Child Health
University of Dundee
Ninewells Hospital and Medical School
DUNDEE DD1 9SY
Scotland
UK
Telefon: + 44 (1382) 632-445
Fax: + 44 (1382) 632-597
eMail: a.burchell@dundee.ac.uk