[HTML][HTML] Hepatic and glucagon-like peptide-1–mediated reversal of diabetes by glucagon receptor antisense oligonucleotide inhibitors

KW Sloop, JXC Cao, AM Siesky… - The Journal of …, 2004 - Am Soc Clin Investig
KW Sloop, JXC Cao, AM Siesky, HY Zhang, DM Bodenmiller, AL Cox, SJ Jacobs, JS Moyers…
The Journal of clinical investigation, 2004Am Soc Clin Investig
Uncontrolled hepatic glucose production contributes significantly to hyperglycemia in
patients with type 2 diabetes. Hyperglucagonemia is implicated in the etiology of this
condition; however, effective therapies to block glucagon signaling and thereby regulate
glucose metabolism do not exist. To determine the extent to which blocking glucagon action
would reverse hyperglycemia, we targeted the glucagon receptor (GCGR) in rodent models
of type 2 diabetes using 2′-methoxyethyl–modified phosphorothioate-antisense …
Uncontrolled hepatic glucose production contributes significantly to hyperglycemia in patients with type 2 diabetes. Hyperglucagonemia is implicated in the etiology of this condition; however, effective therapies to block glucagon signaling and thereby regulate glucose metabolism do not exist. To determine the extent to which blocking glucagon action would reverse hyperglycemia, we targeted the glucagon receptor (GCGR) in rodent models of type 2 diabetes using 2′-methoxyethyl–modified phosphorothioate-antisense oligonucleotide (ASO) inhibitors. Treatment with GCGR ASOs decreased GCGR expression, normalized blood glucose, improved glucose tolerance, and preserved insulin secretion. Importantly, in addition to decreasing expression of cAMP-regulated genes in liver and preventing glucagon-mediated hepatic glucose production, GCGR inhibition increased serum concentrations of active glucagon-like peptide-1 (GLP-1) and insulin levels in pancreatic islets. Together, these studies identify a novel mechanism whereby GCGR inhibitors reverse the diabetes phenotype by the dual action of decreasing hepatic glucose production and improving pancreatic β cell function.
The Journal of Clinical Investigation