Oral insulin-mimetic compounds that act independently of insulin

The hallmarks of insulin action are the stimulation and suppression of anabolic and catabolic responses, respectively. These responses are orchestrated by the insulin pathway and are initiated by the binding of insulin to the insulin receptor, which leads to activation of the receptor's intrins...

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Detalles Bibliográficos
Autores: García-Vicente, Silvia, Yraola, Francesc, Marti, Luc, González-Muñoz, Elena, García-Barrado, María José, Cantó, Carles, Abella, Anna, Bour, Sandy, Artuch Iriberri, Rafael, Sierra, Cristina, Brandi, Nuria, Carpéné, Christian, Moratinos, Julio, Camps Camprubí, Marta, Palacín Prieto, Manuel, Testar, Xavier, Gumà i Garcia, Anna Maria, Albericio Palomera, Fernando, Royo Expósito, Miriam, Mian, Alec, Zorzano Olarte, Antonio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2007
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/196895
Acceso en línea:https://hdl.handle.net/2445/196895
Access Level:acceso abierto
Palabra clave:Insulina
Receptors d'insulina
Resistència a la insulina
Insulin
Insulin receptors
Insulin resistance
Descripción
Sumario:The hallmarks of insulin action are the stimulation and suppression of anabolic and catabolic responses, respectively. These responses are orchestrated by the insulin pathway and are initiated by the binding of insulin to the insulin receptor, which leads to activation of the receptor's intrinsic tyrosine kinase. Severe defects in the insulin pathway, such as in types A and B and advanced type 1 and 2 diabetes lead to severe insulin resistance, resulting in a partial or complete absence of response to exogenous insulin and other known classes of antidiabetes therapies. We have characterized a novel class of arylalkylamine vanadium salts that exert potent insulin-mimetic effects downstream of the insulin receptor in adipocytes. These compounds trigger insulin signaling, which is characterized by rapid activation of insulin receptor substrate-1, Akt, and glycogen synthase kinase-3 independent of insulin receptor phosphorylation. Administration of these compounds to animal models of diabetes lowered glycemia and normalized the plasma lipid profile. Arylalkylamine vanadium compounds also showed antidiabetic effects in severely diabetic rats with undetectable circulating insulin. These results demonstrate the feasibility of insulin-like regulation in the complete absence of insulin and downstream of the insulin receptor. This represents a novel therapeutic approach for diabetic patients with severe insulin resistance.