MLR-1023 Treatment in Mice and Humans Induces a Thermogenic Program, and Menthol Potentiates the Effect

A glucose-lowering medication that acts by a different mechanism than metformin, or other approved diabetes medications, can supplement monotherapies when patients fail to meet blood glucose goals. We examined the actions underlying the effects of an insulin sensitizer, tolimidone (MLR-1023) and inv...

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Autores principales: Candida J. Rebello, Ann A. Coulter, Andrew G. Reaume, Weina Cong, Luke A. Cusimano, Frank L. Greenway
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/4516d1342a1f4ef69cc538ba787de368
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spelling oai:doaj.org-article:4516d1342a1f4ef69cc538ba787de3682021-11-25T18:40:08ZMLR-1023 Treatment in Mice and Humans Induces a Thermogenic Program, and Menthol Potentiates the Effect10.3390/ph141111961424-8247https://doaj.org/article/4516d1342a1f4ef69cc538ba787de3682021-11-01T00:00:00Zhttps://www.mdpi.com/1424-8247/14/11/1196https://doaj.org/toc/1424-8247A glucose-lowering medication that acts by a different mechanism than metformin, or other approved diabetes medications, can supplement monotherapies when patients fail to meet blood glucose goals. We examined the actions underlying the effects of an insulin sensitizer, tolimidone (MLR-1023) and investigated its effects on body weight. Diet-induced obesity (CD1/ICR) and type 2 diabetes (db/db) mouse models were used to study the effect of MLR-1023 on metabolic outcomes and to explore its synergy with menthol. We also examined the efficacy of MLR-1023 alone in a clinical trial (NCT02317796), as well as in combination with menthol in human adipocytes. MLR-1023 produced weight loss in humans in four weeks, and in mice fed a high-fat diet it reduced weight gain and fat mass without affecting food intake. In human adipocytes from obese donors, the upregulation of Uncoupling Protein 1, Glucose (UCP)1, adiponectin, Glucose Transporter Type 4 (GLUT4), Adipose Triglyceride Lipase (ATGL), Carnitine palmitoyltransferase 1 beta (CPT1β), and Transient Receptor Potential Melastin (TRPM8) mRNA expression suggested the induction of thermogenesis. The TRPM8 agonist, menthol, potentiated the effect of MLR-1023 on the upregulation of genes for energy expenditure and insulin sensitivity in human adipocytes, and reduced fasting blood glucose in mice. The amplification of the thermogenic program by MLR-1023 and menthol in the absence of adrenergic activation will likely be well-tolerated, and bears investigation in a clinical trial.Candida J. RebelloAnn A. CoulterAndrew G. ReaumeWeina CongLuke A. CusimanoFrank L. GreenwayMDPI AGarticleMLR-1023mentholbeige fatUCP1thermogenesisinsulin sensitivityMedicineRPharmacy and materia medicaRS1-441ENPharmaceuticals, Vol 14, Iss 1196, p 1196 (2021)
institution DOAJ
collection DOAJ
language EN
topic MLR-1023
menthol
beige fat
UCP1
thermogenesis
insulin sensitivity
Medicine
R
Pharmacy and materia medica
RS1-441
spellingShingle MLR-1023
menthol
beige fat
UCP1
thermogenesis
insulin sensitivity
Medicine
R
Pharmacy and materia medica
RS1-441
Candida J. Rebello
Ann A. Coulter
Andrew G. Reaume
Weina Cong
Luke A. Cusimano
Frank L. Greenway
MLR-1023 Treatment in Mice and Humans Induces a Thermogenic Program, and Menthol Potentiates the Effect
description A glucose-lowering medication that acts by a different mechanism than metformin, or other approved diabetes medications, can supplement monotherapies when patients fail to meet blood glucose goals. We examined the actions underlying the effects of an insulin sensitizer, tolimidone (MLR-1023) and investigated its effects on body weight. Diet-induced obesity (CD1/ICR) and type 2 diabetes (db/db) mouse models were used to study the effect of MLR-1023 on metabolic outcomes and to explore its synergy with menthol. We also examined the efficacy of MLR-1023 alone in a clinical trial (NCT02317796), as well as in combination with menthol in human adipocytes. MLR-1023 produced weight loss in humans in four weeks, and in mice fed a high-fat diet it reduced weight gain and fat mass without affecting food intake. In human adipocytes from obese donors, the upregulation of Uncoupling Protein 1, Glucose (UCP)1, adiponectin, Glucose Transporter Type 4 (GLUT4), Adipose Triglyceride Lipase (ATGL), Carnitine palmitoyltransferase 1 beta (CPT1β), and Transient Receptor Potential Melastin (TRPM8) mRNA expression suggested the induction of thermogenesis. The TRPM8 agonist, menthol, potentiated the effect of MLR-1023 on the upregulation of genes for energy expenditure and insulin sensitivity in human adipocytes, and reduced fasting blood glucose in mice. The amplification of the thermogenic program by MLR-1023 and menthol in the absence of adrenergic activation will likely be well-tolerated, and bears investigation in a clinical trial.
format article
author Candida J. Rebello
Ann A. Coulter
Andrew G. Reaume
Weina Cong
Luke A. Cusimano
Frank L. Greenway
author_facet Candida J. Rebello
Ann A. Coulter
Andrew G. Reaume
Weina Cong
Luke A. Cusimano
Frank L. Greenway
author_sort Candida J. Rebello
title MLR-1023 Treatment in Mice and Humans Induces a Thermogenic Program, and Menthol Potentiates the Effect
title_short MLR-1023 Treatment in Mice and Humans Induces a Thermogenic Program, and Menthol Potentiates the Effect
title_full MLR-1023 Treatment in Mice and Humans Induces a Thermogenic Program, and Menthol Potentiates the Effect
title_fullStr MLR-1023 Treatment in Mice and Humans Induces a Thermogenic Program, and Menthol Potentiates the Effect
title_full_unstemmed MLR-1023 Treatment in Mice and Humans Induces a Thermogenic Program, and Menthol Potentiates the Effect
title_sort mlr-1023 treatment in mice and humans induces a thermogenic program, and menthol potentiates the effect
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4516d1342a1f4ef69cc538ba787de368
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