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Elucidating the mechanisms by which SGLT2 inhibitors regulate systemic metabolism via gluconeogenesis

Research Project

Project/Area Number 22K16421
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 54040:Metabolism and endocrinology-related
Research InstitutionTohoku University

Principal Investigator

HOSAKA Shinichiro  東北大学, 大学病院, 助教 (10913999)

Project Period (FY) 2022-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2023: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2022: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords糖新生 / 糖尿病 / 肥満 / SGLT2阻害薬
Outline of Research at the Start

糖尿病治療薬のSodium-glucose co-transporter 2(SGLT2)阻害薬は体重減少をきたすが、その体重減少における脂肪や筋肉の寄与度には個人差がある。そこで本研究では、糖新生関連酵素であるPEPCKやGYKに着目し、肝臓や腎臓でそれらの酵素活性を阻害することで、SGLT2阻害薬が脂肪や筋肉の表現型へ及ぼす影響を解析し、そのメカニズムについて解明する。

Outline of Final Research Achievements

Sodium-glucose co-transporter 2 (SGLT2) inhibitors, a type of drug used to treat diabetes, lower blood sugar by excreting sugar in the urine. When blood sugar levels fall, glycogen breakdown is followed by the activation of gluconeogenesis. Gluconeogenesis uses glycerol and amino acids supplied from fat and muscle as substrates, and gluconeogenesis is carried out via metabolic pathways mediated by the gluconeogenic enzymes GYK and PEPCK, respectively.
When SGLT2 inhibitors were administered to liver-specific GYK-deficient, liver-specific PEPCK-deficient and kidney-specific PEPCK-deficient mice, changes in body weight, fat mass and muscle mass were characterized according to the deficient glycogenic enzyme.

Academic Significance and Societal Importance of the Research Achievements

本研究の成果として、欠損する糖新生酵素によって、SGLT2阻害薬によるエネルギー喪失が引き起こす臓器毎の影響が異なることが確認された。SGLT2阻害薬投与による脂肪や筋肉の分解のメカニズムの解明が進むことで、肥満症やサルコペニア肥満の治療や予防の開発につながりうることが期待される。

Report

(3 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report

URL: 

Published: 2022-04-19   Modified: 2025-01-30  

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