Laboratory of Experimental Gerontology, National Institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA.
Toxicol Appl Pharmacol. 2010 Mar 15;243(3):332-9. doi: 10.1016/j.taap.2009.11.025. Epub 2009 Dec 22.
Calorie restriction (CR), the purposeful reduction of energy intake with maintenance of adequate micronutrient intake, is well known to extend the lifespan of laboratory animals. Compounds like 2-deoxy-D-glucose (2DG) that can recapitulate the metabolic effects of CR are of great interest for their potential to extend lifespan. 2DG treatment has been shown to have potential therapeutic benefits for treating cancer and seizures. 2DG has also recapitulated some hallmarks of the CR phenotype including reduced body temperature and circulating insulin in short-term rodent trials, but one chronic feeding study in rats found toxic effects. The present studies were performed to further explore the long-term effects of 2DG in vivo. First we demonstrate that 2DG increases mortality of male Fischer-344 rats. Increased incidence of pheochromocytoma in the adrenal medulla was also noted in the 2DG treated rats. We reconfirm the cardiotoxicity of 2DG in a 6-week follow-up study evaluating male Brown Norway rats and a natural form of 2DG in addition to again examining effects in Fischer-344 rats and the original synthetic 2DG. High levels of both 2DG sources reduced weight gain secondary to reduced food intake in both strains. Histopathological analysis of the hearts revealed increasing vacuolization of cardiac myocytes with dose, and tissue staining revealed the vacuoles were free of both glycogen and lipid. We did, however, observe higher expression of both cathepsin D and LC3 in the hearts of 2DG-treated rats which indicates an increase in autophagic flux. Although a remarkable CR-like phenotype can be reproduced with 2DG treatment, the ultimate toxicity of 2DG seriously challenges 2DG as a potential CR mimetic in mammals and also raises concerns about other therapeutic applications of the compound.
热量限制(CR),即有目的地减少能量摄入同时保持足够的微量营养素摄入,众所周知可延长实验动物的寿命。像 2-脱氧-D-葡萄糖(2DG)这样能够再现 CR 代谢效应的化合物因其延长寿命的潜力而备受关注。2DG 治疗已被证明对治疗癌症和癫痫具有潜在的治疗益处。2DG 还再现了 CR 表型的一些特征,包括在短期啮齿动物试验中降低体温和循环胰岛素,但一项大鼠慢性喂养研究发现了毒性作用。本研究旨在进一步探索 2DG 在体内的长期影响。首先,我们证明 2DG 增加了雄性 Fischer-344 大鼠的死亡率。在 2DG 治疗的大鼠中,还观察到肾上腺髓质嗜铬细胞瘤的发病率增加。我们在一项为期 6 周的后续研究中证实了 2DG 的心脏毒性,该研究评估了雄性布朗挪威大鼠和一种天然形式的 2DG ,此外还再次检查了 Fischer-344 大鼠和原始合成 2DG 的影响。两种 2DG 来源的高水平都因减少食物摄入而导致体重增加减少。心脏的组织病理学分析显示,随着剂量的增加,心肌细胞的空泡化越来越严重,组织染色显示空泡中既没有糖原也没有脂质。然而,我们确实观察到 2DG 治疗大鼠心脏中组织蛋白酶 D 和 LC3 的表达增加,这表明自噬通量增加。尽管 2DG 治疗可以再现显著的 CR 样表型,但 2DG 的最终毒性严重挑战了 2DG 作为哺乳动物潜在的 CR 模拟物,并引发了对该化合物其他治疗应用的担忧。
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