*Jiangsu Province Key Laboratory of Human Functional Genomics, Department of Biochemistry and Molecular Biology, Nanjing Medical University, Nanjing 210029, China.
Clin Sci (Lond). 2014 Jul;127(2):91-100. doi: 10.1042/CS20130670.
GdCl3 (gadolinium chloride) has been shown to reduce blood glucose; however, the underlying mechanism remains unclear. Liver gluconeogenesis is an important pathway involved in the maintenance of glucose homoeostasis. The aim of the present study was to investigate the role of GdCl3 in hepatic gluconeogenesis and explore the precise molecular mechanism. Animals from a classical Type 2 diabetic mouse model, created by exposing C57BL/6J mice to a high-fat diet for 4 months, were treated with GdCl3 or saline. Body weight, blood glucose and insulin sensitivity were monitored. It was observed that GdCl3 significantly reduced blood glucose levels and improved insulin sensitivity. A pyruvate tolerance test showed further that GdCl3 suppressed gluconeogenesis in diabetic mice. In the livers of GdCl3-treated mice, the expression of Pepck (phosphoenolpyruvate carboxykinase) and G6pase (glucose-6-phosphatase), the key enzymes in gluconeogenesis, were dramatically reduced. Furthermore, experiments in hepatocarcinoma cells revealed that GdCl3 activated the Akt pathway to promote the phosphorylation of FoxO1 (forkhead box O1), leading to the suppression of gluconeogenesis by reducing the expression of PEPCK and G6Pase and resulting in decreased cellular production of glucose. Comparable results were observed in the livers of GdCl3-treated mice. In addition, we have shown that GdCl3 augmented the role of insulin to control hepatic glucose production. We conclude that GdCl3 reduces hyperglycaemia via the Akt/FoxO1-induced suppression of hepatic gluconeogenesis, both in Type 2 diabetic mice (in vivo) and in hepatocarcinoma cells (in vitro), suggesting that GdCl3 may be a potential therapeutic agent for diabetes.
氯化钆(三氯化钆)已被证明可降低血糖;然而,其作用机制尚不清楚。肝糖异生是维持血糖稳态的重要途径。本研究旨在探讨氯化钆在肝糖异生中的作用,并探索其确切的分子机制。采用高脂饮食喂养 4 个月构建经典的 2 型糖尿病小鼠模型,用氯化钆或生理盐水处理动物。监测体重、血糖和胰岛素敏感性。结果表明,氯化钆可显著降低血糖水平并改善胰岛素敏感性。丙酮酸耐量试验进一步表明,氯化钆可抑制糖尿病小鼠的糖异生。在氯化钆处理的小鼠肝脏中,糖异生关键酶磷酸烯醇丙酮酸羧激酶(PEPCK)和葡萄糖-6-磷酸酶(G6Pase)的表达显著降低。此外,肝癌细胞实验表明,氯化钆激活 Akt 通路促进 FoxO1(叉头框蛋白 O1)磷酸化,从而减少 PEPCK 和 G6Pase 的表达,降低细胞内葡萄糖生成,抑制糖异生。在氯化钆处理的小鼠肝脏中也观察到类似的结果。此外,我们还表明,氯化钆增强了胰岛素控制肝葡萄糖生成的作用。综上所述,氯化钆通过 Akt/FoxO1 诱导的肝糖异生抑制来降低高血糖,这在 2 型糖尿病小鼠(体内)和肝癌细胞(体外)中均得到证实,提示氯化钆可能是一种治疗糖尿病的潜在药物。