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Published on: November 16, 2011
Streptozotocin-diabetes attenuates alpha 2-adrenoceptor agonist-induced delay in small intestinal transit in mice
K Ramabadran1, M Bansinath, H Turndorf
1Department of Anesthesiology, School of Medicine, New York University Medical Center, New York 10016.
Abstract:
1. The effect of alpha 2-adrenoceptor agonists on gastrointestinal motility was assessed in normoglycaemic and streptozotocin-diabetic mice. 2. The alpha 2-adrenoceptor agonists used were: clonidine (0.1, 0.3 and 1 mg kg-1, azepexole (10, 20 and 40 mg kg-1), tizanidine (1, 3 and 10 mg kg-1) and ST-91 (10, 20 and 30 mg kg-1). 3. Acute hyperglycaemia was induced by D-(+)-glucose (5 g kg-1) and chronic hyperglycaemia by streptozotocin (200 mg kg-1) injection. 4. The gut motility was quantitated using the charcoal meal test. 5. The results indicate that in normoglycaemic and acutely hyperglycaemic mice, all of the alpha 2-adrenoceptor agonists used produced significant inhibition of meal transit. 6. However, in streptozotocin-diabetic mice, the anti-transit effect of alpha 2-adrenoceptor agonists was attenuated. 7. Since streptozotocin-induced diabetes but not acute hyperglycaemia was associated with the attenuation of anti-transit effect, elevated blood sugar is not the mechanism for the observed effect. 8. As with groups treated with clonidine, azepexole or tizanidine, the anti-transit effect of a peripherally acting alpha 2-adrenoceptor agonist, ST-91, was attenuated in streptozotocin-diabetic mice. This suggests the involvement of peripheral mechanism(s) in attenuating the anti-transit effect of alpha 2-adrenoceptor agonists. 9. These results identify the need for critical evaluation of the role and efficacy of alpha 2-adrenoceptor agonists in the therapeutic management of diabetic diarrhoea.
Insights
Alpha 2-adrenoceptor agonists reduce gut motility in normal and hyperglycemic mice. However, this effect is weakened in diabetic mice, suggesting peripheral mechanisms may be involved in diabetic diarrhea.
Area of Science:
- Pharmacology
- Gastroenterology
- Endocrinology
Background:
- Alpha 2-adrenoceptor agonists are known to affect gastrointestinal (GI) motility.
- Diabetic complications, such as diabetic diarrhea, can significantly impact quality of life.
Purpose of the Study:
- To investigate the effect of alpha 2-adrenoceptor agonists on GI motility in normoglycaemic and streptozotocin-induced diabetic mice.
- To explore the potential mechanisms underlying the altered response in diabetic conditions.
Main Methods:
- Administration of various alpha 2-adrenoceptor agonists (clonidine, azepexole, tizanidine, ST-91) to normoglycaemic, acutely hyperglycaemic, and chronically hyperglycaemic (streptozotocin-induced diabetic) mice.
- Quantification of gut motility using the charcoal meal test.
Main Results:
- Alpha 2-adrenoceptor agonists significantly inhibited meal transit in normoglycaemic and acutely hyperglycaemic mice.
- The anti-transit effect of these agonists was attenuated in streptozotocin-diabetic mice.
- The attenuation was observed with both centrally and peripherally acting agonists, suggesting peripheral mechanisms are involved and not solely related to elevated blood sugar levels.
Conclusions:
- The efficacy of alpha 2-adrenoceptor agonists in reducing GI transit is diminished in a model of chronic diabetes.
- Peripheral mechanisms appear to play a role in this attenuation.
- Further evaluation of alpha 2-adrenoceptor agonists is warranted for the management of diabetic diarrhea.
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