Selective Glucocorticoid Receptor (GR-II) Antagonist Reduces Body Weight Gain in Mice

Tomoko Asagami1, Joseph K Belanoff, Junya Azuma

  • 1Department of Cardiovascular Medicine, Stanford University, Stanford, CA 94305, USA.

Insights

A novel glucocorticoid receptor antagonist, CORT 108297, effectively reduced weight gain and improved glucose levels in mice on a high-fat, high-sugar diet. This suggests potential for treating metabolic dysfunction associated with such diets.

Area of Science:

  • Metabolic research
  • Pharmacology
  • Endocrinology

Background:

  • Antipsychotic medications can cause weight gain.
  • Mifepristone has previously shown efficacy in preventing and reversing weight gain.
  • Glucocorticoid receptor antagonists are being investigated for metabolic benefits.

Purpose of the Study:

  • To evaluate a potent glucocorticoid receptor antagonist (CORT 108297) for its ability to prevent diet-induced weight gain.
  • To assess the impact of CORT 108297 on insulin sensitivity.
  • To compare CORT 108297 with mifepristone and rosiglitazone in a mouse model.

Main Methods:

  • Male C57BL/6J mice were fed a high-fat, high-sugar diet for 4 weeks.
  • Treatment groups received CORT 108297 (80 mg/kg QD or 40 mg/kg BID), mifepristone (30 mg/kg BID), rosiglitazone (10 mg/kg QD), or vehicle.
  • Body weight and plasma glucose levels were monitored.

Main Results:

  • Mice treated with CORT 108297 or mifepristone exhibited significantly less weight gain compared to vehicle controls.
  • CORT 108297 treatment resulted in significantly lower steady plasma glucose levels.
  • Reduced weight gain and improved insulin sensitivity appeared to be independent effects.

Conclusions:

  • CORT 108297 is effective in mitigating diet-induced weight gain in mice.
  • This compound also improves glucose homeostasis, suggesting a role in enhancing insulin sensitivity.
  • Glucocorticoid receptor antagonism may offer a therapeutic strategy for metabolic disorders.

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