MK-0626, a selective DPP-4 inhibitor, attenuates hepatic steatosis in ob/ob mice

Tatsuya Ohyama1, Ken Sato1, Yuichi Yamazaki1

  • 1Tatsuya Ohyama, Ken Sato, Yuichi Yamazaki, Hiroaki Hashizume, Norio Horiguchi, Satoru Kakizaki, Masatomo Mori, Masanobu Yamada, Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Gunma 371-8511, Japan.

Abstract

Insights

MK-0626, a dipeptidyl peptidase-4 inhibitor, reduced hepatic steatosis in obese mice by enhancing AMP-activated protein kinase (AMPK) activity. This treatment also improved lipid accumulation, liver enzymes, and glucose/insulin levels, offering a potential therapeutic strategy.

Area of Science:

  • Metabolic Diseases
  • Pharmacology
  • Hepatology

Background:

  • Non-alcoholic fatty liver disease (NAFLD) is a growing global health concern.
  • Dipeptidyl peptidase-4 (DPP-4) inhibitors are primarily used for type 2 diabetes management.
  • The potential of DPP-4 inhibitors in treating hepatic steatosis requires further investigation.

Purpose of the Study:

  • To elucidate the mechanism of action of MK-0626, a DPP-4 inhibitor, on hepatic steatosis.
  • To evaluate the in vivo efficacy of MK-0626 in a preclinical model of obesity and fatty liver.

Main Methods:

  • Obese (ob/ob) mice were treated with MK-0626 (1.5 or 3 mg/kg) or vehicle for 4 or 8 weeks.
  • Control groups included untreated ob/ob mice and lean littermates.
  • Biochemical analyses of serum markers and hepatic gene expression, along with AMP-activated protein kinase (AMPK) activity assays, were performed.

Main Results:

  • MK-0626 treatment significantly ameliorated hepatic lipid accumulation in a dose-dependent manner.
  • Reductions in serum alanine aminotransferase, glucose, insulin, and HOMA scores were observed.
  • Increased serum adiponectin levels and enhanced hepatic AMPK activity were noted, alongside modulation of key lipogenic and triglyceride transport genes.

Conclusions:

  • MK-0626 effectively attenuates hepatic steatosis in diet-induced obese mice.
  • The mechanism involves enhanced AMPK activity, inhibition of lipogenic gene expression, and increased hepatic triglyceride secretion.
  • MK-0626 demonstrates potential as a therapeutic agent for managing non-alcoholic fatty liver disease.