Metabolic and endocrinal effects of N-desmethyl-olanzapine in mice with obesity: Implication for

Xueli Zhang1, Yi Zhao1, Hua Shao1

  • 1Department of Pharmacy, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, China.

Insights

N-desmethyl-olanzapine (DMO), an olanzapine metabolite, significantly reduced body weight and improved insulin resistance in obese mice. DMO appears to lack the adverse metabolic effects associated with olanzapine treatment.

Area of Science:

  • Pharmacology
  • Metabolic Research
  • Endocrinology

Background:

  • Clinical use of olanzapine (OLA) is linked to metabolic side effects.
  • N-desmethyl-olanzapine (DMO) is a major OLA metabolite, but its metabolic role is unknown.
  • Investigating DMO's impact on metabolic disturbance is crucial.

Purpose of the Study:

  • To determine if DMO directly influences metabolic, endocrinal, and inflammatory parameters.
  • To assess DMO's effects in a mouse model of diet-induced obesity.
  • To compare DMO's metabolic profile with that of OLA.

Main Methods:

  • Administration of DMO (2 mg/kg) to mice on a high-fat diet for 4 weeks.
  • Evaluation of body weight, fat mass, insulin resistance, and energy expenditure.
  • Analysis of lipid profiles, hepatic steatosis, white adipose tissue morphology, IL-1β production, and UCP1 expression.

Main Results:

  • DMO administration led to significant body weight and fat mass reduction.
  • Improved insulin resistance and increased energy expenditure were observed with DMO.
  • DMO did not affect dyslipidemia or hepatic steatosis.
  • White adipose tissue showed morphological changes, reduced IL-1β, and increased UCP1 expression.

Conclusions:

  • DMO is devoid of the metabolic side effects commonly associated with OLA in obesity.
  • N-desmethyl metabolism may play a regulatory role in OLA's metabolic responses.
  • DMO presents a potential therapeutic avenue with a favorable metabolic profile.

Related Concept Videos

What is Metabolism?00:52

What is Metabolism?

Overview
131.3K
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion01:20

Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion

Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
175
Carbohydrate Metabolism01:36

Carbohydrate Metabolism

Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
13.9K
Metabolic Rate01:25

Metabolic Rate

The human body is a powerhouse of energy, with every cell performing numerous functions that require energy. This energy production and consumption is measured by the metabolic rate, which quantifies the total heat generated by all the body's chemical reactions and mechanical work. This measurement helps to determine the rate of kilocalorie (kcal) consumption needed to fuel all ongoing activities.
The Basal Metabolic Rate (BMR) measures the energy expended at rest.
Several factors influence...
1.2K
Overview of Metabolism01:40

Overview of Metabolism

Living cells constantly carry out various chemical reactions which are necessary for their proper functioning. These reactions are interlinked to one another via multiple pathways. The collection of these chemical reactions is known as metabolism.
Plant Metabolism
Sunlight, the primary source of energy in plants, is first absorbed by the chlorophyll pigments present in their leaves. Plants then use this energy to carry out photosynthesis, where water is oxidized into oxygen and carbon dioxide...
37.8K
Regulation of Metabolism01:19

Regulation of Metabolism

Cellular needs and conditions vary from cell to cell and change within individual cells over time. For example, the required enzymes and energetic demands of stomach cells are different from those of fat storage cells, skin cells, blood cells, and nerve cells. Furthermore, a digestive cell works much harder to process and break down nutrients during the time that closely follows a meal compared with many hours after a meal. As these cellular demands and conditions vary, so do the amounts and...
11.4K