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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.
Abstract:
Clinical use of the antipsychotic drug olanzapine (OLA) is associated with metabolic side effects to variable degrees. N-desmethyl-olanzapine (DMO) is one major metabolite of OLA, but its potential involvement in the metabolic responses remains unclear. Here we examined whether DMO can directly impact the metabolic, endocrinal and inflammatory parameters under conditions of metabolic disturbance. DMO administration (2 mg/kg, i.g.) to high-fat diet induced obesity mice for 4 weeks induced a remarkable loss of body weight and fat mass. DMO improved insulin resistance and energy expenditure in mice, but had no significant effects on dyslipidemia or hepatic steatosis. Moreover, DMO induced morphological changes in the white adipose tissue, accompanied by reduced interleukin-1β (IL-1β) production and increased UCP1 expression. These findings demonstrate that DMO is devoid of the metabolic side effects commonly observed for OLA during obesity, which suggests that the N-desmethyl metabolism may function to regulate the metabolic responses to OLA.
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.
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