Mebhydrolin ameliorates glucose homeostasis in type 2 diabetic mice by functioning as a selective FXR antagonist

Tong Zhao1, Jie Wang2, Anxu He1

  • 1School of Medicine& Holistic Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China.

Abstract

Insights

A novel Farnesoid X receptor (FXR) antagonist, Mebhydrolin, improves glucose homeostasis in type 2 diabetes (T2DM) mice. It suppresses gluconeogenesis and promotes glycogen synthesis by modulating specific molecular pathways, offering potential T2DM treatment.

Area of Science:

  • Endocrinology and Metabolism
  • Pharmacology
  • Molecular Biology

Background:

  • Type 2 diabetes mellitus (T2DM) is characterized by hyperglycemia and hyperlipidemia, leading to severe complications.
  • Farnesoid X receptor (FXR) antagonism shows promise for improving glucose metabolism in T2DM, but mechanisms are unclear.

Purpose of the Study:

  • To discover a new FXR antagonist.
  • To investigate the mechanism by which FXR antagonism ameliorates glucose homeostasis in T2DM mice.

Main Methods:

  • Screening FDA-approved drugs to identify FXR antagonist Mebhydrolin using SPR, MST, and AlphaScreen assays.
  • Evaluating Mebhydrolin's efficacy in T2DM mouse models (db/db, HFD/STZ).
  • Investigating molecular mechanisms via liver tissue analysis, primary hepatocytes, molecular docking, and molecular dynamics.

Main Results:

  • Mebhydrolin ameliorated blood glucose homeostasis in T2DM mice.
  • It suppressed hepatic gluconeogenesis and promoted glycogen synthesis via the FXR/miR-22-3p/PI3K/AKT pathway.
  • Specific FXR residues (L291, M332, Y373) are crucial for Mebhydrolin binding, inducing structural shifts affecting downstream gene regulation.

Conclusions:

  • A novel mechanism for FXR regulation of glucose metabolism in T2DM was revealed.
  • Mebhydrolin demonstrates significant potential for T2DM treatment.

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