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DSOK-0011 Potentially Regulates Circadian Misalignment and Affects Gut Microbiota Composition in Activity-Based
Hiroki Kawai1,2, Nanami Wada1, Shinji Sakamoto1,3
1Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
The International Journal of Eating Disorders
|September 24, 2025
Summary
Inhibiting 11β-hydroxysteroid dehydrogenase type 1 (11β-HSD1) with DSOK-0011 altered gut microbiota and activity timing in mice with activity-based anorexia. The drug showed limited metabolic effects in this acute energy-deficient model.
Area of Science:
- Metabolic Psychiatry
- Neuroendocrinology
- Microbiome Research
Background:
- Anorexia nervosa (AN) is a complex metabolic-psychiatric disorder associated with hypercortisolemia and hypothalamic-pituitary-adrenal (HPA) axis activation.
- 11β-hydroxysteroid dehydrogenase type 1 (11β-HSD1) plays a crucial role in regulating intracellular glucocorticoid levels and is implicated in metabolic and psychiatric conditions.
Purpose of the Study:
- To investigate the therapeutic potential of inhibiting 11β-HSD1 in the context of anorexia nervosa.
- To examine the effects of the 11β-HSD1 inhibitor DSOK-0011 on the pathophysiology of an activity-based anorexia (ABA) mouse model.
Main Methods:
- Female C57BL/6J mice were subjected to a 7-day ABA paradigm involving restricted feeding and wheel running.
- Mice received daily oral administration of the 11β-HSD1 inhibitor DSOK-0011 or vehicle.
- Measurements included body weight, food intake, activity patterns, plasma corticosterone and cholesterol, gut microbiota composition, and hippocampal glial cell populations.
Main Results:
- DSOK-0011 treatment led to subtle but significant shifts in wheel-running activity timing, with increased postprandial activity.
- Gut microbiota analysis revealed increased alpha diversity and enrichment of the Lachnospiraceae family in the DSOK-0011 group.
- No significant effects were observed on body weight, food intake, corticosterone levels, lipid profiles, or hippocampal glial cells.
Conclusions:
- Inhibition of 11β-HSD1 by DSOK-0011 influences gut microbiota and activity patterns in an energy-deficient state.
- These findings suggest a potential role for peripheral glucocorticoid metabolism in modulating microbial and behavioral responses in AN models.
- The metabolic impact of 11β-HSD1 inhibition appears limited during the acute phase of the ABA model.

