BTS 67 582 stimulates insulin release and causes dose-dependent glucose-low
ering activity in the conscious beagle dog. Plasma glucose levels were lowe
red within 1 h and were maximally reduced by 53.2 +/- 2.7% 2-3 h after oral
dosing with 90 mu mol/kg BTS 67 582 (equivalent to 22.5 mg/kg as the free
base). A dose of BTS 67 582 causing a 25% (ED25) reduction of plasma glucos
e was calculated as 24.7 mu mol/kg. No effect on the urinary excretion of g
lucose was observed (except for a marginal increase at the highest dose tes
ted, 90 mu mol/kg BTS 67 582). Insulin-stimulated glucose disposal is, ther
efore, the most likely cause of the glucose-lowering effect of BTS 67 582.
BTS 67 582 significantly increased urine flow by 1.9- and 2.2-fold and sodi
um excretion by 2.8- and 2.9-fold by BTS 67 582 at 30 and 90 mu mol/kg, res
pectively, without increased potassium excretion. In separate studies, incr
eases in the urinary clearance of both creatinine and p-aminohippuric acid
were observed with BTS 67 582 at 90 mu mol/kg, indicating that changes in g
lomerular filtration rate and renal blood flow respectively, may have contr
ibuted to this diuretic effect. BTS 61 582 had no effect on blood pressure
or heart rate. In conclusion, in the conscious beagle dog BTS 67 582 stimul
ates insulin secretion, causes dose-dependent lowering in plasma glucose, a
nd also possesses mild eukalemic diuretic properties. (C) 1999 Wiley-Liss,
Inc.