Aw. Herling et al., Alterations of carbohydrate and lipid intermediary metabolism during inhibition of glucose-6-phosphatase in rats, EUR J PHARM, 386(1), 1999, pp. 75-82
S 4048 (1-[2-(4-Chloro-phenyl)-cyclopropylmethoxy]-3,4-dihydroxy-5-(3-imida
zo[4,5-b]pyridin-1-yl-3-phenyl-acryloyloxy)-cyclohexanecarboxylic acid), a
derivative of chlorogenic acid, specifically inhibits the glucose-6-phospha
te translocating component T1 of the glucose-6-phosphatase system. Its phar
macological effect was studied on carbohydrate and lipid parameters in rats
. In starved and fed rats, S 4038 caused a dose-dependent reduction of bloo
d glucose levels with a corresponding increase in hepatic and renal glycoge
n and glucose-6-phosphate. The major quantitative route of carbon flux in t
he liver during S 4048-induced inhibition of the glucose-6-phosphatase acti
vity seemed to be glycogenesis. Plasma free fatty acids were increased seco
ndarily due to the S 4048-induced hypoglycemia. Hepatic triglycerides were
increased possibly due to increased re-esterification of the readily availa
ble free fatty acids. Glucose-6-phosphate translocase inhibitors may be use
ful for experimentally studying aspects of type 1 glycogen storage disease
in laboratory animals as well as for the therapeutic modulation of inapprop
riately high rates of hepatic glucose production in type 2 diabetes. (C) 19
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