Pimozide Alleviates Hyperglycemia in Diet-Induced Obesity by Inhibiting Skeletal Muscle Ketone Oxidation.
glycemia
insulin resistance
ketone bodies
ketone body oxidation
obesity
pimozide
type 2 diabetes
Journal
Cell metabolism
ISSN: 1932-7420
Titre abrégé: Cell Metab
Pays: United States
ID NLM: 101233170
Informations de publication
Date de publication:
05 05 2020
05 05 2020
Historique:
received:
29
10
2019
revised:
31
01
2020
accepted:
24
03
2020
pubmed:
11
4
2020
medline:
10
11
2021
entrez:
11
4
2020
Statut:
ppublish
Résumé
Perturbations in carbohydrate, lipid, and protein metabolism contribute to obesity-induced type 2 diabetes (T2D), though whether alterations in ketone body metabolism influence T2D pathology is unknown. We report here that activity of the rate-limiting enzyme for ketone body oxidation, succinyl-CoA:3-ketoacid-CoA transferase (SCOT/Oxct1), is increased in muscles of obese mice. We also found that the diphenylbutylpiperidine pimozide, which is approved to suppress tics in individuals with Tourette syndrome, is a SCOT antagonist. Pimozide treatment reversed obesity-induced hyperglycemia in mice, which was phenocopied in mice with muscle-specific Oxct1/SCOT deficiency. These actions were dependent on pyruvate dehydrogenase (PDH/Pdha1) activity, the rate-limiting enzyme of glucose oxidation, as pimozide failed to alleviate hyperglycemia in obese mice with a muscle-specific Pdha1/PDH deficiency. This work defines a fundamental contribution of enhanced ketone body oxidation to the pathology of obesity-induced T2D, while suggesting pharmacological SCOT inhibition as a new class of anti-diabetes therapy.
Identifiants
pubmed: 32275862
pii: S1550-4131(20)30132-7
doi: 10.1016/j.cmet.2020.03.017
pii:
doi:
Substances chimiques
Hypoglycemic Agents
0
Ketones
0
Pimozide
1HIZ4DL86F
Streptozocin
5W494URQ81
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
909-919.e8Subventions
Organisme : NIDDK NIH HHS
ID : F32 DK116542
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK123075
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA082709
Pays : United States
Organisme : NIDDK NIH HHS
ID : U2C DK093000
Pays : United States
Organisme : CIHR
Pays : Canada
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Interests The University of Alberta has filed a patent application regarding the subject matter of this article.