Skeletal muscle glycogen synthase activity in subjects with non-insulin-dependent diabetes mellitus after glyburide therapy

Sulfonylureas are used in the treatment of non-insulin-dependent diabetes mellitus (NIDDM) largely because of their ability to enhance insulin secretion and possibly to potentiate insulin action. In this study, we investigated the effects of chronic glyburide treatment on glycogen synthase activity...

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Veröffentlicht in:Metabolism, clinical and experimental clinical and experimental, 1990-11, Vol.39 (11), p.1204-1210
Hauptverfasser: Nyomba, Bulangu L., Freymond, Daniel, Raz, Itamar, Stone, Karen, Mott, David M., Bogardus, Clifton
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container_end_page 1210
container_issue 11
container_start_page 1204
container_title Metabolism, clinical and experimental
container_volume 39
creator Nyomba, Bulangu L.
Freymond, Daniel
Raz, Itamar
Stone, Karen
Mott, David M.
Bogardus, Clifton
description Sulfonylureas are used in the treatment of non-insulin-dependent diabetes mellitus (NIDDM) largely because of their ability to enhance insulin secretion and possibly to potentiate insulin action. In this study, we investigated the effects of chronic glyburide treatment on glycogen synthase activity determined in skeletal muscle biopsies taken during euglycemic hyperinsulinemic clamps in nine Pima Indians with NIDDM. Insulin was infused at the rate of 40 mU/m 2/min (low dose) followed by 400 mU/m 2/min (high dose). Compared with the fasting value, the mean glycogen synthase activity assayed at low glucose-6-phosphate (G6P) concentration (active glycogen synthase) showed no significant changes during insulin infusion before glyburide treatment. After glyburide treatment, the mean active glycogen synthase increased by 39% ( P < .05) above the fasting value during the high-dose insulin infusion. Total glycogen synthase activity assayed at high G6P concentration did not change after glyburide treatment. Changes of insulin-stimulated active glycogen synthase associated with glyburide treatment correlated with changes in total body glucose disposal rates ( r = .70, P < .05) during euglycemic clamps. We conclude that glyburide treatment of subjects with NIDDM is associated with an increase in insulin action in vivo and concomitantly with improved insulin action on skeletal muscle glycogen synthase.
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In this study, we investigated the effects of chronic glyburide treatment on glycogen synthase activity determined in skeletal muscle biopsies taken during euglycemic hyperinsulinemic clamps in nine Pima Indians with NIDDM. Insulin was infused at the rate of 40 mU/m 2/min (low dose) followed by 400 mU/m 2/min (high dose). Compared with the fasting value, the mean glycogen synthase activity assayed at low glucose-6-phosphate (G6P) concentration (active glycogen synthase) showed no significant changes during insulin infusion before glyburide treatment. After glyburide treatment, the mean active glycogen synthase increased by 39% ( P &lt; .05) above the fasting value during the high-dose insulin infusion. Total glycogen synthase activity assayed at high G6P concentration did not change after glyburide treatment. Changes of insulin-stimulated active glycogen synthase associated with glyburide treatment correlated with changes in total body glucose disposal rates ( r = .70, P &lt; .05) during euglycemic clamps. We conclude that glyburide treatment of subjects with NIDDM is associated with an increase in insulin action in vivo and concomitantly with improved insulin action on skeletal muscle glycogen synthase.</description><identifier>ISSN: 0026-0495</identifier><identifier>EISSN: 1532-8600</identifier><identifier>DOI: 10.1016/0026-0495(90)90096-U</identifier><identifier>PMID: 2122177</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Blood Glucose - metabolism ; Diabetes Mellitus, Type 2 - drug therapy ; Diabetes Mellitus, Type 2 - enzymology ; Dose-Response Relationship, Drug ; Epinephrine - blood ; Fasting ; Female ; Glucose-6-Phosphate ; Glucosephosphates - metabolism ; Glyburide - therapeutic use ; Glycogen Synthase - metabolism ; Hormones. Endocrine system ; Humans ; Insulin - metabolism ; Insulin - therapeutic use ; Insulin Secretion ; Male ; Medical sciences ; Muscles - enzymology ; Pharmacology. 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Changes of insulin-stimulated active glycogen synthase associated with glyburide treatment correlated with changes in total body glucose disposal rates ( r = .70, P &lt; .05) during euglycemic clamps. We conclude that glyburide treatment of subjects with NIDDM is associated with an increase in insulin action in vivo and concomitantly with improved insulin action on skeletal muscle glycogen synthase.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2122177</pmid><doi>10.1016/0026-0495(90)90096-U</doi><tpages>7</tpages></addata></record>
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subjects Adult
Biological and medical sciences
Blood Glucose - metabolism
Diabetes Mellitus, Type 2 - drug therapy
Diabetes Mellitus, Type 2 - enzymology
Dose-Response Relationship, Drug
Epinephrine - blood
Fasting
Female
Glucose-6-Phosphate
Glucosephosphates - metabolism
Glyburide - therapeutic use
Glycogen Synthase - metabolism
Hormones. Endocrine system
Humans
Insulin - metabolism
Insulin - therapeutic use
Insulin Secretion
Male
Medical sciences
Muscles - enzymology
Pharmacology. Drug treatments
title Skeletal muscle glycogen synthase activity in subjects with non-insulin-dependent diabetes mellitus after glyburide therapy
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