Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2004-3-18
pubmed:abstractText
Hypertension is commonly accompanied by obesity, hyperlipidemia, and insulin resistance in humans, a cluster of abnormalities known as metabolic syndrome X. With the notable exception of inhibitors of the renin-angiotensin system, which have mildly beneficial effects on insulin resistance, most antihypertensive agents worsen one or more components of metabolic syndrome X. Second-generation centrally acting antihypertensive agents such as rilmenidine and moxonidine have mixed effects on components of metabolic syndrome X, which might reflect in part actions on two different receptors: I(1)-imidazoline and alpha(2)-adrenergic. Using a rat model of metabolic syndrome X, we sought to separate the influence of these two receptors on glucose and lipid metabolism by using selective antagonists. Rilmenidine and moxonidine acutely raised glucose and lowered insulin, thereby further worsening glucose tolerance. These effects were entirely mediated by alpha(2)-adrenergic receptors. Rilmenidine and moxonidine also lowered glucagon, an effect that was mediated solely by I(1)-imidazoline receptors since it was potentiated by alpha(2)-blockade, but eliminated in the presence of I(1)-antagonists. Lowering of triglyceride and cholesterol levels followed the same pattern as glucagon, implicating I(1)-imidazoline receptors in lipid-lowering actions. Chronic treatment with moxonidine reproduced the beneficial effects on glucagon and lipids while the acute hyperglycemic response did not persist. Thus, alpha(2)-adrenergic receptors mediate an acute deterioration of glucose tolerance, whereas in contrast I(1)-imidazoline receptors appear to mediate the persistent long-term improvements in glucose tolerance. The therapeutic action of I(1)-imidazoline agonists may be primarily mediated through reduced glucagon secretion.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic alpha-Antagonists, http://linkedlifedata.com/resource/pubmed/chemical/Antihypertensive Agents, http://linkedlifedata.com/resource/pubmed/chemical/Benzofurans, http://linkedlifedata.com/resource/pubmed/chemical/Glucagon, http://linkedlifedata.com/resource/pubmed/chemical/Glucose, http://linkedlifedata.com/resource/pubmed/chemical/Imidazoles, http://linkedlifedata.com/resource/pubmed/chemical/Imidazoline Receptors, http://linkedlifedata.com/resource/pubmed/chemical/Oxazoles, http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Adrenergic, alpha-2, http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Drug, http://linkedlifedata.com/resource/pubmed/chemical/Yohimbine, http://linkedlifedata.com/resource/pubmed/chemical/efaroxan, http://linkedlifedata.com/resource/pubmed/chemical/imidazoline I1 receptors, http://linkedlifedata.com/resource/pubmed/chemical/moxonidine, http://linkedlifedata.com/resource/pubmed/chemical/rilmenidine
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0077-8923
pubmed:author
pubmed:issnType
Print
pubmed:volume
1009
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
251-61
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:15028595-Adrenergic alpha-Antagonists, pubmed-meshheading:15028595-Animals, pubmed-meshheading:15028595-Antihypertensive Agents, pubmed-meshheading:15028595-Benzofurans, pubmed-meshheading:15028595-Blood Pressure, pubmed-meshheading:15028595-Disease Models, Animal, pubmed-meshheading:15028595-Female, pubmed-meshheading:15028595-Glucagon, pubmed-meshheading:15028595-Glucose, pubmed-meshheading:15028595-Glucose Tolerance Test, pubmed-meshheading:15028595-Humans, pubmed-meshheading:15028595-Imidazoles, pubmed-meshheading:15028595-Imidazoline Receptors, pubmed-meshheading:15028595-Lipid Metabolism, pubmed-meshheading:15028595-Male, pubmed-meshheading:15028595-Metabolic Syndrome X, pubmed-meshheading:15028595-Obesity, pubmed-meshheading:15028595-Oxazoles, pubmed-meshheading:15028595-Rats, pubmed-meshheading:15028595-Rats, Inbred SHR, pubmed-meshheading:15028595-Receptors, Adrenergic, alpha-2, pubmed-meshheading:15028595-Receptors, Drug, pubmed-meshheading:15028595-Yohimbine
pubmed:year
2003
pubmed:articleTitle
The role of I(1)-imidazoline receptors and alpha(2)-adrenergic receptors in the modulation of glucose and lipid metabolism in the SHROB model of metabolic syndrome X.
pubmed:affiliation
Department of Nutrition, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106-4906, USA.
pubmed:publicationType
Journal Article