PMID- 12215475 OWN - NLM STAT- MEDLINE DCOM- 20020911 LR - 20220330 IS - 1524-4563 (Electronic) IS - 0194-911X (Linking) VI - 40 IP - 3 DP - 2002 Sep TI - ACE inhibitor improves insulin resistance in diabetic mouse via bradykinin and NO. PG - 329-34 AB - Improvement of insulin resistance by ACE inhibitors has been suggested; however, this mechanism has not been proved. We postulated that activation of the bradykinin-nitric oxide (NO) system by an ACE inhibitor enhances glucose uptake in peripheral tissues by means of an increase in translocation of glucose transporter 4 (GLUT4), resulting in improvement of insulin resistance. Administration of an ACE inhibitor, temocapril, significantly decreased plasma glucose and insulin concentrations in type 2 diabetic mouse KK-Ay. Mice treated with temocapril showed a smaller plasma glucose increase after glucose load. We demonstrated that temocapril treatment significantly enhanced 2-[3H]-deoxy-D-glucose (2-DG) uptake in skeletal muscle but not in white adipose tissue. Administration of a bradykinin B2 receptor antagonist, Hoe140, or an NO synthase inhibitor, L-NAME, attenuated the enhanced glucose uptake by temocapril. Moreover, we observed that translocation of GLUT4 to the plasma membrane was significantly enhanced by temocapril treatment without influencing insulin receptor substrate-1 phosphorylation. In L6 skeletal muscle cells, 2-DG uptake was increased by temocaprilat, and Hoe140 inhibited this effect of temocaprilat but not that of insulin. These results suggest that temocapril would improve insulin resistance and glucose intolerance through increasing glucose uptake, especially in skeletal muscle at least in part through enhancement of the bradykinin-NO system and consequently GLUT4 translocation. FAU - Shiuchi, Tetsuya AU - Shiuchi T AD - Department of Medical Biochemistry, Ehime University School of Medicine, Ehime, Japan. FAU - Cui, Tai-Xing AU - Cui TX FAU - Wu, Lan AU - Wu L FAU - Nakagami, Hironori AU - Nakagami H FAU - Takeda-Matsubara, Yuko AU - Takeda-Matsubara Y FAU - Iwai, Masaru AU - Iwai M FAU - Horiuchi, Masatsugu AU - Horiuchi M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Hypertension JT - Hypertension (Dallas, Tex. : 1979) JID - 7906255 RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 0 (Blood Glucose) RN - 0 (Glucose Transporter Type 4) RN - 0 (Insulin Receptor Substrate Proteins) RN - 0 (Irs1 protein, mouse) RN - 0 (Monosaccharide Transport Proteins) RN - 0 (Muscle Proteins) RN - 0 (Phosphoproteins) RN - 0 (Slc2a4 protein, mouse) RN - 0 (Thiazepines) RN - 31C4KY9ESH (Nitric Oxide) RN - 8G820I95VP (temocapril hydrochloride) RN - 9G2MP84A8W (Deoxyglucose) RN - S8TIM42R2W (Bradykinin) SB - IM MH - Angiotensin-Converting Enzyme Inhibitors/*pharmacology MH - Animals MH - Biological Transport/drug effects MH - Blood Glucose/analysis MH - Bradykinin/*physiology MH - Cell Line MH - Deoxyglucose/metabolism MH - Diabetes Mellitus, Type 2/drug therapy/*metabolism MH - Glucose Transporter Type 4 MH - Insulin Receptor Substrate Proteins MH - *Insulin Resistance MH - Kinetics MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Monosaccharide Transport Proteins/metabolism MH - *Muscle Proteins MH - Muscle, Skeletal/drug effects/metabolism MH - Nitric Oxide/*physiology MH - Phosphoproteins/metabolism MH - Phosphorylation MH - Protein Transport/drug effects MH - Thiazepines/*pharmacology EDAT- 2002/09/07 10:00 MHDA- 2002/09/12 10:01 CRDT- 2002/09/07 10:00 PHST- 2002/09/07 10:00 [pubmed] PHST- 2002/09/12 10:01 [medline] PHST- 2002/09/07 10:00 [entrez] AID - 10.1161/01.hyp.0000028979.98877.0c [doi] PST - ppublish SO - Hypertension. 2002 Sep;40(3):329-34. doi: 10.1161/01.hyp.0000028979.98877.0c.