PMID- 23431246 OWN - NLM STAT- MEDLINE DCOM- 20130819 LR - 20211021 IS - 1466-1861 (Electronic) IS - 0962-9351 (Print) IS - 0962-9351 (Linking) VI - 2013 DP - 2013 TI - An anti-inflammatory sterol decreases obesity-related inflammation-induced insulin resistance and metabolic dysregulation. PG - 814989 LID - 10.1155/2013/814989 [doi] LID - 814989 AB - Obesity-related inflammation-induced insulin resistance and metabolic dysregulation were investigated in retrospective analysis of placebo hematologic and metabolic laboratory data from trials associated with increasing chronic low-grade inflammation and body mass index. Studies included healthy subjects and those with progressive stages of metabolic dysregulation, including type 2 diabetes mellitus with uncontrolled hemoglobin A1c. Intrasubject variances in erythroid and metabolic values increased with metabolic dysregulation. Random effects were demonstrated in treatment-naive diabetes for erythroid, glucose, and HbA1c fluctuations. The anti-inflammatory insulin sensitizer, HE3286, was tested for its ability to decrease obesity-related inflammation-induced insulin resistance and metabolic dysregulation in diabetes. HE3286 significantly decreased erythroid and metabolic variances and improved 1,5-anhydroglucitol (a surrogate of postprandial glucose) compared to the placebo group. HE3286 HbA1c decrease correlated with weight loss and inversely with baseline monocyte chemoattractant protein-1 (MCP-1) in metformin-treated diabetics. Normalization of HbA1c to the 84-day average hemoglobin revealed that HE3286 HbA1c decrease correlated with high baseline MCP-1 and MCP-1 decrease in treatment-naive diabetics. HE3286 decreased insulin resistance, increased the frequency of decreased day 84 HbA1c in metformin-treated subjects, and decreased day 112 HbA1c in treatment-naive diabetics. HE3286 may be useful to restore metabolic homeostasis in type 2 diabetes. FAU - Reading, Chris L AU - Reading CL AD - Harbor Therapeutics, Inc., San Diego, CA 92122, USA. creading@harbortx.com FAU - Flores-Riveros, Jaime AU - Flores-Riveros J FAU - Stickney, Dwight R AU - Stickney DR FAU - Frincke, James M AU - Frincke JM LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20130130 PL - United States TA - Mediators Inflamm JT - Mediators of inflammation JID - 9209001 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Sterols) SB - IM MH - Adult MH - Anti-Inflammatory Agents/*therapeutic use MH - Female MH - Humans MH - Inflammation/*complications MH - Insulin Resistance/*physiology MH - Male MH - Middle Aged MH - Obesity/*drug therapy/*immunology MH - Sterols/*therapeutic use PMC - PMC3572652 EDAT- 2013/02/23 06:00 MHDA- 2013/08/21 06:00 PMCR- 2013/01/30 CRDT- 2013/02/23 06:00 PHST- 2012/11/16 00:00 [received] PHST- 2012/12/18 00:00 [revised] PHST- 2012/12/20 00:00 [accepted] PHST- 2013/02/23 06:00 [entrez] PHST- 2013/02/23 06:00 [pubmed] PHST- 2013/08/21 06:00 [medline] PHST- 2013/01/30 00:00 [pmc-release] AID - 10.1155/2013/814989 [doi] PST - ppublish SO - Mediators Inflamm. 2013;2013:814989. doi: 10.1155/2013/814989. Epub 2013 Jan 30.