PMID- 23775767 OWN - NLM STAT- MEDLINE DCOM- 20131112 LR - 20211021 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 62 IP - 9 DP - 2013 Sep TI - Inverse agonist of nuclear receptor ERRgamma mediates antidiabetic effect through inhibition of hepatic gluconeogenesis. PG - 3093-102 LID - 10.2337/db12-0946 [doi] AB - Type 2 diabetes mellitus (T2DM) is a progressive metabolic disorder with diverse pathological manifestations and is often associated with abnormal regulation of hepatic glucose production. Many nuclear receptors known to control the hepatic gluconeogenic program are potential targets for the treatment of T2DM and its complications. Nevertheless, the therapeutic potential of the estrogen-related receptor gamma (ERRgamma) in T2DM remains unknown. In this study, we show that the nuclear receptor ERRgamma is a major contributor to hyperglycemia under diabetic conditions by controlling hepatic glucose production. Hepatic ERRgamma expression induced by fasting and diabetic conditions resulted in elevated levels of gluconeogenic gene expression and blood glucose in wild-type mice. Conversely, ablation of hepatic ERRgamma gene expression reduced the expression of gluconeogenic genes and normalized blood glucose levels in mouse models of T2DM: db/db and diet-induced obesity (DIO) mice. In addition, a hyperinsulinemic-euglycemic clamp study and long-term studies of the antidiabetic effects of GSK5182, the ERRgamma-specific inverse agonist, in db/db and DIO mice demonstrated that GSK5182 normalizes hyperglycemia mainly through inhibition of hepatic glucose production. Our findings suggest that the ability of GSK5182 to control hepatic glucose production can be used as a novel therapeutic approach for the treatment of T2DM. FAU - Kim, Don-Kyu AU - Kim DK AD - National Creative Research Initiatives Center for Nuclear Receptor Signals and Hormone Research Center, School of Biological Sciences and Technology, Chonnam National University, Gwangju, Republic of Korea. FAU - Gang, Gil-Tae AU - Gang GT FAU - Ryu, Dongryeol AU - Ryu D FAU - Koh, Minseob AU - Koh M FAU - Kim, Yo-Na AU - Kim YN FAU - Kim, Su Sung AU - Kim SS FAU - Park, Jinyoung AU - Park J FAU - Kim, Yong-Hoon AU - Kim YH FAU - Sim, Taebo AU - Sim T FAU - Lee, In-Kyu AU - Lee IK FAU - Choi, Cheol Soo AU - Choi CS FAU - Park, Seung Bum AU - Park SB FAU - Lee, Chul-Ho AU - Lee CH FAU - Koo, Seung-Hoi AU - Koo SH FAU - Choi, Hueng-Sik AU - Choi HS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130617 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Esrrg protein, mouse) RN - 0 (GSK5182) RN - 0 (Hypoglycemic Agents) RN - 0 (Receptors, Estrogen) RN - 094ZI81Y45 (Tamoxifen) SB - IM MH - Animals MH - Blotting, Western MH - Cell Line MH - Gluconeogenesis/drug effects MH - Hepatocytes/drug effects/metabolism MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Liver/*drug effects/*metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Polymerase Chain Reaction MH - Rats MH - Rats, Sprague-Dawley MH - Receptors, Estrogen/*agonists/*metabolism MH - Tamoxifen/*analogs & derivatives/pharmacokinetics/therapeutic use PMC - PMC3749343 EDAT- 2013/06/19 06:00 MHDA- 2013/11/13 06:00 PMCR- 2014/09/01 CRDT- 2013/06/19 06:00 PHST- 2013/06/19 06:00 [entrez] PHST- 2013/06/19 06:00 [pubmed] PHST- 2013/11/13 06:00 [medline] PHST- 2014/09/01 00:00 [pmc-release] AID - db12-0946 [pii] AID - 0946 [pii] AID - 10.2337/db12-0946 [doi] PST - ppublish SO - Diabetes. 2013 Sep;62(9):3093-102. doi: 10.2337/db12-0946. Epub 2013 Jun 17.