PMID- 33219494 OWN - NLM STAT- MEDLINE DCOM- 20210708 LR - 20210708 IS - 1559-0100 (Electronic) IS - 1355-008X (Linking) VI - 71 IP - 2 DP - 2021 Feb TI - Antidiabetic compounds 8a, 8b, 8k, and 9h enhance insulin secretion: activity and mechanism. PG - 365-377 LID - 10.1007/s12020-020-02537-5 [doi] AB - PURPOSE: This study primarily investigated the effects of hypoglycemic compounds (Imeglimin derivatives) on insulin secretion in type 2 diabetes mellitus (T2DM), and further explored the possible mechanism underlying these effects. METHODS: Firstly, Metformin was used as the initiating compound to synthesize three sets of derivatives which contained Imeglimin structure core. At the cellular level, we screened compounds with better effect on the activity of insulin receptor tyrosine protein kinase (IFcTPK) after the islet beta cells were treated with the compounds of different concentrations. The insulin secretion was assessed using radioimmunoassay and the cytotoxicity to islet beta cells was evaluated by means of MTT assay following treatment with the compounds. The Ca(2+)-related mechanism by which these compounds promote insulin secretion was elucidated with whole cell recordings from current-clamp mode. RESULTS: Totally, 48 synthesized compounds were generated, wherein 10 compounds could increase the activity of IFcTPK in HIT-T15 cells better among these compounds. The modified Imeglimin, especially in the structure of hydrophilic hydroxyl or piperidine rings, could improve the activity of the compound to promote insulin secretion. Furthermore, the compounds 8a, 8b, 8k, and 9h revealed high insulin secretion-promoting activity. These compounds enhanced insulin secretion in islet beta cells by repressing the ATP-sensitive K(+) and voltage-gated K+ pathway. CONCLUSIONS: Our findings indicate that the hypoglycemic compounds 8a, 8b, 8k, and 9h confer better promotive effect on insulin secretion, which provides a reference for the development of drugs with better hypoglycemic activity. FAU - Li, Hui AU - Li H AD - Department of Endocrinology, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, 161000, PR China. FAU - Zhang, Jian AU - Zhang J AD - Department of Endocrinology, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, 161000, PR China. FAU - Fu, Yongli AU - Fu Y AD - Department of Endocrinology, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, 161000, PR China. FAU - Zhang, Yixin AU - Zhang Y AD - Department of Endocrinology, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, 161000, PR China. FAU - Zhang, Chunhui AU - Zhang C AD - Department of Endocrinology, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, 161000, PR China. FAU - Sun, Xiaozhu AU - Sun X AD - Department of Endocrinology, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, 161000, PR China. FAU - Wu, Fang AU - Wu F AD - Department of Hepatology, The Seventh Hospital of Qiqihar, Qiqihar, 161000, PR China. FAU - He, Jing AU - He J AD - Department of Endocrinology, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, 161000, PR China. hejin096@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201120 PL - United States TA - Endocrine JT - Endocrine JID - 9434444 RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - IY9XDZ35W2 (Glucose) RN - SY7Q814VUP (Calcium) SB - IM MH - Calcium/metabolism MH - *Diabetes Mellitus, Type 2/drug therapy/metabolism MH - Glucose/metabolism MH - Humans MH - Hypoglycemic Agents/pharmacology MH - Insulin/metabolism MH - Insulin Secretion MH - *Islets of Langerhans/metabolism OTO - NOTNLM OT - ATP-sensitive K(+) channel OT - Hypoglycemic compounds OT - Imeglimin derivatives OT - Insulin secretion OT - Type 2 diabetes mellitus OT - Voltage-gated K+ channel EDAT- 2020/11/22 06:00 MHDA- 2021/07/09 06:00 CRDT- 2020/11/21 05:37 PHST- 2020/06/01 00:00 [received] PHST- 2020/10/01 00:00 [accepted] PHST- 2020/11/22 06:00 [pubmed] PHST- 2021/07/09 06:00 [medline] PHST- 2020/11/21 05:37 [entrez] AID - 10.1007/s12020-020-02537-5 [pii] AID - 10.1007/s12020-020-02537-5 [doi] PST - ppublish SO - Endocrine. 2021 Feb;71(2):365-377. doi: 10.1007/s12020-020-02537-5. Epub 2020 Nov 20.