Abstract
Introduction
Type 2 diabetes (T2D) is an endocrine disorder characterized by hyperglycemia, insulin resistance, dysregulated glucose and lipid metabolism, reduced pancreatic β-cell function and mass, and a reduced incretin effect. Circadian rhythm disruption is associated with increased T2D risk. We have investigated the therapeutic potential of a combination of melatonin (M) and sitagliptin (S), a dipeptidyl peptidase IV (DPP-IV) inhibitor, in the amelioration of T2D manifestations in high-fat diet (HFD) induced T2D mouse model and also on β-cell proliferation under gluco-lipotoxicity stress in vitro.
Methods
For in vivo study, mice were fed with HFD for 25 weeks to induce T2D and were treated with monotherapies and S + M for four weeks. For the in vitro study, primary mouse islets were exposed to normal glucose and high glucose + palmitate to induce gluco-lipotoxic stress.
Results
Our results suggest that monotherapies and S + M improve metabolic parameters and glyco-lipid metabolism in the liver and adipose tissue, respectively, and improve mitochondrial function in the skeletal muscle. Moreover, it increases peripheral insulin sensitivity. Our in vitro and in vivo studies suggest that β-cell mass was preserved in all the drug-treated groups.
Conclusion
The combination treatment is superior to monotherapies in the management of T2D.
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Data availability
All data generated or analyzed during this study are included in this article.
Abbreviations
- T2D:
-
Type 2 diabetes
- FBG:
-
Fasting blood glucose
- BW:
-
Body weight
- TC:
-
Total cholesterol
- HDL:
-
High density lipoprotein
- TG:
-
Triglycerides
- LDL:
-
Low density lipoprotein
- BMI:
-
Body mass index
- HFD:
-
High fat diet
- M:
-
Melatonin
- S:
-
Sitagliptin
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Acknowledgements
We thank Prof. A.V. Ramachandran (Navrachana University, Vadodara, India) for his kind help throughout this study. We thank Prof. Adolfo Garcia Ocana, Diabetes, Obesity & Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA, for helping with the in vitro studies. We thank Dr. Deepak Sharma, Radiation Biology & Health Sciences Division, Bhabha Atomic Research Centre (BARC), Mumbai, India, for providing the confocal facilities. We thank Dr. Dhruv Gohel, Department of Biochemistry, MSU Baroda, India, for helping us in sample preparation for western blot analysis and ddPCR study. RP thanks Council for Scientific and Industrial Research, New Delhi, India, for awarding SRF. NR thanks University Grants Commission-National Fellowship for higher education for ST students, New Delhi, India, for awarding SRF.
Funding
This work was supported by the Department of Biotechnology, New Delhi, India (BT/PR12584/MED/31/289/2014) to Rasheedunnisa Begum.
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RB and RP conceived the idea and designed the experiments. RP performed the experiments, data acquisition, and data analysis, and wrote the manuscript; NP, SP, and NR helped in data acquisition and data analysis. RB contributed to the critical revision of the manuscript.
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Patel, R., Parmar, N., Palit, S.P. et al. A novel combination of sitagliptin and melatonin ameliorates T2D manifestations: studies on experimental diabetic models. J Endocrinol Invest 46, 1597–1612 (2023). https://doi.org/10.1007/s40618-023-02014-6
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DOI: https://doi.org/10.1007/s40618-023-02014-6