Impact of glibenclamide and metformin on glucose metabolism for mice with gestational diabetes mellitus

Acta Universitatis Medicinalis Anhui 2020 01 v.55 27-33     font:big middle small

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Authors:Yu Ting; Wang Yang; Chen Keyang

Keywords:gestational diabetes mellitus;glibenclamide;metformin;glucose metabolism

DOI:10.19405/j.cnki.issn1000-1492.2020.01.006

〔Abstract〕 Objective To investigate the respective effects of glibenclamide and metformin on antenatal and postpartum glucose metabolism for gestational diabetes mellitus(GDM) mice. Methods Streptozotocin was used to stimulate C57 BL/6 J mice to develop GDM. In addition to GDM control, treatment was respectively given with long-acting insulin, glibenclamide and metformin. The first day of pregnancy was defined as gestational day(GD0), body weight and fasting blood glucose were measured every 2 days from GD0. On GD18, 8 dams in each group were euthanized to collect livers. The remaining 8 dams in each group were housed for natural delivery. After 1 week of post-partum, glucose tolerance test(GTT) and insulin tolerance test(ITT) were measured for all mice. After 5 weeks of post-partum, the GTT and ITT were measured for all mice. The mice were then euthanized to collect livers. The hepatic levels of phosphor-protein kinase B(p-AKT), phosphor-Forkhead box transcription factor O1(p-FoxO1), glucose-6-phosphatase(G6 Pase), phosphoenolpyruvate carboxykinase(PEPCK) were measured respectively. Results Glibenclamide and metformin could decrease fasting blood glucose respectively in GDM mice with antenatal and 1 week postpartum(P<0.05). Compared with the GDM control, p-AKT and p-FoxO1 levels increased(P<0.05) while G6 Pase and PEPCK reduced(P<0.05) respectively in livers from the glibenclamide and metformin intervened groups. However,after 5 weeks of post-partum,the effects of two interventions on the GDM mice disappeared. Conclusions Glibenclamide and metformin may improve the glucose tolerance and insulin resistance for GDM mice with antenatal and 1 week postpartum,but have poor effects on those with 5 weeks postpartum.