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Publication : Clenbuterol exerts antidiabetic activity through metabolic reprogramming of skeletal muscle cells.

First Author  Meister J Year  2022
Journal  Nat Commun Volume  13
Issue  1 Pages  22
PubMed ID  35013148 Mgi Jnum  J:369716
Mgi Id  MGI:6857206 Doi  10.1038/s41467-021-27540-w
Citation  Meister J, et al. (2022) Clenbuterol exerts antidiabetic activity through metabolic reprogramming of skeletal muscle cells. Nat Commun 13(1):22
abstractText  Activation of the sympathetic nervous system causes pronounced metabolic changes that are mediated by multiple adrenergic receptor subtypes. Systemic treatment with beta2-adrenergic receptor agonists results in multiple beneficial metabolic effects, including improved glucose homeostasis. To elucidate the underlying cellular and molecular mechanisms, we chronically treated wild-type mice and several newly developed mutant mouse strains with clenbuterol, a selective beta2-adrenergic receptor agonist. Clenbuterol administration caused pronounced improvements in glucose homeostasis and prevented the metabolic deficits in mouse models of beta-cell dysfunction and insulin resistance. Studies with skeletal muscle-specific mutant mice demonstrated that these metabolic improvements required activation of skeletal muscle beta2-adrenergic receptors and the stimulatory G protein, Gs. Unbiased transcriptomic and metabolomic analyses showed that chronic beta2-adrenergic receptor stimulation caused metabolic reprogramming of skeletal muscle characterized by enhanced glucose utilization. These findings strongly suggest that agents targeting skeletal muscle metabolism by modulating beta2-adrenergic receptor-dependent signaling pathways may prove beneficial as antidiabetic drugs.
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