LX4211 increases serum glucagon-like peptide 1 and peptide YY levels by reducing sodium/glucose cotransporter 1 (SGLT1)–mediated absorption of intestinal …

DR Powell, M Smith, J Greer, A Harris, S Zhao… - … of Pharmacology and …, 2013 - ASPET
DR Powell, M Smith, J Greer, A Harris, S Zhao, C DaCosta, F Mseeh, MK Shadoan, A Sands…
Journal of Pharmacology and Experimental Therapeutics, 2013ASPET
LX4211 [(2S, 3R, 4R, 5S, 6R)-2-(4-chloro-3-(4-ethoxybenzyl) phenyl)-6-(methylthio)
tetrahydro-2H-pyran-3, 4, 5-triol], a dual sodium/glucose cotransporter 1 (SGLT1) and
SGLT2 inhibitor, is thought to decrease both renal glucose reabsorption by inhibiting SGLT2
and intestinal glucose absorption by inhibiting SGLT1. In clinical trials in patients with type 2
diabetes mellitus (T2DM), LX4211 treatment improved glycemic control while increasing
circulating levels of glucagon-like peptide 1 (GLP-1) and peptide YY (PYY). To better …
LX4211 [(2S,3R,4R,5S,6R)-2-(4-chloro-3-(4-ethoxybenzyl)phenyl)-6-(methylthio)tetrahydro-2H-pyran-3,4,5-triol], a dual sodium/glucose cotransporter 1 (SGLT1) and SGLT2 inhibitor, is thought to decrease both renal glucose reabsorption by inhibiting SGLT2 and intestinal glucose absorption by inhibiting SGLT1. In clinical trials in patients with type 2 diabetes mellitus (T2DM), LX4211 treatment improved glycemic control while increasing circulating levels of glucagon-like peptide 1 (GLP-1) and peptide YY (PYY). To better understand how LX4211 increases GLP-1 and PYY levels, we challenged SGLT1 knockout (−/−) mice, SGLT2−/− mice, and LX4211-treated mice with oral glucose. LX4211-treated mice and SGLT1−/− mice had increased levels of plasma GLP-1, plasma PYY, and intestinal glucose during the 6 hours after a glucose-containing meal, as reflected by area under the curve (AUC) values, whereas SGLT2−/− mice showed no response. LX4211-treated mice and SGLT1−/− mice also had increased GLP-1 AUC values, decreased glucose-dependent insulinotropic polypeptide (GIP) AUC values, and decreased blood glucose excursions during the 6 hours after a challenge with oral glucose alone. However, GLP-1 and GIP levels were not increased in LX4211-treated mice and were decreased in SGLT1−/− mice, 5 minutes after oral glucose, consistent with studies linking decreased intestinal SGLT1 activity with reduced GLP-1 and GIP levels 5 minutes after oral glucose. These data suggest that LX4211 reduces intestinal glucose absorption by inhibiting SGLT1, resulting in net increases in GLP-1 and PYY release and decreases in GIP release and blood glucose excursions. The ability to inhibit both intestinal SGLT1 and renal SGLT2 provides LX4211 with a novel dual mechanism of action for improving glycemic control in patients with T2DM.
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