Chronic
hyperglycemia is known to lead to a progressively further impaired
insulin response and to hasten the development of complications in patients with
type 2 diabetes, a notion referred as
glucose toxicity.
T-1095, a derivative of
phlorizin, is a newly developed oral
hypoglycemic agent that acts as a specific inhibitor of renal Na(+)-
glucose co-transporters, reducing circulating
blood glucose levels by promoting
glucose excretion into urine. The effects of glycemic improvement by
T-1095 on secretory function and cytoplasmic
calcium response in pancreatic beta-cells were investigated using spontaneously diabetic GK rats. After four weeks of treatment with
T-1095 (age 4 to 8 week rats), serum
glucose and HbA1c levels were significantly improved (serum
glucose level, GK vs. GK
T-1095, 277.3 +/- 11.8 vs. 204.7 +/- 6.4 mg/dl; HbA1c level, GK vs. GK
T-1095, 6.2 +/- 0.2 vs. 4.8 +/- 0.1 %). Insulin secretion induced by 16.7 mM
glucose was also significantly increased in the T-1095-treated group compared to the untreated group. The [Ca(2+)]i response induced by 16.7 mM
glucose in GK beta-cells was characterized by the loss of the steep first peak of [Ca(2+)]i elevation, and the lost first peak of [Ca(2+)]i reappeared in T-1095-treated beta-cells in 32 of 34 observations. In T-1095-treated beta-cells, the time lag to peak [Ca(2+)]i levels in the 16.7 mM
glucose stimulation was significantly reduced (259.1 +/- 15.3 sec, p < 0.01) compared to untreated GK rats (524.7 +/- 52.9 sec). Thus, improvement of
hyperglycemia by
T-1095 ameliorates beta-cell function by relieving [Ca(2+)]i response.