The insulinotropic activity of
KCP256 [(R)-8-benzyl-2-cyclopentyl-7, 8-dihydro-4-propyl-1H-imidazo[2,1-i]purin-5(4H)-one hydrochloride] was examined using MIN6 cells (a pancreatic beta-cell line) and pancreatic islets isolated from rats. Unlike sulfonylurea anti-diabetic drugs,
KCP256 dose-dependently (0.1-10 microM) enhanced insulin secretion from MIN6 cells and its insulinotropic effect was exerted only at high concentrations of
glucose (8.3-22 mM) but not at low concentrations of
glucose (3.3-5.5 mM). Furthermore, the action mechanism of
KCP256 was different because, unlike sulfonylurea drugs,
KCP256 did not displace the binding of [3H]
glibenclamide, and did not inhibit the 86Rb+ efflux nor K(
ATP) channel activity. In isolated islets,
KCP256 also enhanced insulin secretion in a dose- and a
glucose-concentration-dependent manner. Plasma levels of
insulin after
glucose challenge in KCP256-administrated rats were higher than those in vehicle-administrated animals, indicating that
KCP256 can enhance insulin secretion in vivo. Since the insulinotropic activity of
KCP256 only occurs at high concentrations of
glucose, this novel
drug may exhibit a decreased risk of
drug-induced
hypoglycemia compared with sulfonylurea drugs when treating patients with diabetes.