CNTO736 is a
glucagon-like peptide (
GLP) 1 receptor agonist that incorporates a
GLP-1 peptide analog linked to the Mimetibody platform. We evaluate the potential of acute and chronic
CNTO736 treatment on
insulin sensitivity and
very low-density lipoprotein (VLDL) metabolism. For acute studies, diet-induced
insulin-resistant C57BL/6 mice received a single
intraperitoneal injection of
CNTO736 or vehicle. Chronic effects were studied after 4 weeks of daily intraperitoneal administration. A hyperinsulinemic-euglycemic clamp monitored
insulin sensitivity. A single dose of
CNTO736 reduced fasting plasma
glucose levels (
CNTO736, 4.4 +/- 1.0; control, 6.3 +/- 2.4 mM) and endogenous
glucose production (EGP) (
CNTO736, 39 +/- 11; control, 53 +/- 13 micromol/min/kg) and increased
insulin-mediated
glucose uptake (
CNTO736, 76 +/- 25; control, 54 +/- 13 micromol/min/kg). Chronic administration of
CNTO736 reduced fasting
glucose levels (
CNTO736, 4.1 +/- 0.8; control 6.0 +/- 1.0 mM), improved
insulin-dependent
glucose uptake (
CNTO736, 84 +/- 19; control, 61 +/- 15 micromol/min/kg), and enhanced inhibition of EGP (
CNTO736, 91 +/- 18; control, 80 +/- 10% inhibition). In addition, chronic dosing with
CNTO736 reduced fasting EGP (
CNTO736, 39 +/- 9; control, 50 +/- 8 micromol/min/kg) and VLDL production (
CNTO736, 157 +/- 23; control, 216 +/- 36 micromol/h/kg). These results indicate that
CNTO736 reinforces
insulin's action on
glucose disposal and production in diet-induced
insulin-resistant mice. In addition,
CNTO736 reduces basal hepatic
glucose and VLDL output in these animals. The data suggest that
CNTO736 may be a useful tool in the treatment of
type 2 diabetes.