Postprandial hyperglycemia is one of the features of
type 2 diabetes. Increased hepatic gluconeogenesis is a predominant cause of
postprandial hyperglycemia in
type 2 diabetes. In this study, we evaluated the effect of gluconeogenesis inhibition on
postprandial hyperglycemia using
CS-917, a novel inhibitor of
fructose 1,6-bisphphosphatase (FBPase) which is one of the rate-limiting
enzymes of gluconeogenesis. The suppressive effect of
CS-917 on
postprandial hyperglycemia was evaluated in a meal loading test in Goto-Kakizaki (GK) rats, non-obese type 2 diabetic animal model characterized by impaired insulin secretion. In addition, we describe acute effect of
CS-917 on fasting
hyperglycemia in overnight-fasted GK rats and chronic effect of
CS-917 in multiple dosing GK rats.CS-917 suppressed plasma
glucose elevation after meal loading in a dose-dependent manner at doses ranging from 10 to 40 mg/kg. In an overnight-fasted state,
CS-917 decreased the plasma
glucose levels dose-dependently at doses ranging from 2.5 to 40 mg/kg. Consistent with the inhibition of FBPase,
glucose-lowering was associated with an accumulation of hepatic d-
fructose 1,6-bisphosphate and a reduction in hepatic d-
fructose 6-phosphate. Chronic treatment of
CS-917 decreased plasma
glucose significantly, and no significant increase in plasma
lactate and no profound elevation in plasma
triglycerides were observed by both acute and chronic treatment of
CS-917 in GK rats.These findings suggest that enhanced gluconeogenesis contributes to
hyperglycemia in postprandial conditions as well as in fasting conditions, and that
CS-917 as an FBPase inhibitor corrects
postprandial hyperglycemia as well as fasting
hyperglycemia.