GPR55 has been recognized as a novel anti-diabetic target exerting positive effects on beta cell function and mass. This study evaluated the metabolic actions and therapeutic efficacy of GPR55 agonist
abnormal cannabidiol (
Abn-CBD) administered alone and in combination with
sitagliptin in diet-induced obese-diabetic mice. Chronic effects of 21-day
oral administration of
Abn-CBD (0.1 µmol/kg BW) monotherapy and in combination with
sitagliptin (50 mg/kg BW) were assessed in obese-diabetic HFF mice (n = 8). Assessments of plasma
glucose, circulating
insulin, DPP-IV activity, CRP,
amylase,
lipids,
body weight and food intake were undertaken.
Glucose tolerance,
insulin sensitivity, DEXA scanning and islet morphology analysis were performed at 21-days.
Sitagliptin,
Abn-CBD alone and in combination with
sitagliptin attenuated plasma
glucose by 37-53 % (p < 0.01 - p < 0.001) and enhanced circulating
insulin concentrations by 23-31 % (p < 0.001).
Abn-CBD alone and with
sitagliptin reduced bodyweight by 9-10 % (p < 0.05). After 21-days,
Abn-CBD in combination with
sitagliptin (44 %; p < 0.01) improved
glucose tolerance, whilst enhancing
insulin sensitivity by 79 % (p < 0.01).
Abn-CBD increased islet area (86 %; p < 0.05), beta cell mass (p < 0.05) and beta cell proliferation (164 %; p < 0.001), whilst in combination with
sitagliptin islet area was decreased (50 %; p < 0.01).
Abn-CBD alone, in combination with
sitagliptin or
sitagliptin alone decreased
triglycerides by 34-65 % (p < 0.001) and total
cholesterol concentrations by 15-25 % (p < 0.001). In addition,
Abn-CBD in combination with
sitagliptin reduced fat mass by 19 % (p < 0.05) and reduced CRP concentrations (39 %; p < 0.05). These findings advocate
Abn-CBD monotherapy and in combination with
sitagliptin as a novel and effective approach for bodyweight control and the treatment of
glucose intolerance and dyslipidaemia in type-2-diabetes.