It has been reported that
postprandial hyperglycemia from the pre-diabetic stage, especially from the
impaired glucose tolerance (IGT) stage, is positively associated with subsequent incidences of
cardiovascular diseases (CVD) and
type 2 diabetes. In this study, we aimed to investigate whether treatment with a dipeptidyl peptidase-4 inhibitor (DPP-4I) or an α-
glucosidase inhibitor (α-GI), either of which suppresses
postprandial hyperglycemia, reduces the expression of CVD risk factors in an IGT animal model. A DPP-4I,
anagliptin (1,200 ppm), or an α-GI,
miglitol (600 ppm), in the diet was administered for 47 wk to Otsuka Long-Evans Tokushima Fatty (OLETF) rats, a model for spontaneously-developed
type 2 diabetes, at the IGT stage. We examined whether each treatment reduced the expression of CVD risk factors such as inflammatory
cytokines/
cytokine-like factors in peripheral leukocytes and adhesion molecules in the aortic tissues and circulation. Treatment with either
drug reduced IGT development and repressed expression of the interleukin-1β,
tumor necrosis factor-α, S100a9, and S100a11 genes in peripheral leukocytes in the fasting state at weeks 25 and 39. The
mRNA levels of
E-selectin in aortic tissues and
protein levels of the soluble forms of
E-selectin and
ICAM-1 in arterial blood were significantly lower in the
anagliptin and
miglitol groups than in the control group. Our results suggest that long-term treatment with
anagliptin or
miglitol in OLETF rats at the IGT stage suppresses the expression of inflammatory
cytokines in peripheral leukocytes and adhesion molecules in aortic tissues.