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2017 ; 11
(ä): 1127-1134
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Investigation of triamterene as an inhibitor of the TGR5 receptor: identification
in cells and animals
#MMPMID28435224
Li Y
; Cheng KC
; Niu CS
; Lo SH
; Cheng JT
; Niu HS
Drug Des Devel Ther
2017[]; 11
(ä): 1127-1134
PMID28435224
show ga
BACKGROUND: G-protein-coupled bile acid receptor 1 (GPBAR1, also known as TGR5)
has been shown to participate in glucose homeostasis. In animal models, a TGR5
agonist increases incretin secretion to reduce hyperglycemia. Many agonists have
been developed for clinical use. However, the effects of TGR5 blockade have not
been studied extensively, with the exception of studies using TGR5 knockout mice.
Therefore, we investigated the potential effect of triamterene on TGR5. METHODS:
We transfected the TGR5 gene into cultured Chinese hamster ovary cells (CHO-K1
cells) to express TGR5. Then, we applied a fluorescent indicator to examine the
glucose uptake of these transfected cells. In addition, NCI-H716 cells that
secrete incretin were also evaluated. Fura-2, a fluorescence indicator, was
applied to determine the changes in calcium concentrations. The levels of cyclic
adenosine monophosphate (cAMP) and glucagon-like peptide (GLP-1) were estimated
using enzyme-linked immunosorbent assay kits. Moreover, rats with streptozotocin
(STZ)-induced type 1-like diabetes were used to investigate the effects in vivo.
RESULTS: Triamterene dose dependently inhibits the increase in glucose uptake
induced by TGR5 agonists in CHO-K1 cells expressing the TGR5 gene. In cultured
NCI-H716 cells, TGR5 activation also increases GLP-1 secretion by increasing
calcium levels. Triamterene inhibits the increased calcium levels by TGR5
activation through competitive antagonism. Moreover, the GLP-1 secretion and
increased cAMP levels induced by TGR5 activation are both dose dependently
reduced by triamterene. However, treatment with KB-R7943 at a dose sufficient to
block the Na(+)/Ca(2+) exchanger (NCX) failed to modify the responses to TGR5
activation in NCI-H716 cells or CHO-K1 cells expressing TGR5. Therefore, the
inhibitory effects of triamterene on TGR5 activation do not appear to be related
to NCX inhibition. Blockade of TGR5 activation by triamterene was further
characterized in vivo using the STZ-induced diabetic rats. CONCLUSION: Based on
the obtained data, we identified triamterene as a reliable inhibitor of TGR5.
Therefore, triamterene can be developed as a clinical inhibitor of TGR5
activation in future studies.