Propofol Improved Glucose Tolerance Associated with Increased FGF-21 and GLP-1 Production in Male Sprague-Dawley Rats

Anesthetics, particularly volatile anesthetics, have been shown to impair glucose metabolism and cause hyperglycemia, closely linking them with mortality and morbidity as related to surgery. Beyond being an anesthetic used for general anesthesia and sedation, intravenous hypnotic propofol displays a...

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Main Authors: Chih-Cheng Wu, Chih-Jen Hung, Ya-Yu Wang, Shih-Yi Lin, Wen-Ying Chen, Yu-Hsiang Kuan, Su-Lan Liao, Ching-Ping Yang, Chun-Jung Chen
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/25/14/3229
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author Chih-Cheng Wu
Chih-Jen Hung
Ya-Yu Wang
Shih-Yi Lin
Wen-Ying Chen
Yu-Hsiang Kuan
Su-Lan Liao
Ching-Ping Yang
Chun-Jung Chen
author_facet Chih-Cheng Wu
Chih-Jen Hung
Ya-Yu Wang
Shih-Yi Lin
Wen-Ying Chen
Yu-Hsiang Kuan
Su-Lan Liao
Ching-Ping Yang
Chun-Jung Chen
author_sort Chih-Cheng Wu
collection DOAJ
description Anesthetics, particularly volatile anesthetics, have been shown to impair glucose metabolism and cause hyperglycemia, closely linking them with mortality and morbidity as related to surgery. Beyond being an anesthetic used for general anesthesia and sedation, intravenous hypnotic propofol displays an effect on glucose metabolism. To extend the scope of propofol studies, its effects on glucose metabolism were evaluated in male Sprague-Dawley rats of various ages. Unlike chloral hydrate and isoflurane, propofol had little effect on basal glucose levels in rats at 2 months of age, although it did reduce chloral hydrate- and isoflurane-induced hyperglycemia. Propofol reduced postload glucose levels after either intraperitoneal or oral administration of glucose in both 7- and 12-month-old rats, but not those at 2 months of age. These improved effects regarding propofol on glucose metabolism were accompanied by an increase in insulin, fibroblast growth factor-21 (FGF-21), and glucagon-like peptide-1 (GLP-1) secretion. Additionally, an increase in hepatic FGF-21 expression, GLP-1 signaling, and FGF-21 signaling, along with a decrease in endoplasmic reticulum (ER) stress, were noted in propofol-treated rats at 7 months of age. Current findings imply that propofol may turn into insulin-sensitizing molecules during situations of existing insulin resistance, which involve FGF-21, GLP-1, and ER stress.
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spelling doaj.art-5babfeb87c2148feb536c2d97c56a5072023-11-20T06:51:35ZengMDPI AGMolecules1420-30492020-07-012514322910.3390/molecules25143229Propofol Improved Glucose Tolerance Associated with Increased FGF-21 and GLP-1 Production in Male Sprague-Dawley RatsChih-Cheng Wu0Chih-Jen Hung1Ya-Yu Wang2Shih-Yi Lin3Wen-Ying Chen4Yu-Hsiang Kuan5Su-Lan Liao6Ching-Ping Yang7Chun-Jung Chen8Department of Anesthesiology, Taichung Veterans General Hospital, Taichung City 407, TaiwanDepartment of Anesthesiology, Taichung Veterans General Hospital, Taichung City 407, TaiwanDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung City 407, TaiwanInstitute of Clinical Medicine, National Yang Ming University, Taipei City 112, TaiwanDepartment of Veterinary Medicine, National Chung-Hsing University, Taichung City 402, TaiwanDepartment of Pharmacology, Chung Shan Medical University, Taichung City 402, TaiwanDepartment of Medical Research, Taichung Veterans General Hospital, Taichung City 407, TaiwanDepartment of Medical Research, Taichung Veterans General Hospital, Taichung City 407, TaiwanDepartment of Medical Research, Taichung Veterans General Hospital, Taichung City 407, TaiwanAnesthetics, particularly volatile anesthetics, have been shown to impair glucose metabolism and cause hyperglycemia, closely linking them with mortality and morbidity as related to surgery. Beyond being an anesthetic used for general anesthesia and sedation, intravenous hypnotic propofol displays an effect on glucose metabolism. To extend the scope of propofol studies, its effects on glucose metabolism were evaluated in male Sprague-Dawley rats of various ages. Unlike chloral hydrate and isoflurane, propofol had little effect on basal glucose levels in rats at 2 months of age, although it did reduce chloral hydrate- and isoflurane-induced hyperglycemia. Propofol reduced postload glucose levels after either intraperitoneal or oral administration of glucose in both 7- and 12-month-old rats, but not those at 2 months of age. These improved effects regarding propofol on glucose metabolism were accompanied by an increase in insulin, fibroblast growth factor-21 (FGF-21), and glucagon-like peptide-1 (GLP-1) secretion. Additionally, an increase in hepatic FGF-21 expression, GLP-1 signaling, and FGF-21 signaling, along with a decrease in endoplasmic reticulum (ER) stress, were noted in propofol-treated rats at 7 months of age. Current findings imply that propofol may turn into insulin-sensitizing molecules during situations of existing insulin resistance, which involve FGF-21, GLP-1, and ER stress.https://www.mdpi.com/1420-3049/25/14/3229anestheticshyperglycemiainsulin resistancepropofol
spellingShingle Chih-Cheng Wu
Chih-Jen Hung
Ya-Yu Wang
Shih-Yi Lin
Wen-Ying Chen
Yu-Hsiang Kuan
Su-Lan Liao
Ching-Ping Yang
Chun-Jung Chen
Propofol Improved Glucose Tolerance Associated with Increased FGF-21 and GLP-1 Production in Male Sprague-Dawley Rats
Molecules
anesthetics
hyperglycemia
insulin resistance
propofol
title Propofol Improved Glucose Tolerance Associated with Increased FGF-21 and GLP-1 Production in Male Sprague-Dawley Rats
title_full Propofol Improved Glucose Tolerance Associated with Increased FGF-21 and GLP-1 Production in Male Sprague-Dawley Rats
title_fullStr Propofol Improved Glucose Tolerance Associated with Increased FGF-21 and GLP-1 Production in Male Sprague-Dawley Rats
title_full_unstemmed Propofol Improved Glucose Tolerance Associated with Increased FGF-21 and GLP-1 Production in Male Sprague-Dawley Rats
title_short Propofol Improved Glucose Tolerance Associated with Increased FGF-21 and GLP-1 Production in Male Sprague-Dawley Rats
title_sort propofol improved glucose tolerance associated with increased fgf 21 and glp 1 production in male sprague dawley rats
topic anesthetics
hyperglycemia
insulin resistance
propofol
url https://www.mdpi.com/1420-3049/25/14/3229
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