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Global Translational Medicine                                           Glucosidase and metabolic profiles



            of MIG on fasting glucose and insulin levels at 15 weeks   35
            of age are shown in Figure 3A and B, respectively. These   30             p<0.05
            results  indicate  that  MIG  treatment  was  associated  with
            lower fasting glucose and insulin concentrations by the end   25                       p = trend
            of the study. The AUC for glucose during a 120-minute oral   20
            glucose tolerance test after 7 weeks of treatment is depicted in   Units/minute  15
            Figure 4. The AUC for MIG-treated rats was approximately   10
            20% lower than that of control rats, consistent with the   5  p<0.05
            energy intake data from the same timeframe. The HOMA
            score showed only a modest decrease, indicating that   0    Glucokinase  Malic enzyme   G6PD
            while insulin resistance was slightly improved, it remained             Control  Miglitol
            present after the drug treatment (values are provided in the   Figure 5. Effects of miglitol on glycolytic enzyme parameters at 15 weeks
            legend of Figure 3A and B). The improvement in glycated   of age. Data are presented as mean ± 1 standard error of the mean (n=6
            hemoglobin percentage (right grouped bars,  Figure  4),   rats/group), recorded in units where 1 unit=z1 μmol/minute/mg protein
            while still above the normal range, reflects a 24% reduction   of liver homogenate. p<0.05 through Student’s t-test; trend = Page’s L test
            following <8 weeks of MIG treatment. This result is highly   for trend analysis.
            significant and suggests that MIG is effective in lowering   Abbreviation: G6PD: Glucose-6-phosphate dehydrogenase.
            fasting  insulin  concentrations  and  controlling  post-
            prandial glycemic responses to feeding. In addition, as   600  p>0.05     p<0.05        p=0.05
            rodents are generally considered grazers rather than meal   500
            eaters, the observed reduction in the AUC for glucose is   400
            even  more  noteworthy  given  the  short  duration of  the   Body weight (g)  300
            study. It is likely that a longer duration of MIG treatment   200
            could lead to further improvements in HbA1c levels. This   100
            is an important consideration, as glycated hemoglobin
            shifts the oxygen saturation curve of hemoglobin to the   0  BW, Initial  BW, Final    Net gain, g.
            left, thereby impairing oxygen release from the glycated             Control  Miglitol
            molecules. This, in turn, decreases the net efficiency of
            oxygen delivery to myoglobin, where it would typically   Figure 6. The body weights (BW) of rats. Data are expressed as mean
                                                               ±  1  standard  error  of  the  mean  (n=8  rats/group).  p<0.05  as  indicated
            contribute  to  oxidative  metabolism.  The  effects  of  MIG   by Student’s  t-test. Thus, the mean weight gain per gram of protein
            on liver glycolytic enzyme activity are shown in Figure 5.   consumed was proportionate to protein intake: 8.6561 g gain/g protein
            These data indicate that glucokinase and malic enzyme   consumed in the MIG group versus 8.7532 g gain/g protein consumed in
            activity were lower in rats fed the MIG regimen, while   the control group.
            the levels of glucose-6-phosphate in MIG-fed rats showed   control vs. net gain: p<0.05 through trend analysis). The
            only a significant trend, consistent with improvements in   energy intake of rats is depicted in Figure 6, showing that
            insulin-related elements of glycolytic and lipogenic activity.
                                                               the energy intake of control rats over the entire course of
              The body weights and weight gain are depicted in   the study was 13% greater than that of the MIG-treated
            Figure  6. The initial weights were similar between  the   animals  (p<0.05,  Student’s  t-test).  Consequently, the  net
            treatment groups (left grouped bars: 263 ± 11 g vs. 263 ±   efficiency of weight gain over the study period was similar
            12 g). In addition, the final body weights of the control rats   between the two groups and generally proportional to
            were modestly (~6%) greater than those of the MIG-fed   nutrient intake.
            rats, with a final mean weight gain that was 12% lower than
            that of the control group. Notably, the weight gain per gram   The effects of MIG on adipose tissue depots are displayed
            of protein consumed was similar in both groups (mean   in Figure 7, where MIG treatment (bars on the right of each
            weight gain/gram protein consumed = 8.65 ± 0.18  g/g   group) was associated with a 15% decrease in the sum of
            in the control group vs. 8.74 ± 0.21 g/g in the MIG-fed   the epididymal, retroperitoneal, and dorsal adipose tissue
            rats), suggesting, though not conclusively, an improved   depots. However, not all individual adipose tissue depots
            energy utilization in the MIG group (p > 0.05). Thus, the   in the control group, as shown in the left bars, exhibited
            α-glucosidase inhibitor MIG resulted in modestly (~12 –   proportional  decreases.  The  most  significant  reduction
            13%) lower rates of weight gain and similarly lower final   in depot mass was observed in the retroperitoneal depot,
            body weights over the 8 weeks of observation (control vs.   while the epididymal and dorsal depots displayed only
            MIG final body weight:  p<0.05 through trend analysis;   modest decreases in both groups. The dorsal depot and the


            Volume 4 Issue 2 (2025)                         63                              doi: 10.36922/gtm.6501
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