Head-to-head comparison of BAM15, semaglutide, rosiglitazone, NEN, and calorie restriction on metabolic physiology in female db/db mice

Sing-Young Chen, Martina Beretta, Ellen M. Olzomer, Stephanie J. Alexopoulos, Divya P. Shah, Frances L. Byrne, Joseph M. Salamoun, Christopher J. Garcia, Greg C. Smith, Mark Larance, Andrew Philp, Nigel Turner, Webster L. Santos, James Cantley, Kyle L. Hoehn (Lead / Corresponding author)

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    Metabolic disorders such as type 2 diabetes, fatty liver disease, hyperlipidemia, and obesity commonly co-occur but clinical treatment options do not effectively target all disorders. Calorie restriction, semaglutide, rosiglitazone, and mitochondrial uncouplers have all demonstrated efficacy against one or more obesity-related metabolic disorders, but it currently remains unclear which therapeutic strategy best targets the combination of hyperglycaemia, liver fat, hypertriglyceridemia, and adiposity. Herein we performed a head-to-head comparison of 5 treatment interventions in the female db/db mouse model of severe metabolic disease. Treatments included ∼60 % calorie restriction (CR), semaglutide, rosiglitazone, BAM15, and niclosamide ethanolamine (NEN). Results showed that BAM15 and CR improved body weight and liver steatosis to levels superior to semaglutide, NEN, and rosiglitazone, while BAM15, semaglutide, and rosiglitazone improved glucose tolerance better than CR and NEN. BAM15, CR, semaglutide, and rosiglitazone all had efficacy against hypertriglyceridaemia. These data provide a comprehensive head-to-head comparison of several key treatment strategies for metabolic disease and highlight the efficacy of mitochondrial uncoupling to correct multiple facets of the metabolic disease milieu in female db/db mice.

    Original languageEnglish
    Article number166908
    Number of pages12
    JournalBBA - Molecular Basis of Disease
    Issue number1
    Early online date2 Oct 2023
    Publication statusPublished - Jan 2024


    • Mitochondrial uncoupling
    • Diabetes
    • Obesity
    • GLP-1
    • Calorie restriction

    ASJC Scopus subject areas

    • Molecular Medicine
    • Molecular Biology


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