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KMID : 1200020230470050653
Diabetes & Metabolism Journal
2023 Volume.47 No. 5 p.653 ~ p.667
CycloZ Improves Hyperglycemia and Lipid Metabolism by Modulating Lysine Acetylation in KK-Ay Mice
Jeon Jong-Su

Lee Do-Hyun
Kevin Mertz
Park Bo-Yoon
Oh Chang-Joo
Kim Min-Ji
Jeon Jae-Han
Lee In-Kyu
Park On-Yu
Baek Seo-Yeong
Lim Chae-Won
Ryu Dong-Ryeol
Fang Sung-Soon
Johan Auwerx
Kim Kyong-Tai
Jung Hoe-Yune
Abstract
Background : CycloZ, a combination of cyclo-His-Pro and zinc, has anti-diabetic activity. However, its exact mode of action remains to be elucidated.

Methods : KK-Ay mice, a type 2 diabetes mellitus (T2DM) model, were administered CycloZ either as a preventive intervention, or as a therapy. Glycemic control was evaluated using the oral glucose tolerance test (OGTT), and glycosylated hemoglobin (HbA1c) levels. Liver and visceral adipose tissues (VATs) were used for histological evaluation, gene expression analysis, and protein expression analysis.

Results : CycloZ administration improved glycemic control in KK-Ay mice in both prophylactic and therapeutic studies. Lysine acetylation of peroxisome proliferator-activated receptor gamma coactivator 1-alpha, liver kinase B1, and nuclear factor-¥êB p65 was decreased in the liver and VATs in CycloZ-treated mice. In addition, CycloZ treatment improved mitochondrial function, lipid oxidation, and inflammation in the liver and VATs of mice. CycloZ treatment also increased the level of ¥â-nicotinamide adenine dinucleotide (NAD+), which affected the activity of deacetylases, such as sirtuin 1 (Sirt1).

Conclusion : Our findings suggest that the beneficial effects of CycloZ on diabetes and obesity occur through increased NAD+ synthesis, which modulates Sirt1 deacetylase activity in the liver and VATs. Given that the mode of action of an NAD+ booster or Sirt1 deacetylase activator is different from that of traditional T2DM drugs, CycloZ would be considered a novel therapeutic option for the treatment of T2DM.
KEYWORD
Acetylation, Diabetes mellitus, type 2, NAD, Obesity
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