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Telmisartan prevents diet-induced obesity and preserves leptin transport across the blood-brain barrier in high-fat diet-fed mice.

Pflugers Archiv : European journal of physiology
November 1, 2018
Franziska Schuster et al. (8 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tAnimal StudyMolecular Study
Extracted Claims (15)
InterventionDirectionEndpointPopulationDosageImpactClaim #
telmisartan (TEL)
decrease
diet-induced obesity (DIO)
rodents
-
prevents
#1
high-fat diet (HFD)
increase
body weight
C57BL/6 mice
-
markedly increased
#2
high-fat diet (HFD)
increase
energy intake
C57BL/6 mice
-
markedly increased
#3
high-fat diet (HFD)
increase
leptin concentration
C57BL/6 mice
-
markedly increased
#4
telmisartan (TEL) treatment
decrease
effect of HFD on body weight, energy intake, and leptin concentration
C57BL/6 mice
-
abolished
#5
high-fat diet (HFD)
decrease
glucose control
mice
-
impaired
#6
high-fat diet (HFD)
decrease
leptin uptake across the BBB
mice
-
impaired
#7
telmisartan (TEL) treatment
increase
glucose control
mice on HFD
-
preserved
#8
telmisartan (TEL) treatment
increase
leptin uptake across the BBB
mice on HFD
-
preserved
#9
angiotensin II
no change
BBB integrity
in vitro and in vivo
-
did not impair
#10
blocking of angiotensin II receptors
no change
BBB integrity
in vitro and in vivo
-
did not impair
#11
telmisartan (TEL)
no change
leptin uptake across the BBB
-
-
did not exhibit an acute effect
#12
telmisartan (TEL)
increase
leptin transport
-
-
preserves
#13
telmisartan (TEL)
decrease
leptin resistance
-
-
prevents
#14
telmisartan (TEL)
decrease
body weight gain
-
-
prevents
#15
Abstract

Obesity is a global health problem and treatment options are still insufficient. When chronically treated with the angiotensin II receptor blocker telmisartan (TEL), rodents do not develop diet-induced obesity (DIO). However, the underlying mechanism for this is still unclear. Here we investigated whether TEL prevents leptin resistance by enhancing leptin uptake across the blood-brain barrier (BBB). To address this question, we fed C57BL/6 mice a high-fat diet (HFD) and treated them daily with TEL by oral gavage. In addition to broadly characterizing the metabolism of leptin, we determined leptin uptake into the brain by measuring BBB transport of radioactively labeled leptin after long-term and short-term TEL treatment. Additionally, we assessed BBB integrity in response to angiotensin II in vitro and in vivo. We found that HFD markedly increased body weight, energy intake, and leptin concentration but that this effect was abolished under TEL treatment. Furthermore, glucose control and, most importantly, leptin uptake across the BBB were impaired in mice on HFD, but, again, both were preserved under TEL treatment. BBB integrity was not impaired due to angiotensin II or blocking of angiotensin II receptors. However, TEL did not exhibit an acute effect on leptin uptake across the BBB. Our results confirm that TEL prevents DIO and show that TEL preserves leptin transport and thereby prevents leptin resistance. We conclude that the preservation of leptin sensitivity is, however, more a consequence than the cause of TEL preventing body weight gain.

Medical Subject Headings (MeSH)
Angiotensin II Type 1 Receptor BlockersAnimalsAnti-Obesity AgentsBlood-Brain BarrierBody WeightCell LineDiet, High-FatEnergy MetabolismHumansLeptinMaleMiceMice, Inbred C57BLObesityTelmisartan
Study Links
PubMed ID29978352
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