Abstract:Bromocriptine redirects metabolism and prevents seasonal onset of the obese hyperinsulinemic state in Syrian hamsters. Metabolic and hormonal effects of bromocriptine were studied in seasonally obese female Syrian hamsters, Mesocricetus auratus. Daily injections of bromocriptine and vehicle (controls) were made at light onset (10:14-h light-dark cycle) for 10 wk. After 9 wk of treatment blood samples were taken every 4 h during a day for assays of hormones, glucose, triglyceride, and fatty acids, and after 10 … Show more
“…Furthermore, gonadal function was not restored after 1 month of treatment in patients with prolactinomas. The observed reduction in leptin levels at 1 month without change in body weight or BMI may still be indicative of a loss in body fat which has been previously observed in experimental animals (10).…”
Objective: It has recently been shown that increased body weight is associated with prolactinomas and that weight loss occurs with normalization of prolactin levels. On the other hand, decreased dopaminergic tone in humans is well correlated with obesity. The objective of this study was to correlate changes in prolactin levels with leptin and body mass index (BMI) in patients with prolactinomas treated with the long-acting dopamine agonist bromocriptine (BC). Methods: Eleven female and twelve male patients, aged 36:7^2:6 years with BMI in males of 30:41:7 kg=m 2 and in females of 24:4^1:2 kg=m 2 ; were evaluated after 1 and 6 months and 11 patients were further evaluated after 2 years of BC therapy. Plasma prolactin is presented as the mean of four samples taken daily. Serum leptin was determined in the pooled serum from three samples taken at 15-min intervals at 0800 h after an overnight fast. Multivariate linear regression and repeated measures analysis of covariance were used. Results: In males, pretreatment prolactin levels were 71 362^29 912 mU=l while leptin levels were 14:9^1:8 mg=l: In females, pretreatment prolactin levels were 11 395^5839 mU=l and leptin levels were 16:7^2:5 mg=l: The sexual dimorphism of serum leptin levels at initial presentation was preserved after adjusting for BMI and prolactin-induced hypogonadism. After 1 month of therapy, prolactin levels significantly decreased (males: 17 618^8736 mU=l; females: 3686^2231; P , 0:05), BMI did not change (males: 30:2^1:7 kg=m 2 ; females: 24:1^1:2 kg=m 2 ; P . 0:05), while serum leptin levels decreased (males: 12:5^1:5 mg=l; females: 13:6^2:1 mg=l; P , 0:05). After 6 months of treatment, prolactin further decreased (males: 3456^2101 mU=l; females: 677^360 mU=l; P , 0:05) as did BMI (males: 28:6^1:6 kg=m 2 ; females 23:1^1:0 kg=m 2 ; P , 0:05). The difference was more pronounced in male patients. Leptin levels were 12:82 :8 mg=l in males and 12:9^1:8 mg=l in females ðP , 0:05Þ: After 2 years of BC treatment, prolactin levels were near normal (males: 665^439 mU=l; females 447^130 mU=l; P , 0:05) and BMI remained 26:5^1:9 kg=m 2 for males and 23:6^0:8 kg=m 2 for females ðP , 0:05Þ: Leptin levels were 9:5^2:2 mg=l in males and 18:7^3:1 mg=l in females ðP , 0:05Þ: There was a gradual increase in the gender difference in serum leptin levels over time. Changes in serum leptin levels significantly correlated with changes in BMI ðr ¼ 0:844; P , 0:001Þ but did not correlate with changes in plasma prolactin levels after 1 month ðr ¼ 0:166Þ; 6 months ðr ¼ 0:313Þ and 2 years ðr ¼ 0:234; P . 0:05Þ: Conclusion: The long-acting dopamine agonist BC, by increasing dopaminergic tone, may influence body weight and likely body composition by mechanisms in addition to reducing hyperprolactinemia in patients with prolactinomas.
“…Furthermore, gonadal function was not restored after 1 month of treatment in patients with prolactinomas. The observed reduction in leptin levels at 1 month without change in body weight or BMI may still be indicative of a loss in body fat which has been previously observed in experimental animals (10).…”
Objective: It has recently been shown that increased body weight is associated with prolactinomas and that weight loss occurs with normalization of prolactin levels. On the other hand, decreased dopaminergic tone in humans is well correlated with obesity. The objective of this study was to correlate changes in prolactin levels with leptin and body mass index (BMI) in patients with prolactinomas treated with the long-acting dopamine agonist bromocriptine (BC). Methods: Eleven female and twelve male patients, aged 36:7^2:6 years with BMI in males of 30:41:7 kg=m 2 and in females of 24:4^1:2 kg=m 2 ; were evaluated after 1 and 6 months and 11 patients were further evaluated after 2 years of BC therapy. Plasma prolactin is presented as the mean of four samples taken daily. Serum leptin was determined in the pooled serum from three samples taken at 15-min intervals at 0800 h after an overnight fast. Multivariate linear regression and repeated measures analysis of covariance were used. Results: In males, pretreatment prolactin levels were 71 362^29 912 mU=l while leptin levels were 14:9^1:8 mg=l: In females, pretreatment prolactin levels were 11 395^5839 mU=l and leptin levels were 16:7^2:5 mg=l: The sexual dimorphism of serum leptin levels at initial presentation was preserved after adjusting for BMI and prolactin-induced hypogonadism. After 1 month of therapy, prolactin levels significantly decreased (males: 17 618^8736 mU=l; females: 3686^2231; P , 0:05), BMI did not change (males: 30:2^1:7 kg=m 2 ; females: 24:1^1:2 kg=m 2 ; P . 0:05), while serum leptin levels decreased (males: 12:5^1:5 mg=l; females: 13:6^2:1 mg=l; P , 0:05). After 6 months of treatment, prolactin further decreased (males: 3456^2101 mU=l; females: 677^360 mU=l; P , 0:05) as did BMI (males: 28:6^1:6 kg=m 2 ; females 23:1^1:0 kg=m 2 ; P , 0:05). The difference was more pronounced in male patients. Leptin levels were 12:82 :8 mg=l in males and 12:9^1:8 mg=l in females ðP , 0:05Þ: After 2 years of BC treatment, prolactin levels were near normal (males: 665^439 mU=l; females 447^130 mU=l; P , 0:05) and BMI remained 26:5^1:9 kg=m 2 for males and 23:6^0:8 kg=m 2 for females ðP , 0:05Þ: Leptin levels were 9:5^2:2 mg=l in males and 18:7^3:1 mg=l in females ðP , 0:05Þ: There was a gradual increase in the gender difference in serum leptin levels over time. Changes in serum leptin levels significantly correlated with changes in BMI ðr ¼ 0:844; P , 0:001Þ but did not correlate with changes in plasma prolactin levels after 1 month ðr ¼ 0:166Þ; 6 months ðr ¼ 0:313Þ and 2 years ðr ¼ 0:234; P . 0:05Þ: Conclusion: The long-acting dopamine agonist BC, by increasing dopaminergic tone, may influence body weight and likely body composition by mechanisms in addition to reducing hyperprolactinemia in patients with prolactinomas.
“…29,30 Corticosterone is a potent stimulator of lipolysis, hepatic glucose output and lipogenesis, therefore, the substantial reduction of plasma corticosterone induced by the treatment (but not by pair feeding) may contribute to the reductions of these biochemical activities. The drug induced reduction in plasma T 4 concentrations seen in association with decreased body weight gain and increased oxygen consumption may seem paradoxical, however, similar associations have previously been reported with interventions which increase dopamine activities (such as BC treatment in the Syrian hamster 17 and dopamine B-hydroxylase knockout mice. 31 Since thyroid hormones induce hepatic lipogenic malic enzyme activity, and increase glucose output and lipolysis, the reduction of T 4 by BCaSKF (but not by pair feeding) correlates well with the above described treatment effects on metabolism.…”
Section: Dopaminergic Agonists Improve Diabetes In Obaob Micesupporting
confidence: 57%
“…BCaSKF treatment has been shown to increase protein mass in these mice 4 as has bromocriptine in hamsters. 17 The relatively high RQ values presented in Table 2 may be the result of the time of the day that the measurements were taken (at 2 ± 5 h after the onset of light). At this time of day, obaob mice have a low metabolic activity.…”
OBJECTIVE: We previously reported that a two week treatment with SKF 38393 (SKF, a dopamine D 1 receptor agonist), plus bromocriptine (BC, a dopamine D 2 receptor agonist) acted synergistically to normalize hyperphagia, body fat, hyperglycaemia and hyperlipidaemia in obaob mice. The present study further investigates the biochemical mechanisms triggered by this drug treatment. DESIGN: Six week old female C57BLa6J obaob mice were divided into three groups and treated for two weeks with either BC and SKF, vehicle (control), or vehicle and pair fed to match the drug-treated group's daily food intake. RESULTS: BCaSKF treatment reduced food consumption by 55%, and treated mice weighed less than either pair fed or ad libitum fed controls after two weeks of treatment. Moreover, oxygen consumption was increased by 2.4-fold and the respiratory quotient (RQ) decreased from 1.23 to 0.96 (indicating a reduction in de novo lipogenesis) by drug treatment relative to ad libitum fed controls, but these parameters were unaffected by pair feeding control mice. The treatment also reduced blood glucose and free fatty acids (FFA) relative to pair fed and ad libitum fed controls. BCaSKF treatment (but not pair feeding) concurrently reduced lipolysis, lipogenic enzyme activities and hepatic gluconeogenic enzyme activities. Treatment also increased hepatic concentrations of glycogen and xylulose-5-phosphate (X-5-P), a key stimulator of glycolysis. Finally, BCaSKF, but not pair feeding, reduced the circulating concentrations of thyroxine and corticosterone, two hormones known to increase lipolysis, lipogenesis and hyperglycaemia. Drug treatment also increased serum dehydroepiandrosterone (DHEA) sulfate concentrations, an inhibitor of body fat store accumulation. CONCLUSION: These ®ndings demonstrate that BCaSKF treatment not only normalizes hyperphagia of obaob mice, but also redirects several metabolic and endocrine activities, independent of its effects on feeding to improve the obese-diabetic syndrome in obaob mice.
“…Moreover, numerous studies have consistently demonstrated the ability of such circadian-timed daily administration of bromocriptine (systemic or intracerebroventricular) to markedly reduce insulin resistance (particularly during the postprandial state [125,126], in agreement with its ability to improve VMH hypothalamic fuel-sensing mechanisms as described above), hyperinsulinemia and/or glucose intolerance without raising the plasma insulin level, in a variety of animal models of IRS including seasonal insulin-resistant hamsters, SHRs, high-fat fed rats, genetically leptin-deficient ob/ob mice, fattened pigs, and high-fat fed dogs [86,124,[126][127][128][129][130][131][132]. As a composite, these animal studies provide evidence that timed bromocriptine treatment improves dysglycemia by improving (postprandial) insulin action in the liver and/or peripheral insulin-sensitive tissues (e.g.…”
An extended series of studies indicate that endogenous phase shifts in circadian neuronal input signaling to the biological clock system centered within the hypothalamic suprachiasmatic nucleus (SCN) facilitates shifts in metabolic status. In particular, a diminution of the circadian peak in dopaminergic input to the peri-SCN facilitates the onset of fattening, insulin resistance and glucose intolerance while reversal of low circadian peak dopaminergic activity to the peri-SCN via direct timed dopamine administration to this area normalizes the obese, insulin resistant, glucose intolerant state in high fat fed animals. Systemic circadian-timed daily administration of a potent dopamine D2 receptor agonist, bromocriptine, to increase diminished circadian peak dopaminergic hypothalamic activity across a wide variety of animal models of metabolic syndrome and type 2 diabetes mellitus (T2DM) results in improvements in the obese, insulin resistant, glucose intolerant condition by improving hypothalamic fuel sensing and reducing insulin resistance, elevated sympathetic tone, and leptin resistance. A circadian-timed (within 2 hours of waking in the morning) once daily administration of a quick release formulation of bromocriptine (bromocriptine-QR) has been approved for the treatment of T2DM by the U.S. Food and Drug Administration. Clinical studies with such bromocriptine-QR therapy (1.6 to 4.8 mg/day) indicate that it improves glycemic control by reducing postprandial glucose levels without raising plasma insulin. Across studies of various T2DM populations, bromocriptine-QR has been demonstrated to reduce HbA1c by -0.5 to -1.7. The drug has a good safety profile with transient mild to moderate nausea, headache and dizziness as the most frequent adverse events noted with the medication. In a large randomized clinical study of T2DM subjects, bromocriptine-QR exposure was associated with a 42% hazard ratio reduction of a pre-specified adverse cardiovascular endpoint including myocardial infarction, stroke, hospitalization for congestive heart failure, revascularization surgery, or unstable angina. Bromocriptine-QR represents a novel method of treating T2DM that may have benefits for cardiovascular disease as well.
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