The mechanism of the hypoglycemic action of sulfonylureas is not clearly defined at the present time, although many reports on their clinical effects have been published. It is generally accepted that the most important action of these hypoglycemic agents is the stimulation of the beta cells in the Langerhans' isolets. [1][2][3][4][5][6][7][8][9][10][11][12] Recently, there have been numerous reports on secondary failure after the administration of sulfonylureas in diabetic patients.13-21) Some authors", 15,18) reported that secondary failure was due to exhaustion of the beta cells in the islets caused by the administration of sulfonylureas. If this is true, should not the carbohydrate metabolism in experimental animals deteriorate with the long term administration of sulfonylureas? In such a case experimental diabetes would develop.The following experiment was conducted to ascertain whether or not the long-term administration of sulfonylureas produces a diabetogenic action.
MATERIALS AND METHODSAbout ninety male rats of the Wistar strain were used in this experiment, each initially weighing 150 to 250 grams. The experimental animals were divided into two groups. In one group, thirty eight normal rats were administer ed sulfonylureas; that is, carbutamide was administered orally-to ten (the NB group), tolbutamide to ten (the ND group), and chlorpropamide to eighteen (the NP group). In the other group of rats, a 1% solution of alloxan was injected into 97 98 S. Yamagata et al.the femoral vein in doses of 20 mg. per kg. of body weight, and a glucose tolerance test was performed in the fifty-five rats about two weeks after the alloxan injection. Ten rats with a decreased glucose tolerance were excluded from this experiment, because we considered that they were unsuitable for the observation of the progress of the diabetic state in alloxanized rats after the administration of sulfonylureas. Therefore, two groups of eleven rats each were administered carbutamide (group AB) and tolbutamide (group AD), respectively, and one group of thirteen rats was given chlorpropamide (group AP). Ten alloxanized rats were not administered any sulfonylurea at all (group AC).Each 1% solution of sulfonylurea was ingested through a stomach tube every day in the afternoon for a period of four to six months, the doses being 200 mg. per kg. of body weight in the case of carbutamide or tolbutamide, and 100 mg. per kg. of body weight in the case of chlorpropamide.*The experimental animals were fed in individual cages on a solid diet (Oriental Co.) ad libitum during the experimental period. Body weight was measured once a week.One glucose tolerance test was performed before, and another, one, two to three, and four or six months after the start of the administration of each sulfonylurea. Sulfonylurea drugs were discontinued on the day before the glucose tolerance test. The glucose tolerance test was carried out by a method described in a previous report") and here again briefly. Glucose in a 20% solution was administered by mouth in doses of ...