RT Journal Article T1 Levothyroxine enhances glucose clearance and blunts the onset of experimental type 1 diabetes mellitus in mice A1 Lopez-Noriega, Livia A1 Cobo-Vuilleumier, Nadia A1 Jesus Narbona-Perez, Alvaro A1 Luis Araujo-Garrido, Juan A1 Isabel Lorenzo, Petra A1 Manuel Mellado-Gil, Jose A1 Carlos Moreno, Jose A1 Gauthier, Benoit R. A1 Martin-Montalvo, Alejandro K1 Induced insulin-resistance K1 Thyroid-hormone analogs K1 Beta-cell proliferation K1 Skeletal-muscle K1 Concise guide K1 Mouse model K1 In-vivo K1 3,5-diiodo-l-thyronine K1 Pharmacology K1 Expression AB BACKGROUND AND PURPOSEThyroid hormones induce several changes in whole body metabolism that are known to improve metabolic homeostasis. However, adverse side effects have prevented its use in the clinic. In view of the promising effects of thyroid hormones, we investigated the effects of levothyroxine supplementation on glucose homeostasis.EXPERIMENTAL APPROACHC57BL/6 mice were treated with levothyroxine from birth to 24 weeks of age, when mice were killed. The effects of levothyroxine supplementation on metabolic health were determined. C57BL/6 mice treated with levothyroxine for 2 weeks and then challenged with streptozotocin to monitor survival. Mechanistic experiments were conducted in the pancreas, liver and skeletal muscle. RIP-B7.1 mice were treated with levothyroxine for 2 weeks and were subsequently immunized to trigger experimental autoimmune diabetes (EAD). Metabolic tests were performed. Mice were killed and metabolic tissues were extracted for immunohistological analyses.KEY RESULTSLong-term levothyroxine supplementation enhanced glucose clearance and reduced circulating glucose in C57BL/6 mice. Levothyroxine increased simultaneously the proliferation and apoptosis of pancreatic beta cells, promoting the maintenance of a highly insulin-expressing beta cell population. Levothyroxine increased circulating insulin levels, inducing sustained activation of IRS1-AKT signalling in insulin-target tissues. Levothyroxine-treated C57BL/6 mice challenged with streptozotocin exhibited extended survival. Levothyroxine blunted the onset of EAD in RIP-B7.1 mice by inducing beta cell proliferation and preservation of insulin-expressing cells.CONCLUSIONS AND IMPLICATIONSInterventions based on the use of thyroid hormones or thyromimetics could be explored to provide therapeutic benefit in patients with type 1 diabetes mellitus. PB Wiley SN 0007-1188 YR 2017 FD 2017-11-01 LK http://hdl.handle.net/10668/18983 UL http://hdl.handle.net/10668/18983 LA en DS RISalud RD Apr 6, 2025