Mechanism of olanzapine-induced energy imbalance and glucose metabolism disorder in C57BL/6Jmale mice
Objective To study the effects and mechanism of olanzapine on energy consumptionand glucose metabolism in male mice. Methods Ten C57BL/6J male mice were randomly divided into twogroups. The mice in two groups were given olanzapine or its solvent by gavage separately for 2 weeks. Food intake,body weight, fasting blood glucose, glucose tolerance and insulin tolerance were recorded. Energy consumption of 24 h was monitored. And expressions of hepatic glucose metabolism related genes were compared. Results After administration of olanzapine for two weeks, insulin resistance and hyperglycemia were observed, oxygenand energy consumptions were significantly decreased during the daytime, and respiratory exchange ratio showed a downward trend which indicated that the oxidized substrates were transferred from glucose to fat. And mRNA levels of phosphoenolpyruvate carboxykinase (PEPCK) and glucose-6-phosphatase (G-6-pase) were significant-ly increased. Conclusions Olanzapine-induced hyperglycemia may not dependent on hyperphagia and weight gain. Olanzapine can directly induce insulin resistance and promote hepatic gluconeogenesis.