Skip to main content

Obesity and Diabetes

  • Chapter
  • First Online:
Sex and Gender Differences in Pharmacology

Part of the book series: Handbook of Experimental Pharmacology ((HEP,volume 214))

Abstract

Obesity and type 2 diabetes are chronic lifestyle diseases which are dramatically increasing worldwide leading to high costs and an enormous burden on the public health care system. Both biological and psychosocial factors, environment and lifestyle are involved in the pathogenesis of these metabolic disorders and thus important sex- and gender-based differences can be found. These differences have also important implications for lifestyle intervention (nutrition and exercise) and drug therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

5-HT:

5-Hydroxytryptamine

AMPK:

5′ Adenosine monophosphate-activated kinase

BMI:

Body mass index

CB1:

Cannabinoid-1

DPP-4:

Dipeptidyl peptidase 4

DPP-4i:

Dipeptidyl peptidase 4 inhibitors

EMA:

European Medicines Agency

FDA:

Food and Drug Administration

GLP-1:

Glucagon-like peptide 1

GLP-1R:

Glucagon-like peptide 1 receptor

IGF:

Insulin-like growth factor

IGT:

Impaired glucose tolerance

PCOS:

Polycystic ovary syndrome

SU:

Sulfonylureas

References

  • Ahrén B, Sörhede Winzell M, Burkey B, Hughes TE (2005) Beta-cell expression of a dominant-negative HNF-1alpha compromises the ability of inhibition of dipeptidyl peptidase-4 to elicit a long-term augmentation of insulin secretion in mice. Eur J Pharmacol 521:164–168. doi:10.1016/j.ejphar.2005.08.019

    Article  PubMed  CAS  Google Scholar 

  • Akar F, Manavbasi Y, Parlar AI, Ulus AT, Katircioglu SF (2007) The gender differences in the relaxation to levosimendan of human internal mammary artery. Cardiovasc Drugs Ther 21:331–338. doi:10.1007/s10557-007-6047-x

    Article  PubMed  Google Scholar 

  • Amundsen MO, Engdahl B, Berg C, Nordeng H (2010) Use of psychotropic drugs and analgesics among users of antiobesity drugs – a population based study. Pharmacoepidemiol Drug Saf 19:273–279. doi:10.1002/pds.1896

    Article  PubMed  CAS  Google Scholar 

  • Anderwald C, Gastaldelli A, Tura A, Krebs M, Promintzer-Schifferl M, Kautzky-Willer A, Stadler M, DeFronzo RA, Pacini G, Bischof MG (2011) Mechanism and effects of glucose absorption during an oral glucose tolerance test among females and males. J Clin Endocrinol Metab 96:515–524. doi:10.1210/jc.2010-1398

    Article  PubMed  CAS  Google Scholar 

  • Anisimov VN, Piskunova TS, Popovich IG, Zabezhinski MA, Tyndyk ML, Egormin PA, Yurova MV, Rosenfeld SV, Semenchenko AV, Kovalenko IG, Poroshina TE, Berstein LM (2010) Gender differences in metformin effect on aging, life span and spontaneous tumorigenesis in 129/Sv mice. Aging (Albany NY) 2:945–958. doi:100245[pii]

    CAS  Google Scholar 

  • Anisimov VN, Berstein LM, Popovich IG, Zabezhinski MA, Egormin PA, Piskunova TS, Semenchenko AV, Tyndyk ML, Yurova MN, Kovalenko IG, Poroshina TE (2011) If started early in life, metformin treatment increases life span and postpones tumors in female SHR mice. Aging (Albany NY) 3:148–157. doi:100273[pii]

    CAS  Google Scholar 

  • Bae JW, Jang CG, Lee SY (2011) Effects of clopidogrel on the pharmacokinetics of sibutramine and its active metabolites. J Clin Pharmacol 51(12):1704–1711. doi:10.1177/0091270010388651

    Article  PubMed  CAS  Google Scholar 

  • Barba M, Schünemann HJ, Sperati F, Akl EA, Musicco F, Guyatt G, Muti P (2009) The effects of metformin on endogenous androgens and SHBG in women: a systematic review and meta-analysis. Clin Endocrinol (Oxf) 70:661–670. doi:10.1111/j.1365-2265.2008.03459.x

    Article  CAS  Google Scholar 

  • Bayraktar S, Hernadez-Aya LF, Lei X, Meric-Bernstam F, Litton JK, Hsu L, Hortobagyi GN, Gonzalez-Angulo AM (2011) Effect of metformin on survival outcomes in diabetic patients with triple receptor-negative breast cancer. Cancer. doi:10.1002/cncr.26439

  • Bellentani FF, Fernandes GS, Perobelli JE, Pacini ES, Kiguti LR, Pupo AS, Kempinas WD (2011) Acceleration of sperm transit time and reduction of sperm reserves in the epididymis of rats exposed to sibutramine. J Androl 32(6):718–724. doi:10.2164/jandrol.111.013466

    Article  PubMed  CAS  Google Scholar 

  • Bello NT, Liang NC (2011) The use of serotonergic drugs to treat obesity–is there any hope? Drug Des Devel Ther 5:95–109. doi:10.2147/DDDT.S11859

    Article  PubMed  CAS  Google Scholar 

  • Bensaid M, Gary-Bobo M, Esclangon A, Maffrand JP, Le Fur G, Oury-Donat F, Soubrie P (2003) The cannabinoid CB1 receptor antagonist SR141716 increases Acrp30 mRNA expression in adipose tissue of obese fa/fa rats and in cultured adipocyte cells. Mol Pharmacol 63:908–914. doi:10.1124/mol.63.4.908

    Article  PubMed  CAS  Google Scholar 

  • Benz V, Kintscher U, Foryst-Ludwig A (2012) Sex-specific differences in Type 2 Diabetes Mellitus and dyslipidemia therapy: PPAR agonists. In: Regitz-Zagrosek V (ed) Sex and gender differences in pharmacology. Springer, Heidelberg

    Google Scholar 

  • Bolen S, Feldman L, Vassy J, Wilson L, Yeh HC, Marinopoulos S, Wiley C, Selvin E, Wilson R, Bass EB, Brancati FL (2007) Systematic review: comparative effectiveness and safety of oral medications for type 2 diabetes mellitus. Ann Intern Med 147:386–399. doi:0000605-200709180-00178[pii]

    PubMed  Google Scholar 

  • Boulton DW, Li L, Frevert EU, Tang A, Castaneda L, Vachharajani NN, Kornhauser DM, Patel CG (2011) Influence of renal or hepatic impairment on the pharmacokinetics of saxagliptin. Clin Pharmacokinet 50:253–265. doi:10.2165/11584350-000000000-00000

    Article  PubMed  CAS  Google Scholar 

  • Boustany-Kari CM, Jackson VM, Gibbons CP, Swick AG (2011) Leptin potentiates the anti-obesity effects of rimonabant. Eur J Pharmacol 658:270–276. doi:10.1016/j.ejphar.2011.02.021

    Article  PubMed  CAS  Google Scholar 

  • Buysschaert M, Preumont V, Oriot PR, Paris I, Ponchon M, Scarniere D, Selvais P (2010) One-year metabolic outcomes in patients with type 2 diabetes treated with exenatide in routine practice. Diabetes Metab 36:381–388. doi:10.1016/j.diabet.2010.03.009

    Article  PubMed  CAS  Google Scholar 

  • Cernea S, Raz I (2011) Therapy in the early stage: incretins. Diabetes Care 34(Suppl 2):S264–S271. doi:10.2337/dc11-s223

    Article  PubMed  CAS  Google Scholar 

  • Chiasson JL, Josse RG, Gomis R, Hanefeld M, Karasik A, Laakso M (2002) Acarbose for prevention of type 2 diabetes mellitus: the STOP-NIDDM randomised trial. Lancet 359:2072–2077. doi:10.1016/S0140-6736(02)08905-5

    Article  PubMed  CAS  Google Scholar 

  • Christensen R, Kristensen PK, Bartels EM, Bliddal H, Astrup A (2007) Efficacy and safety of the weight-loss drug rimonabant: a meta-analysis of randomised trials. Lancet 370:1706–1713. doi:10.1016/S0140-6736(07)61721-8

    Article  PubMed  CAS  Google Scholar 

  • Clark AM, Ledger W, Galletly C, Tomlinson L, Blaney F, Wang X, Norman RJ (1995) Weight loss results in significant improvement in pregnancy and ovulation rates in anovulatory obese women. Hum Reprod 10:2705–2712

    PubMed  CAS  Google Scholar 

  • Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ (1998) Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Hum Reprod 13:1502–1505

    Article  PubMed  CAS  Google Scholar 

  • Connolly HM, Crary JL, McGoon MD, Hensrud DD, Edwards BS, Edwards WD, Schaff HV (1997) Valvular heart disease associated with fenfluramine-phentermine. N Engl J Med 337:581–588. doi:10.1056/NEJM199708283370901

    Article  PubMed  CAS  Google Scholar 

  • Curioni C, Andre C (2006) Rimonabant for overweight or obesity. Cochrane Database Syst Rev: CD006162. 10.1002/14651858.CD006162.pub2

  • Currie CJ, Poole CD, Gale EA (2009) The influence of glucose-lowering therapies on cancer risk in type 2 diabetes. Diabetologia 52:1766–1777. doi:10.1007/s00125-009-1440-6

    Article  PubMed  CAS  Google Scholar 

  • Dalton GL, Lee MD, Kennett GA, Dourish CT, Clifton PG (2006) Serotonin 1B and 2C receptor interactions in the modulation of feeding behaviour in the mouse. Psychopharmacology (Berl) 185:45–57. doi:10.1007/s00213-005-0212-3

    Article  CAS  Google Scholar 

  • Damci T, Yalin S, Balci H, Osar Z, Korugan U, Ozyazar M, Ilkova H (2004) Orlistat augments postprandial increases in glucagon-like peptide 1 in obese type 2 diabetic patients. Diabetes Care 27:1077–1080. doi:10.2337/diacare.27.5.1077

    Article  PubMed  CAS  Google Scholar 

  • de Oliveira Baraldi C, Lanchote VL, de Jesus AN, de Jesus Ponte Carvalho TM, Dantes Moisés EC, Duarte G, Cavalli RC (2011) Metformin pharmacokinetics in nondiabetic pregnant women with polycystic ovary syndrome. Eur J Clin Pharmacol. doi:10.1007/s00228-011-1053-0

  • de Simone G, Romano C, De Caprio C, Contaldo F, Salanitri T, di Luzio PU, Pasanisi F (2005) Effects of sibutramine-induced weight loss on cardiovascular system in obese subjects. Nutr Metab Cardiovasc Dis 15:24–30. doi:10.1016/j.numecd.2004.07.002

    Article  PubMed  Google Scholar 

  • de Valk HW, Visser GH (2011) Insulin during pregnancy, labour and delivery. Best Pract Res Clin Obstet Gynaecol 25:65–76. doi:S1521-6934(10)00125-2[pii]10.1016/j.bpobgyn.2010.10.002

    Article  PubMed  Google Scholar 

  • Defronzo RA, Abdul-Ghani MA (2011) Preservation of {beta}-cell function: the key to diabetes prevention. J Clin Endocrinol Metab 96:2354–2366. doi:jc.2011-0246[pii]10.1210/jc.2011-0246

    Article  PubMed  CAS  Google Scholar 

  • Derosa G, Maffioli P, Ferrari I, Fogari E, D’Angelo A, Palumbo I, Randazzo S, Bianchi L, Cicero AF (2011) Acarbose actions on insulin resistance and inflammatory parameters during an oral fat load. Eur J Pharmacol 651:240–250. doi:10.1016/j.ejphar.2010.11.015

    Article  PubMed  CAS  Google Scholar 

  • Despres JP, Golay A, Sjostrom L (2005) Effects of rimonabant on metabolic risk factors in overweight patients with dyslipidemia. N Engl J Med 353:2121–2134. doi:10.1056/NEJMoa044537

    Article  PubMed  CAS  Google Scholar 

  • Di Marzo V, Goparaju SK, Wang L, Liu J, Batkai S, Jarai Z, Fezza F, Miura GI, Palmiter RD, Sugiura T, Kunos G (2001) Leptin-regulated endocannabinoids are involved in maintaining food intake. Nature 410:822–825. doi:10.1038/35071088

    Article  PubMed  Google Scholar 

  • Diamanti-Kandarakis E, Katsikis I, Piperi C, Alexandraki K, Panidis D (2007) Effect of long-term orlistat treatment on serum levels of advanced glycation end-products in women with polycystic ovary syndrome. Clin Endocrinol (Oxf) 66:103–109. doi:10.1111/j.1365-2265.2006.02693.x

    CAS  Google Scholar 

  • Dixon JB, Dixon ME, O’Brien PE (2003) Depression in association with severe obesity: changes with weight loss. Arch Intern Med 163:2058–2065. doi:10.1001/archinte.163.17.2058

    Article  PubMed  Google Scholar 

  • Duan SZ, Usher MG, Foley ELT, Milstone DS, Brosius FC 3rd, Mortensen RM (2010) Sex dimorphic actions of rosiglitazone in generalised peroxisome proliferator-activated receptor-gamma (PPAR-gamma)-deficient mice. Diabetologia 53:1493–1505. doi:10.1007/s00125-010-1748-2

    Article  PubMed  CAS  Google Scholar 

  • El-Remessy AB, Rajesh M, Mukhopadhyay P, Horváth B, Patel V, Al-Gayyar MM, Pillai BA, Pacher P (2011) Cannabinoid 1 receptor activation contributes to vascular inflammation and cell death in a mouse model of diabetic retinopathy and a human retinal cell line. Diabetologia 54:1567–1578. doi:10.1007/s00125-011-2061-4

    Article  PubMed  CAS  Google Scholar 

  • Evans JM, Ogston SA, Emslie-Smith A, Morris AD (2006) Risk of mortality and adverse cardiovascular outcomes in type 2 diabetes: a comparison of patients treated with sulfonylureas and metformin. Diabetologia 49:930–936. doi:10.1007/s00125-006-0176-9

    Article  PubMed  CAS  Google Scholar 

  • Field BC, Chaudhri OB, Bloom SR (2009) Obesity treatment: novel peripheral targets. Br J Clin Pharmacol 68:830–843. doi:10.1111/j.1365-2125.2009.03522.x

    Article  PubMed  CAS  Google Scholar 

  • Frederich R, Alexander JH, Fiedorek FT, Donovan M, Berglind N, Harris S, Chen R, Wolf R, Mahaffey KW (2010) A systematic assessment of cardiovascular outcomes in the saxagliptin drug development program for type 2 diabetes. Postgrad Med 122:16–27. doi:10.3810/pgm.2010.05.2138

    Article  PubMed  Google Scholar 

  • Gadde KM, Allison DB, Ryan DH, Peterson CA, Troupin B, Schwiers ML, Day WW (2011) Effects of low-dose, controlled-release, phentermine plus topiramate combination on weight and associated comorbidities in overweight and obese adults (CONQUER): a randomised, placebo-controlled, phase 3 trial. Lancet 377:1341–1352. doi:10.1016/S0140-6736(11)60205-5

    Article  PubMed  CAS  Google Scholar 

  • Garfield AS, Heisler LK (2009) Pharmacological targeting of the serotonergic system for the treatment of obesity. J Physiol 587:49–60. doi:10.1113/jphysiol.2008.164152

    Article  PubMed  CAS  Google Scholar 

  • Germeyer A, Jauckus J, Zorn M, Toth B, Capp E, Strowitzki T (2011) Metformin modulates IL-8, IL-1beta, ICAM and IGFBP-1 expression in human endometrial stromal cells. Reprod Biomed Online 22:327–334. doi:10.1016/j.rbmo.2010.11.006

    Article  PubMed  CAS  Google Scholar 

  • Gerstein HC, Miller ME, Byington RP, Goff DC Jr, Bigger JT, Buse JB, Cushman WC, Genuth S, Ismail-Beigi F, Grimm RH Jr, Probstfield JL, Simons-Morton DG, Friedewald WT (2008) Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med 358:2545–2559. doi:10.1056/NEJMoa0802743

    Article  PubMed  CAS  Google Scholar 

  • Ghandi S, Aflatoonian A, Tabibnejad N, Moghaddam MH (2011) The effects of metformin or orlistat on obese women with polycystic ovary syndrome: a prospective randomized open-label study. J Assist Reprod Genet 28:591–596. doi:10.1007/s10815-011-9564-2

    Article  PubMed  Google Scholar 

  • Gillespie KM, Nolsoe R, Betin VM, Kristiansen OP, Bingley PJ, Mandrup-Poulsen T, Gale EA (2005) Is puberty an accelerator of type 1 diabetes in IL6-174CC females? Diabetes 54:1245–1248. doi:54/4/1245[pii]

    Article  PubMed  CAS  Google Scholar 

  • Godoy-Matos AF, Guedes EP, Souza LL, Martins MF (2009) Management of obesity in adolescents: state of art. Arq Bras Endocrinol Metabol 53:252–261. doi:S0004-27302009000200017[pii]

    Article  PubMed  Google Scholar 

  • Golay A, Laurent-Jaccard A, Habicht F, Gachoud JP, Chabloz M, Kammer A, Schutz Y (2005) Effect of orlistat in obese patients with binge eating disorder. Obes Res 13:1701–1708. doi:10.1038/oby.2005.208

    Article  PubMed  CAS  Google Scholar 

  • Gross JL, Kramer CK, Leitäo CB, Hawkins N, Viana LV, Schaan BD, Pinto LC, Rodrigues TC, Azevedo MJ (2011) Effect of antihyperglycemic agents added to metformin and a sulfonylurea on glycemic control and weight gain in type 2 diabetes: a network meta-analysis. Ann Intern Med 154:672–679. doi:10.1059/0003-4819-154-10-201105170-00007

    PubMed  Google Scholar 

  • Guzman DC, Ruiz NL, Garcia EH, Mejia GB, Tellez PP, Jimenez GE, De la Rosa AM, Olguin HJ (2009) Effect of sibutramine on Na+, K+ ATPase activity and tryptophan levels on male and female rat brain. Horm Metab Res 41:363–367. doi:10.1055/s-0028-1128145

    Article  PubMed  CAS  Google Scholar 

  • Habib ZA, Havstad SL, Wells K, Divine G, Pladevall M, Williams LK (2010) Thiazolidinedione use and the longitudinal risk of fractures in patients with type 2 diabetes mellitus. J Clin Endocrinol Metab 95:592–600. doi:10.1210/jc.2009-1385

    Article  PubMed  CAS  Google Scholar 

  • Hainer V (2011) Comparative efficiency and safety of pharmacological approaches to the management of obesity. Diabetes Care 34(Suppl 2):S349–S354. doi:10.2337/dc11-s255

    Article  PubMed  Google Scholar 

  • Halimi S, Raccah D, Schweizer A, Dejager S (2010) Role of vildagliptin in managing type 2 diabetes mellitus in the elderly. Curr Med Res Opin 26:1647–1656. doi:10.1185/03007995.2010.485881

    Article  PubMed  CAS  Google Scholar 

  • Hanefeld M, Cagatay M, Petrowitsch T, Neuser D, Petzinna D, Rupp M (2004) Acarbose reduces the risk for myocardial infarction in type 2 diabetic patients: meta-analysis of seven long-term studies. Eur Heart J 25:10–16. doi:S0195668X03004688[pii]

    Article  PubMed  CAS  Google Scholar 

  • He YL, Sabo R, Campestrini J, Wang Y, Riviere GJ, Nielsen JC, Rosenberg M, Ligueros-Saylan M, Howard D, Dole WP (2008) The effect of age, gender, and body mass index on the pharmacokinetics and pharmacodynamics of vildagliptin in healthy volunteers. Br J Clin Pharmacol 65:338–346. doi:10.1111/j.1365-2125.2007.03031.x

    Article  PubMed  CAS  Google Scholar 

  • Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HA (2008) 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med 359:1577–1589. doi:10.1056/NEJMoa0806470

    Article  PubMed  CAS  Google Scholar 

  • Horvath K, Jeitler K, Berghold A, Ebrahim SH, Gratzer TW, Plank J, Kaiser T, Pieber TR, Siebenhofer A (2007) Long-acting insulin analogues versus NPH insulin (human isophane insulin) for type 2 diabetes mellitus. Cochrane Database Syst Rev: CD005613. 10.1002/14651858.CD005613.pub3

  • Hsia Y, Dawoud D, Sutcliffe AG, Viner RM, Kinra S, Wong IC (2011) Unlicensed use of metformin in children and adolescents in UK. Br J Clin Pharmacol. doi:10.1111/j.1365-2125.2011.04063.x

  • Hsiao TJ, Wu LS, Hwang Y, Huang SY, Lin E (2010) Effect of the common -866G/A polymorphism of the uncoupling protein 2 gene on weight loss and body composition under sibutramine therapy in an obese Taiwanese population. Mol Diagn Ther 14:101–106. doi:10.2165/11532940-000000000-00000

    Article  PubMed  CAS  Google Scholar 

  • Iannazzo S, Zaniolo O, Pradelli L (2008) Economic evaluation of treatment with orlistat in Italian obese patients. Curr Med Res Opin 24:63–74. doi:10.1185/030079908X253591

    PubMed  CAS  Google Scholar 

  • Ioannides-Demos LL, Proietto J, Tonkin AM, McNeil JJ (2006) Safety of drug therapies used for weight loss and treatment of obesity. Drug Saf 29:277–302. doi:2941[pii]

    Article  PubMed  CAS  Google Scholar 

  • James WP, Caterson ID, Coutinho W, Finer N, Van Gaal LF, Maggioni AP, Torp-Pedersen C, Sharma AM, Shepherd GM, Rode RA, Renz CL (2010) Effect of sibutramine on cardiovascular outcomes in overweight and obese subjects. N Engl J Med 363:905–917. doi:10.1056/NEJMoa1003114

    Article  PubMed  CAS  Google Scholar 

  • Jonas D, Van Scoyoc E, Gerrald K, Wines R, Amick H, Triplette M, Runge T (2011) Drug class review: newer diabetes medications, TZDs, and combinations: final original report [Internet]. Oregon Health & Science University, Portland. http://www.ncbi.nlm.nih.gov/pubmed/21595121

  • Jovanovic L (2009) Sex differences in insulin dose and postprandial glucose as BMI increases in patients with type 2 diabetes. Diabetes Care 32:e148. doi:10.2337/dc09-1634

    Article  PubMed  Google Scholar 

  • Karim A, Zhao Z, Slater M, Bradford D, Schuster J, Laurent A (2007) Replicate study design in bioequivalency assessment, pros and cons: bioavailabilities of the antidiabetic drugs pioglitazone and glimepiride present in a fixed-dose combination formulation. J Clin Pharmacol 47:806–816. doi:10.1177/0091270007300954

    Article  PubMed  CAS  Google Scholar 

  • Karlsson J, Taft C, Sjöström L, Torgerson JS, Sullivan M (2003) Psychosocial functioning in the obese before and after weight reduction: construct validity and responsiveness of the Obesity-related Problems scale. Int J Obes Relat Metab Disord 27:617–630. doi:10.1038/sj.ijo.0802272

    Article  PubMed  CAS  Google Scholar 

  • Kautzky-Willer A (2011) Sex and gender differences in endocrinology. In: Regitz-Zagrosek V, Oertelt-Prigione S (eds) Sex and gender aspects in clinical medicine, 1st edn. Springer, London

    Google Scholar 

  • Kautzky-Willer A, Handisurya A (2009) Metabolic diseases and associated complications: sex and gender matter! Eur J Clin Invest 39:631–648. doi:10.1111/j.1365-2362.2009.02161.x

    Article  PubMed  CAS  Google Scholar 

  • Kawamori R, Tajima N, Iwamoto Y, Kashiwagi A, Shimamoto K, Kaku K (2009) Voglibose for prevention of type 2 diabetes mellitus: a randomised, double-blind trial in Japanese individuals with impaired glucose tolerance. Lancet 373:1607–1614. doi:10.1016/S0140-6736(09)60222-1

    Article  PubMed  CAS  Google Scholar 

  • Kim MS, Park JY, Namkoong C, Jang PG, Ryu JW, Song HS, Yun JY, Namgoong IS, Ha J, Park IS, Lee IK, Viollet B, Youn JH, Lee HK, Lee KU (2004) Anti-obesity effects of alpha-lipoic acid mediated by suppression of hypothalamic AMP-activated protein kinase. Nat Med 10:727–733. doi:10.1038/nm1061

    Article  PubMed  CAS  Google Scholar 

  • Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 346:393–403. doi:10.1056/NEJMoa012512

    Article  PubMed  CAS  Google Scholar 

  • Kosi L, Chmelik M, Kautzky-Willer A (2011) Impact of a DPP4-inhibitor on liver and heart lipid content and cardiovascular risk in type 2 diabetic patients. Diabetes 60:A609. doi:10.2337/db11-2185-2431

    Google Scholar 

  • Kunos G, Tam J (2011) The case for peripheral CB receptor blockade in the treatment of visceral obesity and its cardiometabolic complications. Br J Pharmacol 163:1423–1431. doi:10.1111/j.1476-5381.2011.01352.x

    Article  PubMed  CAS  Google Scholar 

  • Kurtzhals P, Schäffer L, Sørensen A, Kristensen C, Jonassen I, Schmid C, Trüb T (2000) Correlations of receptor binding and metabolic and mitogenic potencies of insulin analogs designed for clinical use. Diabetes 49:999–1005. doi:10.2337/diabetes.49.6.999

    Article  PubMed  CAS  Google Scholar 

  • Langer O, Conway DL, Berkus MD, Xenakis EM, Gonzales O (2000) A comparison of glyburide and insulin in women with gestational diabetes mellitus. N Engl J Med 343:1134–1138. doi:10.1056/NEJM200010193431601

    Article  PubMed  CAS  Google Scholar 

  • Lazary J, Juhasz G, Hunyady L, Bagdy G (2011) Personalized medicine can pave the way for the safe use of CB receptor antagonists. Trends Pharmacol Sci 32:270–280. doi:10.1016/j.tips.2011.02.013

    Article  PubMed  CAS  Google Scholar 

  • LeBlanc M, Thibault L (2003) Effect of sibutramine on macronutrient selection in male and female rats. Physiol Behav 80:243–252. doi:S0031938403002774[pii]

    Article  PubMed  CAS  Google Scholar 

  • Lee MS, Hsu CC, Wahlqvist ML, Tsai HN, Chang YH, Huang YC (2011) Type 2 diabetes increases and metformin reduces total, colorectal, liver and pancreatic cancer incidences in Taiwanese: a representative population prospective cohort study of 800,000 individuals. BMC Cancer 11:20. doi:10.1186/1471-2407-11-20

    Article  PubMed  CAS  Google Scholar 

  • Li M, Cheung BM (2009) Pharmacotherapy for obesity. Br J Clin Pharmacol 68:804–810. doi:10.1111/j.1365-2125.2009.03453.x

    Article  PubMed  CAS  Google Scholar 

  • Li MF, Cheung BM (2011) Rise and fall of anti-obesity drugs. World J Diabetes 2:19–23. doi:10.4239/wjd.v2.i2.19

    Article  PubMed  Google Scholar 

  • Malki A, Youssef A (2011) Antidiabetic drug metformin induces apoptosis in human MCF breast cancer via targeting ERK signaling. Oncol Res 19:275–285

    Article  PubMed  CAS  Google Scholar 

  • Mancini MC, Halpern A (2008) Orlistat in the prevention of diabetes in the obese patient. Vasc Health Risk Manag 4:325–336. doi:10.2147/VHRM.S6808

    PubMed  CAS  Google Scholar 

  • Martin-Castillo B, Vazquez-Martin A, Oliveras-Ferraros C, Menendez JA (2010) Metformin and cancer: doses, mechanisms and the dandelion and hormetic phenomena. Cell Cycle 9:1057–1064. doi:10994[pii]

    Article  PubMed  CAS  Google Scholar 

  • McCrea RL, Berger YG, King MB (2011) Body mass index and common mental disorders: exploring the shape of the association and its moderation by age, gender and education. Int J Obes (Lond) 36:414–421. doi:10.1038/ijo.2011.65

    Article  Google Scholar 

  • Metwally M, Amer S, Li TC, Ledger WL (2009) An RCT of metformin versus orlistat for the management of obese anovulatory women. Hum Reprod 24:966–975. doi:10.1093/humrep/den454

    Article  PubMed  CAS  Google Scholar 

  • Migoya EM, Stevens CH, Bergman AJ, Luo WL, Lasseter KC, Dilzer SC, Davies MJ, Wagner JA, Herman GA (2009) Effect of moderate hepatic insufficiency on the pharmacokinetics of sitagliptin. Can J Clin Pharmacol 16:e165–e170

    PubMed  Google Scholar 

  • Minokoshi Y, Alquier T, Furukawa N, Kim YB, Lee A, Xue B, Mu J, Foufelle F, Ferre P, Birnbaum MJ, Stuck BJ, Kahn BB (2004) AMP-kinase regulates food intake by responding to hormonal and nutrient signals in the hypothalamus. Nature 428:569–574. doi:10.1038/nature02440

    Article  PubMed  CAS  Google Scholar 

  • Mohapatra J, Sharma M, Acharya A, Pandya G, Chatterjee A, Balaraman R, Jain MR (2011) Retinol-binding protein 4: a possible role in cardiovascular complications. Br J Pharmacol 164:1939–1948. doi:10.1111/j.1476-5381.2011.01492.x

    Article  PubMed  CAS  Google Scholar 

  • Morgante G, Tosti C, Orvieto R, Musacchio MC, Piomboni P, De Leo V (2011) Metformin improves semen characteristics of oligo-terato-asthenozoospermic men with metabolic syndrome. Fertil Steril 95:2150–2152. doi:10.1016/j.fertnstert.2010.12.009

    Article  PubMed  CAS  Google Scholar 

  • Musi N, Hirshman MF, Nygren J, Svanfeldt M, Bavenholm P, Rooyackers O, Zhou G, Williamson JM, Ljunqvist O, Efendic S, Moller DE, Thorell A, Goodyear LJ (2002) Metformin increases AMP-activated protein kinase activity in skeletal muscle of subjects with type 2 diabetes. Diabetes 51:2074–2081. doi:10.2337/diabetes.51.7.2074

    Article  PubMed  CAS  Google Scholar 

  • Nathan DM, Davidson MB, DeFronzo RA, Heine RJ, Henry RR, Pratley R, Zinman B (2007) Impaired fasting glucose and impaired glucose tolerance: implications for care. Diabetes Care 30:753–759. doi:10.2337/dc07-9920

    Article  PubMed  CAS  Google Scholar 

  • Nathan DM, Buse JB, Davidson MB, Ferrannini E, Holman RR, Sherwin R, Zinman B (2009) Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care 32:193–203. doi:10.2337/dc08-9025

    Article  PubMed  CAS  Google Scholar 

  • National Collaborating Centre for Women’s and Children’s Health (2008) Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period. http://www.nice.org.uk/nicemedia/live/11946/41320/41320.pdf. Accessed 31 Aug 2011

  • Nisoli E, Carruba MO (2000) An assessment of the safety and efficacy of sibutramine, an anti-obesity drug with a novel mechanism of action. Obes Rev 1:127–139. doi:10.1046/j.1467-789x.2000.00020.x

    Article  PubMed  CAS  Google Scholar 

  • Nonogaki K, Strack AM, Dallman MF, Tecott LH (1998) Leptin-independent hyperphagia and type 2 diabetes in mice with a mutated serotonin 5-HT2C receptor gene. Nat Med 4:1152–1156. doi:10.1038/2647

    Article  PubMed  CAS  Google Scholar 

  • Oliveras-Ferraros C, Cufi S, Vazquez-Martin A, Torres-Garcia VZ, Del Barco S, Martin-Castillo B, Menendez JA (2011) Micro(mi)RNA expression profile of breast cancer epithelial cells treated with the anti-diabetic drug metformin: induction of the tumor suppressor miRNA let-7a and suppression of the TGFbeta-induced oncomiR miRNA-181a. Cell Cycle 10:1144–1151. doi:15210[pii]

    Article  PubMed  CAS  Google Scholar 

  • Padwal R, Li SK, Lau DC (2003) Long-term pharmacotherapy for obesity and overweight. Cochrane Database Syst Rev: CD004094. 10.1002/14651858.CD004094

  • Pasquali R, Gambineri A (2006) Insulin-sensitizing agents in polycystic ovary syndrome. Eur J Endocrinol 154:763–775. doi:10.1530/eje.1.02156

    Article  PubMed  CAS  Google Scholar 

  • Patel NN, Crincoli CM, Kennedy EL, Frederick DM, Tchao R, Harvison PJ (2008) Effect of gender, dose, and time on 3-(3,5-dichlorophenyl)-2,4-thiazolidinedione (DCPT)-induced hepatotoxicity in Fischer 344 rats. Xenobiotica 38:435–449. doi:10.1080/00498250701830267

    Article  PubMed  CAS  Google Scholar 

  • Perwitz N, Wenzel J, Wagner I, Büning J, Drenckhan M, Zarse K, Ristow M, Lilienthal W, Lehnert H, Klein J (2010) Cannabinoid type 1 receptor blockade induces transdifferentiation towards a brown fat phenotype in white adipocytes. Diabetes Obes Metab 12:158–166. doi:10.1111/j.1463-1326.2009.01133.x

    Article  PubMed  CAS  Google Scholar 

  • Peuler JD, Johnson BA, Phare SM, Sowers JR (1993) Sex-specific effects of an insulin secretagogue in stroke-prone hypertensive rats. Hypertension 22:214–220

    Article  PubMed  CAS  Google Scholar 

  • Pratley RE, Nauck M, Bailey T, Montanya E, Cuddihy R, Filetti S, Thomsen AB, Sondergaard RE, Davies M (2010) Liraglutide versus sitagliptin for patients with type 2 diabetes who did not have adequate glycaemic control with metformin: a 26-week, randomised, parallel-group, open-label trial. Lancet 375:1447–1456. doi:10.1016/S0140-6736(10)60307-8

    Article  PubMed  CAS  Google Scholar 

  • Rao AD, Kuhadiya N, Reynolds K, Fonseca VA (2008) Is the combination of sulfonylureas and metformin associated with an increased risk of cardiovascular disease or all-cause mortality?: a meta-analysis of observational studies. Diabetes Care 31:1672–1678. doi:10.2337/dc08-0167

    Article  PubMed  Google Scholar 

  • Ratner RE, Christophi CA, Metzger BE, Dabelea D, Bennett PH, Pi-Sunyer X, Fowler S, Kahn SE (2008) Prevention of diabetes in women with a history of gestational diabetes: effects of metformin and lifestyle interventions. J Clin Endocrinol Metab 93:4774–4779. doi:10.1210/jc.2008-0772

    Article  PubMed  CAS  Google Scholar 

  • Ravinet Trillou C, Delgorge C, Menet C, Arnone M, Soubrie P (2004) CB1 cannabinoid receptor knockout in mice leads to leanness, resistance to diet-induced obesity and enhanced leptin sensitivity. Int J Obes Relat Metab Disord 28:640–648. doi:10.1038/sj.ijo.0802583

    Article  PubMed  CAS  Google Scholar 

  • Richelsen B, Tonstad S, Rössner S, Toubro S, Niskanen L, Madsbad S, Mustajoki P, Rissanen A (2007) Effect of orlistat on weight regain and cardiovascular risk factors following a very-low-energy diet in abdominally obese patients: a 3-year randomized, placebo-controlled study. Diabetes Care 30:27–32. doi:10.2337/dc06-0210

    Article  PubMed  CAS  Google Scholar 

  • Richter B, Bandeira-Echtler E, Bergerhoff K, Lerch CL (2008) Dipeptidyl peptidase-4 (DPP-4) inhibitors for type 2 diabetes mellitus. Cochrane Database Syst Rev: CD006739. 10.1002/14651858.CD006739.pub2

  • Rosenstock J, Klaff LJ, Schwartz S, Northrup J, Holcombe JH, Wilhelm K, Trautmann M (2010) Effects of exenatide and lifestyle modification on body weight and glucose tolerance in obese subjects with and without pre-diabetes. Diabetes Care 33:1173–1175. doi:dc09-1203[pii]10.2337/dc09-1203

    Article  PubMed  CAS  Google Scholar 

  • Rowan JA, Hague WM, Gao W, Battin MR, Moore MP (2008) Metformin versus insulin for the treatment of gestational diabetes. N Engl J Med 358:2003–2015. doi:10.1056/NEJMoa0707193

    Article  PubMed  CAS  Google Scholar 

  • Ruiter R, Visser LE, van Herk-Sukel MP, Coebergh JW, Haak HR, Geelhoed-Duijvestijn PH, Straus SM, Herings RM, Stricker BH (2012) Risk of cancer in patients on insulin glargine and other insulin analogues in comparison with those on human insulin: results from a large population-based follow-up study. Diabetologia 55:51–62. doi:10.1007/s00125-011-2312-4

    Article  PubMed  CAS  Google Scholar 

  • Salpeter S, Greyber E, Pasternak G, Salpeter E (2002) Risk of fatal and nonfatal lactic acidosis with metformin use in type 2 diabetes mellitus. Cochrane Database Syst Rev: CD002967. 10.1002/14651858.CD002967

  • Sam AH, Salem V, Ghatei MA (2011) Rimonabant: from RIO to Ban. J Obes 2011:432607. doi:10.1155/2011/432607

    PubMed  Google Scholar 

  • Samat A, Tomlinson B, Taheri S, Thomas GN (2008) Rimonabant for the treatment of obesity. Recent Pat Cardiovasc Drug Discov 3:187–193

    Article  PubMed  CAS  Google Scholar 

  • Scheen AJ (2010) Pharmacokinetics of dipeptidylpeptidase-4 inhibitors. Diabetes Obes Metab 12:648–658. doi:10.1111/j.1463-1326.2010.01212.x

    Article  PubMed  CAS  Google Scholar 

  • Schernthaner G, Grimaldi A, Di Mario U, Drzewoski J, Kempler P, Kvapil M, Novials A, Rottiers R, Rutten GE, Shaw KM (2004) GUIDE study: double-blind comparison of once-daily gliclazide MR and glimepiride in type 2 diabetic patients. Eur J Clin Invest 34:535–542. doi:10.1111/j.1365-2362.2004.01381.x

    Article  PubMed  CAS  Google Scholar 

  • Schernthaner G, Barnett AH, Betteridge DJ, Carmena R, Ceriello A, Charbonnel B, Hanefeld M, Lehmann R, Malecki MT, Nesto R, Pirags V, Scheen A, Seufert J, Sjohölm A, Tsatsoulis A, DeFronzo R (2010) Is the ADA/EASD algorithm for the management of type 2 diabetes (January 2009) based on evidence or opinion? A critical analysis. Diabetologia 53:1258–1269. doi:10.1007/s00125-010-1702-3

    Article  PubMed  CAS  Google Scholar 

  • Seeringer A, Parmar S, Fischer A, Altissimo B, Zondler L, Lebedeva E, Pitterle K, Roots I, Kirchheiner J (2010) Genetic variants of the insulin receptor substrate-1 are influencing the therapeutic efficacy of oral antidiabetics. Diabetes Obes Metab 12:1106–1112. doi:10.1111/j.1463-1326.2010.01301.x

    Article  PubMed  CAS  Google Scholar 

  • Shaw JS, Wilmot RL, Kilpatrick ES (2007) Establishing pragmatic estimated GFR thresholds to guide metformin prescribing. Diabet Med 24:1160–1163. doi:10.1111/j.1464-5491.2007.02221.x

    Article  PubMed  CAS  Google Scholar 

  • Shimazu T, Inami N, Satoh D, Kajiura T, Yamada K, Iwasaka T, Nomura S (2009) Effect of acarbose on platelet-derived microparticles, soluble selectins, and adiponectin in diabetic patients. J Thromb Thrombolysis 28:429–435. doi:10.1007/s11239-008-0301-3

    Article  PubMed  CAS  Google Scholar 

  • Simmons D (2010) Metformin treatment for Type 2 diabetes in pregnancy? Best Pract Res Clin Endocrinol Metab 24:625–634. doi:10.1016/j.beem.2010.05.002

    Article  PubMed  CAS  Google Scholar 

  • Snow V, Barry P, Fitterman N, Qaseem A, Weiss K (2005) Pharmacologic and surgical management of obesity in primary care: a clinical practice guideline from the American College of Physicians. Ann Intern Med 142:525–531. doi:142/7/525[pii]

    PubMed  Google Scholar 

  • Sönmez AS, YaÅŸar L, Savan K, Koc S, Özcan J, Toklar A, YazıcıoÄŸu F, Akgün A, Sut N (2005) Comparison of the effects of acarbose and metformin use on ovulation rates in clomiphene citrate-resistant polycystic ovary syndrome. Hum Reprod 20:175–179. doi:10.1093/humrep/deh580

    Article  PubMed  CAS  Google Scholar 

  • Suissa S, Azoulay L, Dell’aniello S, Evans M, Vora J, Pollak M (2011) Long-term effects of insulin glargine on the risk of breast cancer. Diabetologia 54:2254–2262. doi:10.1007/s00125-011-2190-9

    Article  PubMed  CAS  Google Scholar 

  • Talbot PS, Bradley S, Clarke CP, Babalola KO, Philipp AW, Brown G, McMahon AW, Matthews JC (2010) Brain serotonin transporter occupancy by oral sibutramine dosed to steady state: a PET study using (11)C-DASB in healthy humans. Neuropsychopharmacology 35:741–751. doi:10.1038/npp.2009.182

    Article  PubMed  CAS  Google Scholar 

  • Tchoukhine E, Takala P, Hakko H, Raidma M, Putkonen H, Räsänen P, Terevnikov V, Stenberg JH, Eronen M, Joffe G (2011) Orlistat in clozapine- or olanzapine-treated patients with overweight or obesity: a 16-week open-label extension phase and both phases of a randomized controlled trial. J Clin Psychiatry 72:326–330. doi:10.4088/JCP.09m05283yel

    Article  PubMed  CAS  Google Scholar 

  • Teng JA, Hou RL, Li DL, Yang RP, Qin J (2011) Glargine promotes proliferation of breast adenocarcinoma cell line MCF-7 via AKT activation. Horm Metab Res 43:519–523. doi:10.1055/s-0031-1280780

    Article  PubMed  CAS  Google Scholar 

  • Thayer S, Arondekar B, Harley C, Darkow TE (2010) Adherence to a fixed-dose combination of rosiglitazone/glimepiride in subjects switching from monotherapy or dual therapy with a thiazolidinedione and/or a sulfonylurea. Ann Pharmacother 44:791–799. doi:10.1345/aph.1M426

    Article  PubMed  CAS  Google Scholar 

  • Tildesley HD, Aydin CM, Ignaszewski A, Strelzow JA, Yu E, Bondy G (2007) Sulfonylurea therapy is associated with increased NT-proBNP levels in the treatment of type 2 diabetes. Int J Cardiol 115:312–317. doi:S0167-5273(06)00402-5[pii]10.1016/j.ijcard.2006.03.014

    Article  PubMed  Google Scholar 

  • Tiwari A (2009) Linagliptin, a dipeptidyl peptidase-4 inhibitor for the treatment of type 2 diabetes. Curr Opin Investig Drugs 10:1091–1104

    PubMed  CAS  Google Scholar 

  • Torgerson JS, Hauptman J, Boldrin MN, Sjöström L (2004) XENical in the prevention of diabetes in obese subjects (XENDOS) study: a randomized study of orlistat as an adjunct to lifestyle changes for the prevention of type 2 diabetes in obese patients. Diabetes Care 27:155–161. doi:10.2337/diacare.27.1.155

    Article  PubMed  CAS  Google Scholar 

  • U.S. Food and Drug Administration Endocrinologic and Metabolic Drugs Advisory Committee (2007) FDA briefing document: Zimulti (rimonabant) Tablets, 20 mg. http://www.fda.gov/ohrms/dockets/ac/07/briefing/2007-4306b1-00-index.htm. Accessed 6 Aug 2007

  • UK Prospective Diabetes Study (UKPDS) Group (1998) Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). Lancet 352:854–865. doi:S0140673698070378[pii]

    Article  Google Scholar 

  • Ãœlgen F, Kühn MC, Cupisti K, Herder C, Willenberg HS, Schott M, Scherbaum WA, Schinner S (2011) The CB-1 receptor antagonist rimonabant modulates the interaction between adipocytes and pancreatic beta-cells in vitro. Exp Clin Endocrinol Diabetes 119:41–46. doi:10.1055/s-0030-1261963

    Article  PubMed  CAS  Google Scholar 

  • Varli M, Turhan S, Aras S, Atli T, Erdogan G (2010) Effects of weight loss on ventricular systolic and diastolic functions and left ventricular mass assessed by tissue doppler imaging in obese geriatric women: preliminary report. Aging Clin Exp Res 22:206–211. doi:7162[pii]

    PubMed  Google Scholar 

  • Vazquez-Martin A, Oliveras-Ferraros C, Cufí S, Del Barco S, Martin-Castillo B, Lopez-Bonet E, Menendez JA (2011) The anti-diabetic drug metformin suppresses the metastasis-associated protein CD24 in MDA-MB-468 triple-negative breast cancer cells. Oncol Rep 25:135–140. doi:10.3892/or_00001052

    PubMed  CAS  Google Scholar 

  • Venskutonyte L, Malmberg K, Norhammar A, Wedel H, Rydén L (2010) Effect of gender on prognosis in patients with myocardial infarction and type 2 diabetes. J Intern Med 268:75–82. doi:10.1111/j.1365-2796.2010.02215.x

    PubMed  CAS  Google Scholar 

  • von Mach MA, Gauer M, Meyer S, Omogbehin B, Schinzel H, Kann PH, Weilemann LS (2006) Antidiabetic medications in overdose: a comparison of the inquiries made to a regional poisons unit regarding original sulfonylureas, biguanides and insulin. Int J Clin Pharmacol Ther 44:51–56

    Google Scholar 

  • Ward SJ, Walker EA (2009) Sex and cannabinoid CB1 genotype differentiate palatable food and cocaine self-administration behaviors in mice. Behav Pharmacol 20:605–613. doi:10.1097/FBP.0b013e328331ba30

    Article  PubMed  CAS  Google Scholar 

  • Wassell J, Michail M, Soliman N, Wardle PG (2011) The value of sex hormone binding globulin (SHBG) in predicting treatment response in polycystic ovary syndrome (PCOS). Clin Lab 57:95–98

    PubMed  CAS  Google Scholar 

  • West DS, Elaine Prewitt T, Bursac Z, Felix HC (2008) Weight loss of black, white, and Hispanic men and women in the Diabetes Prevention Program. Obesity (Silver Spring) 16:1413–1420. doi:10.1038/oby.2008.224

    Article  Google Scholar 

  • Xue B, Kahn BB (2006) AMPK integrates nutrient and hormonal signals to regulate food intake and energy balance through effects in the hypothalamus and peripheral tissues. J Physiol 574:73–83. doi:10.1113/jphysiol.2006.113217

    Article  PubMed  CAS  Google Scholar 

  • Yasmeen A, Beauchamp MC, Piura E, Segal E, Pollak M, Gotlieb WH (2011) Induction of apoptosis by metformin in epithelial ovarian cancer: involvement of the Bcl-2 family proteins. Gynecol Oncol 121:492–498. doi:10.1016/j.ygyno.2011.02.021

    Article  PubMed  CAS  Google Scholar 

  • Zhang Z, Dong L, Sui L, Yang Y, Liu X, Yu Y, Zhu Y, Feng Y (2011) Metformin reverses progestin resistance in endometrial cancer cells by downregulating GloI expression. Int J Gynecol Cancer 21:213–221. doi:10.1097/IGC.0b013e318207dac7

    Article  PubMed  Google Scholar 

  • Zhou L, Sutton GM, Rochford JJ, Semple RK, Lam DD, Oksanen LJ, Thornton-Jones ZD, Clifton PG, Yueh CY, Evans ML, McCrimmon RJ, Elmquist JK, Butler AA, Heisler LK (2007) Serotonin 2C receptor agonists improve type 2 diabetes via melanocortin-4 receptor signaling pathways. Cell Metab 6:398–405. doi:10.1016/j.cmet.2007.10.008

    Article  PubMed  CAS  Google Scholar 

  • Zulian A, Cancello R, Girola A, Gilardini L, Alberti L, Croci M, Micheletto G, Danelli P, Invitti C (2011) In vitro and in vivo effects of metformin on human adipose tissue adiponectin. Obes Facts 4:27–33. doi:10.1159/000324582

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgement

This report was funded by the following research grants: FEMtech FTI-Projekt: Diabetes and Gender; Jubiläumsfonds der Österreichischen Nationalbank: Projekt Nr. 13244; Medizinisch-Wissenschaftlicher Fonds des Bürgermeisters der Bundeshauptstadt Wien: Projekt Nr. 09063.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alexandra Kautzky-Willer .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Kautzky-Willer, A., Lemmens-Gruber, R. (2013). Obesity and Diabetes. In: Regitz-Zagrosek, V. (eds) Sex and Gender Differences in Pharmacology. Handbook of Experimental Pharmacology, vol 214. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30726-3_15

Download citation

Publish with us

Policies and ethics