摘要：This study was conducted to examine the antiobesity effect of exendin-4 and/or exercise treatment in high-fat diet-induced obese C57BL/6 female mice and to evaluate whether these interventions could improve glucose and lipid metabolic profiles, and glucagon-like peptide-1 (GLP-1) secretion. Following the 13 weeks fattening period on the high saturated fat diet (HFSD), diet-induced obese mice continued feeding on the same HSFD and were assigned to four groups (n = 6/group); Control-Saline-Sedentary (C-Sal-Sed), Exendin-4-Sedentary (Ex-4-Sed), Saline-Exercise (Sal-Exr) and Exendin-4-Exercise (Ex-4-Exr). Mice in the exercise groups performed 13 weeks of running on a treadmill. Mice in the exendin-4 groups were injected a 100 μL exendin-4 (1 nmol/kg body weight) intraperitoneally once a day. Glucose and lipid profile s, and GLP-1 and Exendin-4 levels were determined. It was observed that sustained exposure of mice fed the HSFD for 26 weeks to exendin-4 and/or five days a week to exercise for 13 weeks resulted in a marked (p<0.001) reduction in gained body weight in Ex-4-Sed, Sal-Ex, Ex-4-Exr groups as compared to the C-Sal-Sed group (28.54, 30.0, 29.78 gm, respectively, p<0.001). This improved hypertriglyceridemia (p<0.001), deterioration in glucose tolerance (p<0.001), and feed efficiency (p<0.001). GLP-1 levels were elevated significantly in Ex-4-Sed, Sal-Ex, and Ex-4-Exr groups as compared to the C-Sal-Sed group (12.17, 11.31, 12.57 and 6.39 pmol/l; respectively, p<0.001). We concluded that exendin-4 and/or exercise are effective treatments and can reverse dyslipidemia and hyperglycemia by inducing a sustainable loss in body weight resulting from long-term feeding of HSFD and increasing serum GLP-1 levels. Early interventions of exendin-4 and/or exercise could play a vital role in modifying physiological pathways, both at the metabolic and endocrine levels.
