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fenfluramine and Insulin Resistance

fenfluramine has been researched along with Insulin Resistance in 25 studies

Fenfluramine: A centrally active drug that apparently both blocks serotonin uptake and provokes transport-mediated serotonin release.
fenfluramine : A secondary amino compound that is 1-phenyl-propan-2-amine in which one of the meta-hydrogens is substituted by trifluoromethyl, and one of the hydrogens attached to the nitrogen is substituted by an ethyl group. It binds to the serotonin reuptake pump, causing inhbition of serotonin uptake and release of serotonin. The resulting increased levels of serotonin lead to greater serotonin receptor activation which in turn lead to enhancement of serotoninergic transmission in the centres of feeding behavior located in the hypothalamus. This suppresses the appetite for carbohydrates. Fenfluramine was used as the hydrochloride for treatment of diabetes and obesity. It was withdrawn worldwide after reports of heart valve disease and pulmonary hypertension.

Insulin Resistance: Diminished effectiveness of INSULIN in lowering blood sugar levels: requiring the use of 200 units or more of insulin per day to prevent HYPERGLYCEMIA or KETOSIS.

Research Excerpts

ExcerptRelevanceReference
"The effect of the serotonergic agent dexfenfluramine on weight loss, blood pressure, insulin sensitivity and serum lipid levels was determined in a 3-month randomised, double-blind, placebo controlled parallel design study in 50 obese subjects (body mass index 30-44 kg/m2)."9.08Effect of dexfenfluramine on body weight, blood pressure, insulin resistance and serum cholesterol in obese individuals. ( Gamble, G; Holdaway, IM; Wallace, E; Westbrooke, L, 1995)
"3 ng/mL, means +/- SE), the clinical and metabolic effects of benfluorex (B), a lipid-lowering drug able to improve insulin sensitivity."9.08Benfluorex in obese noninsulin dependent diabetes mellitus patients poorly controlled by insulin: a double blind study versus placebo. ( Camisasca, R; Cassisa, C; Pacchioni, M; Piatti, PM; Pontiroli, AE; Pozza, G, 1996)
"To evaluate the change in lipids and insulin sensitivity in 10 obese type II diabetic patients after treatment with benfluorex or placebo for 2 wk."9.07Effects of benfluorex on insulin resistance and lipid metabolism in obese type II diabetic patients. ( Bianchi, R; Bongers, V; Bravenboer, B; Erkelens, DW, 1993)
"We have examined the effect of chronic (20 days) oral administration of benfluorex (35 mg/kg) in a rat model of NIDDM, induced by injection of STZ 5 days after birth and characterized by frank hyperglycemia, hypoinsulinemia, and hepatic and peripheral insulin resistance."7.68Benfluorex normalizes hyperglycemia and reverses hepatic insulin resistance in STZ-induced diabetic rats. ( Bailbe, D; Blondel, O; Portha, B; Serradas, P, 1993)
"D-fenfluramine treatment markedly improved the maximum relaxant response of aortic rings to acetylcholine, indicating improvement of the defective endothelium-derived relaxation factor system."5.30Improvement of insulin sensitivity and cardiovascular outcomes in the JCR:LA-cp rat by D-fenfluramine. ( Amy, RM; Brindley, DN; Dolphin, PJ; Graham, SE; Russell, JC, 1998)
"The effect of the serotonergic agent dexfenfluramine on weight loss, blood pressure, insulin sensitivity and serum lipid levels was determined in a 3-month randomised, double-blind, placebo controlled parallel design study in 50 obese subjects (body mass index 30-44 kg/m2)."5.08Effect of dexfenfluramine on body weight, blood pressure, insulin resistance and serum cholesterol in obese individuals. ( Gamble, G; Holdaway, IM; Wallace, E; Westbrooke, L, 1995)
"3 ng/mL, means +/- SE), the clinical and metabolic effects of benfluorex (B), a lipid-lowering drug able to improve insulin sensitivity."5.08Benfluorex in obese noninsulin dependent diabetes mellitus patients poorly controlled by insulin: a double blind study versus placebo. ( Camisasca, R; Cassisa, C; Pacchioni, M; Piatti, PM; Pontiroli, AE; Pozza, G, 1996)
"To evaluate the change in lipids and insulin sensitivity in 10 obese type II diabetic patients after treatment with benfluorex or placebo for 2 wk."5.07Effects of benfluorex on insulin resistance and lipid metabolism in obese type II diabetic patients. ( Bianchi, R; Bongers, V; Bravenboer, B; Erkelens, DW, 1993)
" Chronic treatment of rats with D-fenfluramine has been shown to decrease the release of cortisol and fatty acids in response to stress, and to improve insulin sensitivity."4.79Role of glucocorticoids and fatty acids in the impairment of lipid metabolism observed in the metabolic syndrome. ( Brindley, DN, 1995)
" Benfluorex treatment improves insulin sensitivity and has antihyperglycemic and hypolipidemic effects in human beings and in experimental animals."4.78[Mode of action of benfluorex. Recent data]. ( Brindley, DN, 1992)
"It has been reported that benfluorex ameliorates the insulin resistance induced by high-fat feeding when its administration is initiated at the same time as the change in diet."3.70Benfluorex improves muscle insulin responsiveness in middle-aged rats previously subjected to long-term high-fat feeding. ( Gumà, A; Muñoz, P; Palacín, M; Sevilla, L; Testar, X; Zorzano, A, 1999)
"We have examined the effect of chronic (21 days) oral administration of the serotoninergic anorectic drug d-fenfluramine (5 mg/kg) in a rat model of non-insulin-dependent diabetes (without obesity), as induced by injection of a low dose (45 mg/kg) of streptozotocin at 6 weeks, and characterized by marked hyperglycaemia and hepatic and peripheral insulin resistance."3.69d-Fenfluramine improves hepatic insulin action in streptozotocin-diabetic rats. ( Bailbé, D; Picarel-Blanchot, F; Portha, B, 1994)
" Benfluorex has both anorectic and metabolic effects that lower body weight and improve insulin sensitivity in obesity and type 2 diabetes."3.69Antiatherogenic effects of long-term benfluorex treatment in male insulin resistant JCR:LA-cp rats. ( Amy, RM; Brindley, DN; Dolphin, PJ; Graham, SE; Russell, JC; Wood, GO, 1997)
"We have examined the effect of chronic (20 days) oral administration of benfluorex (35 mg/kg) in a rat model of NIDDM, induced by injection of STZ 5 days after birth and characterized by frank hyperglycemia, hypoinsulinemia, and hepatic and peripheral insulin resistance."3.68Benfluorex normalizes hyperglycemia and reverses hepatic insulin resistance in STZ-induced diabetic rats. ( Bailbe, D; Blondel, O; Portha, B; Serradas, P, 1993)
"Benfluorex + insulin is a valid alternative for obese patients who remain poorly controlled despite insulin or who require high doses of insulin."2.69Added benfluorex in obese insulin-requiring type 2 diabetes. ( Bauduceau, B; Brun, JM; Guillon-Metz, F; Leutenegger, M; Martin, C; Nicolino-Peltier, C; Richard, JL; Vannereau, D, 1998)
"Insulin resistance is one of the cardinal pathophysiological components of the metabolic syndrome, type 2 diabetes, and frequently co-exists with essential hypertension."2.40Insulin resistance: site of the primary defect or how the current and the emerging therapies work. ( Caro, JF; Kolaczynski, JW, 1998)
"The relief of insulin resistance is one of the two therapeutic targets of the treatment of type 2 diabetes."2.40[Current status of the treatment of type 2 diabetes mellitus. The revival of insulin-resistance drugs]. ( Andres, E; Blicklé, JF; Brogard, JM; Neyrolles, N, 1999)
"D-fenfluramine treatment markedly improved the maximum relaxant response of aortic rings to acetylcholine, indicating improvement of the defective endothelium-derived relaxation factor system."1.30Improvement of insulin sensitivity and cardiovascular outcomes in the JCR:LA-cp rat by D-fenfluramine. ( Amy, RM; Brindley, DN; Dolphin, PJ; Graham, SE; Russell, JC, 1998)
"Benfluorex-treated animals showed significant decreases in glucose intolerance, hyperinsulinemia, hypertriglyceridemia, hypercholesterolemia, and plasma LDL- and VLDL-cholesterol, with no evidence of aortic atheroma."1.30Metabolic and anti-atherogenic effects of long-term benfluorex in dyslipidemic insulin-resistant sand rats (Psammomys obesus). ( Bennani, N; El Madani, T; Hadjiisky, P; Marquié, G; Pieraggi, MT; Ravel, D; Seguin, L; Solera, ML, 1998)
"Dexfenfluramine has been shown to lower blood glucose concentrations independently of its effects in reducing food intake and body weight, in human and animal syndromes of non-insulin dependent diabetes."1.29Acute dexfenfluramine administration normalizes glucose tolerance in rats with insulin-deficient diabetes. ( Arora, R; Dryden, S; McKibbin, PE; Williams, G, 1994)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.00)18.7374
1990's23 (92.00)18.2507
2000's1 (4.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Muldoon, MF1
Mackey, RH1
Williams, KV1
Korytkowski, MT1
Flory, JD1
Manuck, SB1
Després, JP1
Lemieux, S1
Lamarche, B1
Prud'homme, D1
Moorjani, S1
Brun, LD1
Gagné, C1
Lupien, PJ1
Brindley, DN5
Picarel-Blanchot, F1
Bailbé, D2
Portha, B2
Arora, R1
Dryden, S1
McKibbin, PE1
Williams, G1
Storlien, LH3
Pan, DA2
Kusunoki, M2
Cooney, GJ1
Lacour, F1
Espinal, J1
Arnaud, O1
Duhault, J1
Oakes, ND1
Jenkins, AB2
Serradas, P1
Blondel, O1
Bianchi, R1
Bongers, V1
Bravenboer, B1
Erkelens, DW1
Holdaway, IM1
Wallace, E1
Westbrooke, L1
Gamble, G1
Pontiroli, AE1
Pacchioni, M1
Piatti, PM1
Cassisa, C1
Camisasca, R1
Pozza, G1
Russell, JC2
Graham, SE2
Dolphin, PJ2
Amy, RM2
Wood, GO1
Leutenegger, M1
Bauduceau, B1
Brun, JM1
Guillon-Metz, F1
Martin, C1
Nicolino-Peltier, C1
Richard, JL1
Vannereau, D1
Marquié, G1
El Madani, T1
Solera, ML1
Pieraggi, MT1
Hadjiisky, P1
Ravel, D1
Seguin, L1
Bennani, N1
Sevilla, L1
Gumà, A1
Muñoz, P1
Testar, X1
Palacín, M1
Zorzano, A1
Kolaczynski, JW1
Caro, JF1
Brogard, JM1
Neyrolles, N1
Andres, E1
Blicklé, JF1
Horácek, J1
Kuzmiaková, M1
Höschl, C1
Andĕl, M1
Bahbonh, R1
Sodoyez, JC1
Sodoyez-Goffaux, F1
Thorburn, AW1
Smythe, GA1
Chisholm, DJ1
Kraegen, EW1

Reviews

7 reviews available for fenfluramine and Insulin Resistance

ArticleYear
The insulin resistance-dyslipidemic syndrome: contribution of visceral obesity and therapeutic implications.
    International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 1995, Volume: 19 Suppl 1

    Topics: Adipose Tissue; Cardiovascular Diseases; Fenfluramine; Humans; Hyperlipidemias; Insulin Resistance;

1995
Role of glucocorticoids and fatty acids in the impairment of lipid metabolism observed in the metabolic syndrome.
    International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 1995, Volume: 19 Suppl 1

    Topics: Animals; Fatty Acids; Fatty Acids, Nonesterified; Fenfluramine; Glucocorticoids; Humans; Hydrocortis

1995
Mechanisms for the effects of benfluorex on the obese-diabetic-dyslipidemic syndrome.
    Diabetes/metabolism reviews, 1993, Volume: 9 Suppl 1

    Topics: Animals; Diabetes Mellitus; Diabetes Mellitus, Type 2; Fenfluramine; Humans; Hyperlipidemias; Hypogl

1993
Effects of benfluorex on in vivo patterns of insulin resistance induced by diets rich in fat or fructose.
    Diabetes/metabolism reviews, 1993, Volume: 9 Suppl 1

    Topics: Animals; Blood Glucose; Diabetes Mellitus, Type 2; Diet, Diabetic; Dietary Carbohydrates; Dietary Fa

1993
Insulin resistance: site of the primary defect or how the current and the emerging therapies work.
    Journal of basic and clinical physiology and pharmacology, 1998, Volume: 9, Issue:2-4

    Topics: Adipose Tissue; Appetite Depressants; Diabetes Mellitus, Type 2; Female; Fenfluramine; Humans; Hypog

1998
[Current status of the treatment of type 2 diabetes mellitus. The revival of insulin-resistance drugs].
    La Revue de medecine interne, 1999, Volume: 20 Suppl 3

    Topics: Administration, Oral; Chromans; Diabetes Mellitus, Type 2; Enzyme Inhibitors; Exercise; Fenfluramine

1999
[Mode of action of benfluorex. Recent data].
    Presse medicale (Paris, France : 1983), 1992, Sep-09, Volume: 21, Issue:28

    Topics: Animals; Arteriosclerosis; Diabetes Mellitus, Type 2; Drug Interactions; Fatty Acids; Female; Fenflu

1992

Trials

4 trials available for fenfluramine and Insulin Resistance

ArticleYear
Effects of benfluorex on insulin resistance and lipid metabolism in obese type II diabetic patients.
    Diabetes care, 1993, Volume: 16, Issue:4

    Topics: Apolipoprotein A-I; Apolipoproteins B; Appetite Depressants; Blood Glucose; C-Peptide; Cholesterol;

1993
Effect of dexfenfluramine on body weight, blood pressure, insulin resistance and serum cholesterol in obese individuals.
    International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 1995, Volume: 19, Issue:10

    Topics: Adult; Blood Pressure; Body Mass Index; Body Weight; Cholesterol; Dose-Response Relationship, Drug;

1995
Benfluorex in obese noninsulin dependent diabetes mellitus patients poorly controlled by insulin: a double blind study versus placebo.
    The Journal of clinical endocrinology and metabolism, 1996, Volume: 81, Issue:10

    Topics: 3-Hydroxybutyric Acid; Appetite Depressants; Body Weight; C-Peptide; Diabetes Mellitus; Diabetes Mel

1996
Added benfluorex in obese insulin-requiring type 2 diabetes.
    Diabetes & metabolism, 1998, Volume: 24, Issue:1

    Topics: Adolescent; Adult; Aged; Blood Glucose; Body Weight; C-Peptide; Diabetes Mellitus; Diabetes Mellitus

1998

Other Studies

14 other studies available for fenfluramine and Insulin Resistance

ArticleYear
Low central nervous system serotonergic responsivity is associated with the metabolic syndrome and physical inactivity.
    The Journal of clinical endocrinology and metabolism, 2004, Volume: 89, Issue:1

    Topics: Adult; Blood Glucose; Blood Pressure; Body Mass Index; Brain; Female; Fenfluramine; Humans; Insulin;

2004
d-Fenfluramine improves hepatic insulin action in streptozotocin-diabetic rats.
    European journal of pharmacology, 1994, Oct-24, Volume: 264, Issue:2

    Topics: Administration, Oral; Analysis of Variance; Animals; Blood Glucose; Diabetes Mellitus, Experimental;

1994
Acute dexfenfluramine administration normalizes glucose tolerance in rats with insulin-deficient diabetes.
    European journal of clinical investigation, 1994, Volume: 24, Issue:3

    Topics: Animals; Blood Glucose; Corticosterone; Diabetes Mellitus, Experimental; Dose-Response Relationship,

1994
Insulin resistance, hyperinsulinemia and diabetes--contribution of benfluorex. Prague, 11 September 1992. Symposium proceedings.
    Diabetes/metabolism reviews, 1993, Volume: 9 Suppl 1

    Topics: Animals; Diabetes Mellitus, Type 2; Fenfluramine; Humans; Hyperinsulinism; Hypoglycemic Agents; Insu

1993
Improvement in glucose tolerance of insulin resistant rats after chronic or acute administration of benfluorex.
    Life sciences, 1993, Volume: 53, Issue:20

    Topics: Administration, Oral; Animals; Blood Glucose; Drug Administration Schedule; Fenfluramine; Glucose In

1993
Syndromes of insulin resistance in the rat. Inducement by diet and amelioration with benfluorex.
    Diabetes, 1993, Volume: 42, Issue:3

    Topics: Analysis of Variance; Animals; Diet; Dietary Carbohydrates; Dietary Fats; Disease Models, Animal; Fe

1993
Benfluorex normalizes hyperglycemia and reverses hepatic insulin resistance in STZ-induced diabetic rats.
    Diabetes, 1993, Volume: 42, Issue:4

    Topics: Animals; Blood Glucose; Diabetes Mellitus, Experimental; Diabetes Mellitus, Type 2; Female; Fenflura

1993
Antiatherogenic effects of long-term benfluorex treatment in male insulin resistant JCR:LA-cp rats.
    Atherosclerosis, 1997, Jul-25, Volume: 132, Issue:2

    Topics: Animals; Arteriosclerosis; Fenfluramine; Hypolipidemic Agents; Insulin Resistance; Male; Obesity; Ra

1997
Improvement of insulin sensitivity and cardiovascular outcomes in the JCR:LA-cp rat by D-fenfluramine.
    Diabetologia, 1998, Volume: 41, Issue:4

    Topics: Acetylcholine; Animals; Aorta; Aorta, Thoracic; Aortic Diseases; Appetite Depressants; Arteriosclero

1998
Metabolic and anti-atherogenic effects of long-term benfluorex in dyslipidemic insulin-resistant sand rats (Psammomys obesus).
    Life sciences, 1998, Volume: 63, Issue:1

    Topics: Animal Nutritional Physiological Phenomena; Animals; Aorta; Arteriosclerosis; Body Weight; Cholester

1998
Benfluorex improves muscle insulin responsiveness in middle-aged rats previously subjected to long-term high-fat feeding.
    Life sciences, 1999, Volume: 64, Issue:1

    Topics: Aging; Animals; Biological Transport; Blood Glucose; Blotting, Northern; Body Weight; Deoxyglucose;

1999
The relationship between central serotonergic activity and insulin sensitivity in healthy volunteers.
    Psychoneuroendocrinology, 1999, Volume: 24, Issue:8

    Topics: Adult; Blood Glucose; Body Constitution; Body Mass Index; Brain; Fenfluramine; Glucose Clamp Techniq

1999
[Effects of chronic administration of benfluorex on the pharmacokinetics of iodine 123 labelled insulin in Zucker obese rats (fa/fa)].
    Presse medicale (Paris, France : 1983), 1992, Sep-09, Volume: 21, Issue:28

    Topics: Administration, Oral; Animals; Fenfluramine; Hypolipidemic Agents; Insulin; Insulin Resistance; Iodi

1992
Effect of d-fenfluramine on basal glucose turnover and fat-feeding-induced insulin resistance in rats.
    Diabetes, 1989, Volume: 38, Issue:4

    Topics: Adipose Tissue; Adipose Tissue, Brown; Animals; Blood Glucose; Dietary Carbohydrates; Dietary Fats;

1989