Healthy Subjects Clinical Trial
Official title:
Effects of KATP Channel Blockers on GLP-1 and Its Analogues' Mediated Microvascular Function
This study aims to examine the involvement of KATP channels on the microvascular actions of the incretin GLP-1 and its analogues in healthy individuals and to determine whether the acute oral administration of different KATP channel blockers which are oral medications for Type 2 diabetes such as Glibenclamide and Glimepiride differentially modulate the microvascular responses in these individuals.
In addition to the glucose lowering effect, incretin based therapies have also an effect on
the vascular system. Previous animal work and initial human studies suggest that incretins
may be cardioprotective and act as vasodilators through opening of KATP channels.
Initial evidence suggests that beneficial vascular effects of incretin modifying agents may
be nullified by the co-current treatment of the sulfonylurea (SU) drug glibenclamide. The
investigators hypothesis is that the GLP-1 and SUs may have conflicting effects on the KATP
channels and thus vascular function.
Interestingly the vascular actions of GLP-1 were not modified by a different treatment SUs
called glimepiride, thereby raising the possibility that SUs differentially modulating the
vascular actions of GLP-1 though this remains controversial.
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