The hormones glucagon and insulin delicately regulate the concentration of blood glucose. When patients become resistant to
the effects of insulin or produce too little of it to properly regulate glucose concentrations, then diabetes can result.
Unfortunately, not all patients with insulin-resistant, type 2 diabetes mellitus respond to drugs that improve insulin sensitivity.
However, there is reason to be hopeful. A new molecule that targets glucokinase (GK), the enzyme responsible for phosphorylating
glucose in pancreatic β cells and hepatic cells, acts to significantly reduce blood glucose concentrations in rodents. The
GK activator RO-28-1675 increased the glucose affinity and Vmax of GK, and rats treated with RO-28-1675 had improved glucose
tolerance and elevated glucose uptake in liver. These results provide the basis for improved drug design that may alleviate
diabetes mellitus and the disorders that accompany it in patients.