Take a pill, burn off fat?

The Baltimore Sun

Scientists have discovered what could be the ultimate workout for couch potatoes: exercise in a pill.

In experiments on mice that did no exercise, the chemical compound, known as AICAR, allowed them to run 44 percent farther on a treadmill than those that did not receive the drug.

The drug, according to the researchers, changed the physical composition of muscle, essentially transforming the tissue from sugar-burning fast-twitch fibers to fat-burning slow-twitch ones - the same change that occurs in distance runners and cyclists through training.

The researchers said the drug's fat-burning ability could also help reduce weight, ward off diabetes and prevent heart disease - the benefits of daily aerobic activity without the perspiration.

"It's an amazing piece of pharmacology," said David Mangelsdorf, a pharmacologist at University of Texas Southwestern Medical Center in Dallas, who was not connected with the research. "You're getting the benefits of exercise without having to do any work."

It is unknown if the drug has any benefit for athletes who actually work out - or any human, for that matter, since the research has so far only involved mice.

"The mouse doctors and cell biologists are of course quite enthusiastic about these things, but the human doctors are a little more reticent," said Dr. Benjamin Levine, a cardiologist who leads the Institute for Exercise and Environmental Medicine at Presbyterian Hospital of Dallas; he was not involved in the study.

But the lead researcher, Ronald Evans, a molecular physiologist at the Salk Institute for Biological Studies in the San Diego community of LaJolla, said he has already been contacted by dozens of athletes and overweight people who have heard about his research from several lectures he has given.

Evans said he had notified world anti-doping officials, who are now scrambling to implement a test for it before the Beijing Olympics start next week.

The compound, which is naturally produced in tiny amounts in human muscle cells and has been studied for decades, is readily available through Web sites that cater to researchers. One site was offering it for $120 a gram.

With more research, Evans said, the drug might one day be used as a treatment for muscle wasting, obesity and as a means of allowing bedridden patients to reap the benefits of exercise.

The drug has been tested in humans for a variety of conditions related to the heart and repeatedly passed basic safety tests.

"It was found to be a quite safe drug, at least at the doses we were using," said Paul Laikind, a chemist who patented the compound in the 1980s and began testing it as a means of preserving blood flow to the heart during surgery.

The compound is now owned by the drug maker Schering-Plough Corp., which is trying to develop the compound as an intravenous infusion for the prevention of ischemia-reperfusion injury, a complication of bypass surgery.

The discovery of AICAR as a potential couch-potato exercise pill grew out of Evans' continuing research on creating super mice.

In 2004, he made headlines for engineering "marathon mice." By injecting a single gene into the nucleus of a fertilized egg, he created mice born with more efficient muscles, faster metabolisms and stronger hearts.

He wanted to know if it was possible to achieve the same effect using a drug.

His team didn't start with AICAR, but another compound known as GW1516, which the drug maker GlaxoSmithKline is trying to develop as a drug to raise levels of HDL, or good cholesterol.

Alan Zarembo writes for the Los Angeles Times.

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