The long-term usage of AICR (5-aminio, 4-
imidazole carboxamide riboside) to produce sustained metabolic and biological changes in mammals that overcome
insulin resistance, i.e., increase
insulin sensitivity, and result in benefits in diseases and conditions such as diabetes, hypertension, atherosclerosis,
polycystic ovary syndrome and
gallstones is described long-term usage of AICAR, particularly intermittent administration, e.g., three days per week, appears to have some of the positive effects of exercise, having an
impact on the amount Of food consumed by a subject and resulting in
reduced fat build-up and increase in
muscle mass. Therefore, AICAR administration has a positive
impact in reducing
obesity. AICAR can also Prove useful in preventing or treating vascular diseases associated with hyperglycemia,
high plasma levels of free fatty acids (FFA) and
triglyceride, and
insulin resistance by virtue of the fact that this agent activates
fatty acid oxidation. Animal tests have Shown that chronic intermittent treatment with AICAR has not resulted in any noticeable toxic effects. AICAR and related compounds are activators of AMP-activated
protein kinase (
AMPK) and, furthermore, are effective at decreasing
malonyl CoA levels in the animal.