Activation of α1-ARs on adrenal glands to increase β-endorphin secretion; the released β-endorphin then stimulates peripheral MOR leading to enhance glucose uptake and attenuate hepatic gluconeogenesis
The insulin-independent plasma glucose-lowering action of these compounds was induced by activation of peripheral MOR via released β-endorphin, while the receptor mediated on the enhancement of adrenal β-endorphin secretion is still unclear.