Dysregulation of endoplasmic reticulum (ER) Ca2؉ homeostasis triggers ER stress leading to the development of insulin resistance in obesity and diabetes. Impaired function of the sarco/endoplasmic reticulum Ca 2؉ -ATPase (SERCA) has emerged as a major contributor to ER stress. We pharmacologically activated SERCA2b in a genetic model of insulin resistance and type 2 diabetes (ob/ob mice) with a novel allosteric activator, CDN1163, which markedly lowered fasting blood glucose, improved glucose tolerance, and ameliorated hepatosteatosis but did not alter glucose levels or body weight in lean controls. Importantly, CDN1163-treated ob/ob mice maintained euglycemia comparable with that of lean mice for >6 weeks after cessation of CDN1163 administration. CDN1163-treated ob/ob mice showed a significant reduction in adipose tissue weight with no change in lean mass, assessed by magnetic resonance imaging. They also showed an increase in energy expenditure using indirect calorimetry, which was accompanied by increased expression of uncoupling protein 1 (UCP1) and UCP3 in brown adipose tissue. CDN1163 treatment significantly reduced the hepatic expression of genes involved in gluconeogenesis and lipogenesis, attenuated ER stress response and ER stress-induced apoptosis, and improved mitochondrial biogenesis, possibly through SERCA2-mediated activation of AMP-activated protein kinase pathway. The findings suggest that SERCA2b activation may hold promise as an effective therapy for type-2 diabetes and metabolic dysfunction.Obesity and insulin resistance are major causes of type 2 diabetes (T2D), 2 which represents an enormous health burden to societies worldwide. T2D is now one of the most prevalent diseases globally and is the fourth leading cause of death in many developed countries (1). Endoplasmic reticulum stress (ER stress) has emerged as an important cause of the metabolic syndrome and T2D. ER stress and the unfolded protein response have now been described in organs playing key roles in metabolic homeostasis such as liver, pancreatic -cells, adipose tissue, and hypothalamus in both obese and/or diabetic humans and rodents (2-5) and have recently emerged as key pathophysiological pathways triggering insulin resistance and T2D (4). Amelioration of ER stress through chemical chaperones has been demonstrated to be a promising pharmacological strategy for treatment of T2D (6 -10). The ER is the main storage site of intracellular Ca 2ϩ , and alterations in Ca 2ϩ homeostasis have been demonstrated to trigger ER stress and activation of the unfolded protein response (11, 12). The sarco/endoplasmic reticulum Ca 2ϩ -ATPase (SERCA) pumps Ca 2ϩ from the cytoplasm into the ER. Recent studies demonstrate that SERCA dysfunction leads to elevation of cytoplasmic calcium and triggers ER stress. SERCA2 activity and expression is diminished in islets (13), liver (2, 14), and heart (15) in animal models of obesity/ diabetes, highlighting a potential pathological role for SERCA2 dysfunction and disturbed ER Ca 2ϩ homeostasis in the dev...