Teich T, Dunford EC, Porras DP, Pivovarov JA, Beaudry JL, Hunt H, Belanoff JK, Riddell MC. Glucocorticoid antagonism limits adiposity rebound and glucose intolerance in young male rats following the cessation of daily exercise and caloric restriction. Am J Physiol Endocrinol Metab 311: E56 -E68, 2016. First published May 3, 2016 doi:10.1152/ajpendo.00490.2015.-Severe caloric restriction (CR), in a setting of regular physical exercise, may be a stress that sets the stage for adiposity rebound and insulin resistance when the food restriction and exercise stop. In this study, we examined the effect of mifepristone, a glucocorticoid (GC) receptor antagonist, on limiting adipose tissue mass gain and preserving whole body insulin sensitivity following the cessation of daily running and CR. We calorically restricted male Sprague-Dawley rats and provided access to voluntary running wheels for 3 wk followed by locking of the wheels and reintroduction to ad libitum feeding with or without mifepristone (80 mg·kg Ϫ1 ·day Ϫ1 ) for 1 wk. Cessation of daily running and CR increased HOMA-IR and visceral adipose mass as well as glucose and insulin area under the curve during an oral glucose tolerance test vs. pre-wheel lock exercised rats and sedentary rats (all P Ͻ 0.05). Insulin sensitivity and glucose tolerance were preserved and adipose tissue mass gain was attenuated by daily mifepristone treatment during the post-wheel lock period. These findings suggest that following regular exercise and CR there are GC-induced mechanisms that promote adipose tissue mass gain and impaired metabolic control in healthy organisms and that this phenomenon can be inhibited by the GC receptor antagonist mifepristone. exercise; caloric restriction; glucocorticoid antagonism; glucose intolerance; adiposity rebound REPEATED BOUTS OF WEIGHT LOSS and weight regain, termed weight cycling, have been associated with a greater risk for developing cardiovascular disease and type 2 diabetes over time (5,20,26). Although caloric restriction (CR) and regular exercise reduce body fat content and improve metabolic health (74), a key component to their success is adherence. Following weight loss from CR in overweight or obese individuals, nearly one-half of the weight is regained within one year (16). This weight regain is associated with a marked deterioration in whole body insulin sensitivity, which may occur via increased adipose tissue hypertrophy and hyperplasia, changes in neuroendocrine inputs to adipose tissue (43), and reductions in skeletal muscle insulin sensitivity (32). Although regular exercise attenuates the metabolic drive to regain weight after long-term weight loss in animal models (44), humans tend to relapse toward more sedentary behavior after lifestyle interventions (79). Humans (1, 25, 31, 52, 57, 73) and rodents (13, 32-34, 36, 37) rapidly develop significant insulin resistance, glucose intolerance, and visceral fat growth when increased physical activity or dieting stops. Additionally, the reintroduction to ad libitum feeding followi...