The SeP-neutralizing Ab improved glucose metabolism impaired by excess SeP. a, b Neutralizing mAb AE2 improved glucose tolerance impaired by human SeP administration in vivo. After the administration of AE2 and hSeP following the scheme of Supplementary Fig. 4a, glucose (1.5 g/kg) was administered, and then blood glucose was determined (a, n = 6–8, means ± s.e.m.). Open triangle, PBS/control IgG; green square, PBS/AE2; red circle, hSeP(+)/control IgG; blue circle, hSeP(+)/AE2. **P < 0.01, when compared hSeP(+)/control IgG group with other groups, Tukey-ANOVA. Area under the curve for blood glucose levels is shown in b (n = 6–8, means ± s.e.m.). *P < 0.05, Student's t-test. c–e Neutralizing mAb AE2 improved insulin resistance impaired by SeP administration in vivo. After the administration of AE2 and hSeP following the scheme shown in Supplementary Fig. 4a, insulin (0.5 U/kg) was administered, and blood glucose was determined (c, n = 5–8, means ± s.e.m.). **P < 0.01, ***P < 0.001, Tukey-ANOVA. Area under the curve for blood glucose levels is shown in d (n = 5–8, means ± s.e.m.). ***P < 0.001, Student's t-test. Effect of AE2 mAb administration on phosphorylation of insulin receptor (IR) and Akt in skeletal muscle (e). In AE2- and hSeP-treated mice, muscle tissues were excised 15 min after insulin administration (0.5 U/kg), and analysed by western blotting (n = 5–8, means ± s.e.m.). *P < 0.05, Student's t-test. f Blood insulin levels were significantly decreased by human SeP administration. Blood insulin levels were determined 2 h after second hSeP or PBS administration under feeding conditions (n = 5, means ± s.e.m.). **P < 0.01, Student's t-test. g Blood insulin levels were significantly increased by AE2 administration under feeding conditions (n = 5, means ± s.e.m.). *P < 0.05, **P < 0.01, Tukey-ANOVA. h Blood insulin levels were significantly increased during a glucose-tolerance test. At each designated time, blood insulin was determined (n = 7–8, means ± s.e.m.). *P < 0.05, **P < 0.01, Tukey-ANOVA (c, h). Closed circle, hSeP(+)/control IgG; open circle, hSeP(+)/AE2