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| Open AccessViral infiltration of pancreatic islets in patients with COVID-19
New-onset hyperglycemia and complications of preexisting diabetes have been observed in COVID-19 patients, however, the underlying mechanisms are not fully understood. Here, the authors show that SARS-CoV-2 is detectable in both endocrine and exocrine cells of the pancreata of patients with COVID-19.
- Charlotte Steenblock
- , Stefanie Richter
- & Stefan R. Bornstein
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| Open AccessSmart-watch-programmed green-light-operated percutaneous control of therapeutic transgenes
Wearable smart devices often have green light diodes to monitor health. Here the authors use this to control a light-activated genetic switch for GLP1 production in diabetic mice.
- Maysam Mansouri
- , Marie-Didiée Hussherr
- & Martin Fussenegger
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| Open AccessVisceral obesity and insulin resistance associate with CD36 deletion in lymphatic endothelial cells
Genetic variants in CD36 have been associated with metabolic syndrome. Here, the authors found that lymphatic vessel integrity and lipid transport are influenced by CD36 expression, and lymphatic endothelial cell CD36 deficiency causes visceral obesity and insulin resistance, which are risk factors for metabolic syndrome and diabetes.
- Vincenza Cifarelli
- , Sila Appak-Baskoy
- & Nada A. Abumrad
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| Open AccessChemical combinations potentiate human pluripotent stem cell-derived 3D pancreatic progenitor clusters toward functional β cells
Human pluripotent stem cell (hPSC) derived pancreatic beta cells are a promising and potentially limitless source for cell replacement therapy. Here the authors perform stage-wise chemical screening to develop an improved protocol for hPSC differentiation to functional pancreatic beta cells at high efficiency.
- Haisong Liu
- , Ronghui Li
- & Juan Carlos Izpisua Belmonte
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| Open AccessSam68 promotes hepatic gluconeogenesis via CRTC2
Hepatic gluconeogenesis is important for glucose homeostasis and a therapeutic target for type 2 diabetes. Here, the authors show that the RNA-binding adaptor protein Sam68 promotes the expression level of gluconeogenic genes and increases blood glucose levels by stabilizing the transcriptional coactivator CRTC2, while hepatic Sam68 deletion alleviates hyperglycemia in mice.
- Aijun Qiao
- , Junlan Zhou
- & Gangjian Qin
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| Open AccessA small molecule HIF-1α stabilizer that accelerates diabetic wound healing
Impaired wound healing is a serious complication in diabetic patients, and is associated with reduced HIF1α stability. Here, the authors design a small molecule that stabilizes HIF1α by blocking its interaction with VHL and show that it promotes wound healing in mouse models of diabetes.
- Guodong Li
- , Chung-Nga Ko
- & Chung-Hang Leung
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| Open AccessReinforcing one-carbon metabolism via folic acid/Folr1 promotes β-cell differentiation
Regeneration of insulin-producing beta-cells may become a future alternative treatment of diabetes. Here the authors report a genetic screen in a zebrafish model that mimics the loss of beta-cells in diabetes, and identified that the folate receptor Folr1 or folinic acid treatment can stimulate beta-cell regeneration.
- Christos Karampelias
- , Habib Rezanejad
- & Olov Andersson
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Article
| Open AccessA functional motif of long noncoding RNA Nron against osteoporosis
LncRNAs are implicated in the pathogenesis of a number of diseases. Here, the authors show that the lncRNA Nron suppresses bone resorption, and show that delivery of a functional motif of Nron increases bone mass in mouse models of osteoporosis.
- Fujun Jin
- , Junhui Li
- & Xiaogang Wang
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Article
| Open AccessA deep learning system for detecting diabetic retinopathy across the disease spectrum
As the leading cause of vision loss in working-age adults, diabetic retinopathy requires routinely retinal screening. Here the authors develop a deep learning system that can facilitate the screening by providing real-time image quality assessment, lesions detection, and grades across the disease spectrum.
- Ling Dai
- , Liang Wu
- & Weiping Jia
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Article
| Open AccessDecreased GLUT2 and glucose uptake contribute to insulin secretion defects in MODY3/HNF1A hiPSC-derived mutant β cells
Heterozygous HNF1A mutations can give rise to maturity onset diabetes of the young 3 (MODY3), characterized by insulin secretion defects. Here the authors show that MODY3-related HNF1A mutation in patient hiPSCderived pancreatic cells decreases glucose transporter GLUT2 expression due to compromised DNA binding.
- Blaise Su Jun Low
- , Chang Siang Lim
- & Adrian Kee Keong Teo
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Article
| Open AccessOrphan GPR116 mediates the insulin sensitizing effects of the hepatokine FNDC4 in adipose tissue
The soluble bioactive form of the transmembrane protein fibronectin type III domain containing 4 (sFNDC4) has anti-inflammatory effects and improves insulin sensitivity. Here the authors show that liver derived sFNDC4 signals through adipose tissue GPCR GPR116 to promote insulin-mediated glucose uptake.
- Anastasia Georgiadi
- , Valeria Lopez-Salazar
- & Stephan Herzig
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Article
| Open AccessA BAFF/APRIL axis regulates obesogenic diet-driven weight gain
Interactions between the immune system and adipose tissue contribute to the regulation of body weight, however, the underlying mechanisms remain incompletely understood. Here the authors dissect the role of two structurally and functionally similar immune mediators, BAFF and APRIL, in modifying diet-induced weight gain and adipocyte lipid handling.
- Calvin C. Chan
- , Isaac T. W. Harley
- & Senad Divanovic
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| Open AccessSingle nucleus multi-omics regulatory landscape of the murine pituitary
The pituitary gland plays important roles in the regulation of key physiological functions. Here the authors provide a multiomics atlas including transcriptome, chromatin accessibility, and methylation status of over 70,000 single nuclei (sn) from mouse pituitaries.
- Frederique Ruf-Zamojski
- , Zidong Zhang
- & Stuart C. Sealfon
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| Open AccessPeripheral-specific Y1 receptor antagonism increases thermogenesis and protects against diet-induced obesity
Neuropeptide Y signalling in the periphery contributes to the regulation of metabolic and energy homeostasis. Here the authors show that blocking Y1R signalling in peripheral tissues using the selective antagonist BIBO3304 ameliorates diet-induced obesity and improves whole-body glucose metabolism.
- Chenxu Yan
- , Tianshu Zeng
- & Yan-Chuan Shi
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Article
| Open AccessRANKL regulates male reproductive function
There are few treatments for male infertility. Here, the authors show that the receptor activator of NF-κB ligand (RANKL) signalling pathway has important functions in sperm production and maturation, improves fertility in male mice and shows potential as a male infertility target.
- Martin Blomberg Jensen
- , Christine Hjorth Andreassen
- & Anders Juul
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| Open AccessCOVID-19 pathophysiology may be driven by an imbalance in the renin-angiotensin-aldosterone system
The SARS-CoV-2 receptor ACE2 is involved in the Renin-Angiotensin-Aldosterone System (RAAS). Over-activation of RAAS in swine results in a disease state similar to that of COVID-19 in human patients, suggesting that COVID-19 pathophysiology may be driven, at least in part, by an imbalance of this hormonal system.
- Susanne Rysz
- , Jonathan Al-Saadi
- & Johan Lundberg
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| Open AccessActivating mutations in BRAF disrupt the hypothalamo-pituitary axis leading to hypopituitarism in mice and humans
Mutations in components of the MAP kinase pathway are associated with a group of syndromes known as RASopathies. Here, the authors identify gain-of-function mutations in BRAF in patients with RASopathies and congenital hypopituitarisms. This article demonstrates a central role for BRAF in the development of the hypothalamo-pituitary axis leading to endocrine deficiencies in patients with RASopathies.
- Angelica Gualtieri
- , Nikolina Kyprianou
- & Carles Gaston-Massuet
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Article
| Open AccessLoss of bone morphogenetic protein-binding endothelial regulator causes insulin resistance
Type 2 diabetes is associated with chronic inflammation and is characterized by insulin resistance. Here, the authors identify a crucial role for endothelial BMPER function in glucose homeostasis, and BMPER overexpression was shown to alleviate insulin resistance and hyperglycemia in diabetic mice.
- Hua Mao
- , Luge Li
- & Xinchun Pi
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| Open AccessMetabolic responses to mild cold acclimation in type 2 diabetes patients
Cold acclimation has been shown to have beneficial metabolic effects, including improved insulin sensitivity in patients with type 2 diabetes. Here the authors show that a mild cold acclimation regiment during which overt shivering was prevented did not result in improved insulin sensitivity in a small group of patients with type 2 diabetes.
- Carlijn M. E. Remie
- , Michiel P. B. Moonen
- & Patrick Schrauwen
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| Open AccessHyocholic acid species as novel biomarkers for metabolic disorders
The early identification of metabolic disorders could improve or prevent overt disease. Here the authors show that the circulating concentration of hyocholic acid (HCA) species is decreased in the context of obesity and diabetes and increased after gastric bypass surgery in humans, and further that serum HCA species are predictive of metabolic outcomes in healthy individuals.
- Xiaojiao Zheng
- , Tianlu Chen
- & Wei Jia
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| Open AccessLysates of Methylococcus capsulatus Bath induce a lean-like microbiota, intestinal FoxP3+RORγt+IL-17+ Tregs and improve metabolism
Dietary changes can impact the microbial constitution of the gastrointestinal tract and modulate the local immune response. Here, the authors show supplementation using lysates of Methylococcus capsulatus Bath result in changes to the microbiota, modulate Treg populations and metabolic read outs in a dietary control murine model.
- Benjamin A. H. Jensen
- , Jacob B. Holm
- & Tor E. Lea
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Article
| Open AccessThe Goto-Kakizaki rat is a spontaneous prototypical rodent model of polycystic ovary syndrome
Although polycystic ovary syndrome is the most common cause of female infertility, its etiology remains poorly understood. Here, the authors report a rat model that spontaneously exhibits the clinical heterogeneity of this syndrome and demonstrate that the phenotype is developmentally programmed.
- Camille Bourgneuf
- , Danielle Bailbé
- & Chrystèle Racine
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| Open AccessGWAS for autoimmune Addison’s disease identifies multiple risk loci and highlights AIRE in disease susceptibility
Autoimmune Addison’s disease is a rare complex disease, which has not yet been characterized by non-biased genetic studies. Here, the authors perform the first GWAS for the disease, identifying nine loci including two coding variants in the gene Autoimmune Regulator (AIRE).
- Daniel Eriksson
- , Ellen Christine Røyrvik
- & Eystein Sverre Husebye
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| Open AccessGenetic determinants of daytime napping and effects on cardiometabolic health
The genetic basis of daytime napping and the directional effect of daytime napping on cardiometabolic health are unknown. Here, the authors perform a genome-wide association study on self-reported daytime napping in the UK Biobank and Mendelian randomization to explore causal associations.
- Hassan S. Dashti
- , Iyas Daghlas
- & Richa Saxena
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| Open AccessTime-restricted feeding normalizes hyperinsulinemia to inhibit breast cancer in obese postmenopausal mouse models
Obesity and its associated metabolic changes, including hyperinsulinemia and aberrant circadian rhythms, increases the risk for a variety of cancers including postmenopausal breast cancer. Here, the authors show that restricting when mice eat, but not what or how much they eat, delays breast cancer initiation and reduces tumor growth in obese mice in addition to improving insulin sensitivity and restoring circadian rhythms.
- Manasi Das
- , Lesley G. Ellies
- & Nicholas J. G. Webster
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| Open AccessLoss of POMC-mediated antinociception contributes to painful diabetic neuropathy
Proopiomelanocortin is an anti-nociceptive peptide. Here the authors show in a mouse model of diabetes, that this peptide is downregulated, which may contribute to the neuropathic pain like behaviour in these models.
- Divija Deshpande
- , Nitin Agarwal
- & Peter Nawroth
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| Open AccessA metabolically stable apelin-17 analog decreases AVP-induced antidiuresis and improves hyponatremia
Apelin and AVP have opposing effects water balance in humans and rodents. Here, the authors report that a metabolically stable apelin-17 analog, by acting at the kidney level, reduces AVP-induced antidiuresis and improves hyponatremia in rodents, demonstrating a potential approach for treating water metabolism disorders.
- Adrien Flahault
- , Pierre-Emmanuel Girault-Sotias
- & Catherine Llorens-Cortes
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| Open AccessDsbA-L deficiency in T cells promotes diet-induced thermogenesis through suppressing IFN-γ production
Adipose tissue-resident T cells are known to regulate thermogenesis and energy expenditure. Here the authors report that deletion of mitochondria-localized protein DsbA-L in T cells promotes diet-induced thermogenesis via suppressing IFN-γ production.
- Haiyan Zhou
- , Xinyi Peng
- & Feng Liu
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Article
| Open AccessAn autophagy enhancer ameliorates diabetes of human IAPP-transgenic mice through clearance of amyloidogenic oligomer
Islet amyloid polypeptide (IAPP) deposition is associated with islet cell loss in diabetes. Here the authors show that a small molecule autophagy enhancer reduces IAPP accumulation in vitro, and also improves glucose tolerance in hIAPP+ mice fed high-fat diet, accompanied by reduced hIAPP accumulation, in vivo.
- Jinyoung Kim
- , Kihyoun Park
- & Myung-Shik Lee
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| Open AccessSex-dimorphic genetic effects and novel loci for fasting glucose and insulin variability
Sex differences in fasting glucose and insulin have been identified, but the genetic loci underlying these differences have not. Here, the authors perform a meta-analysis of genome-wide association studies to detect sex-specific and sex-dimorphic loci associated with fasting glucose and insulin.
- Vasiliki Lagou
- , Reedik Mägi
- & Inga Prokopenko
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| Open AccessImprovement of obesity-associated disorders by a small-molecule drug targeting mitochondria of adipose tissue macrophages
Adipose tissue macrophages are central to controlling inflammation in the context of obesity. Here the authors present a new infrared dye (IR-61) that accumulates in the mitochondria of these cells resulting in anti-inflammatory effects that counter obesity-associated pathology in mice.
- Yawei Wang
- , Binlin Tang
- & Chunmeng Shi
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Article
| Open AccessDeletion of Trim28 in committed adipocytes promotes obesity but preserves glucose tolerance
The genetic determinants of sex-specific differences in obesity are still incompletely understood. Here, the authors demonstrate that adipocyte specific loss of Trim28 in committed adipocytes leads to sex specific differences in the development of obesity, and that this phenotype is associated with altered metabolic flexibility and lipid metabolism.
- Simon T. Bond
- , Emily J. King
- & Brian G. Drew
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| Open AccessVitamin D metabolites and the gut microbiome in older men
Here, the authors investigate associations of vitamin D metabolites with gut microbiome in a cross-sectional analysis of 567 elderly men enrolled in the Osteoporotic Fractures in Men (MrOS) Study and find larger alpha-diversity correlates with high 1,25(OH)2D and high 24,25(OH)2D and higher ratios of activation and catabolism.
- Robert L. Thomas
- , Lingjing Jiang
- & Deborah M. Kado
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| Open AccessWisp1 is a circulating factor that stimulates proliferation of adult mouse and human beta cells
The proliferation of pancreatic beta cells decreases with age, partly due to systemic changes. Here the authors identify Wisp1 as a circulating factor enriched in young serum that induces adult beta cell proliferation, supporting the idea that young blood factors may be useful to expand beta cell mass.
- Rebeca Fernandez-Ruiz
- , Ainhoa García-Alamán
- & Rosa Gasa
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| Open AccessImidazole propionate is increased in diabetes and associated with dietary patterns and altered microbial ecology
Gut microbial metabolism of nutrients contributes to metabolic diseases, and the histidine metabolite imidazole propionate (ImP) is produced by type 2 diabetes (T2D) associated microbiome. Here the authors report that circulating ImP levels are increased in subjects with prediabetes or T2D in three European populations, and this increase associates with altered gut microbiota rather than dietary histidine.
- Antonio Molinaro
- , Pierre Bel Lassen
- & Fredrik Bäckhed
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| Open AccessPrimary cilia mediate early life programming of adiposity through lysosomal regulation in the developing mouse hypothalamus
Ciliary defects and obesity has been associated, but the underlying mechanism is unclear. Here, the authors show that inhibition of ciliogenesis in POMC neurons during development results in lysosomal protein degradation-dependent axonal disruption and adult obesity in mice.
- Chan Hee Lee
- , Do Kyeong Song
- & Min-Seon Kim
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Article
| Open AccessMetformin enhances anti-mycobacterial responses by educating CD8+ T-cell immunometabolic circuits
Metformin is an anti-diabetic drug that has shown promise to reduce M. tuberculosis susceptibility. Here the authors show that this effect is a result of metformin-mediated activation of anti-mycobacterial memory-like antigen-inexperienced CD8+CXCR3+ T cells, an effect that also boosts response to BCG vaccination.
- Julia Böhme
- , Nuria Martinez
- & Amit Singhal
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Article
| Open AccessDefining the impact of dietary macronutrient balance on PCOS traits
Lifestyle interventions are first-line treatment for women with polycystic ovary syndrome (PCOS), but the optimal diet remains undefined. Here the authors identify an optimum dietary macronutrient balance that can rectify PCOS reproductive traits in a mouse model of PCOS, while metabolic features were less sensitive to diet changes.
- Valentina Rodriguez Paris
- , Samantha M. Solon-Biet
- & Kirsty A. Walters
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Article
| Open AccessLeptin alters energy intake and fat mass but not energy expenditure in lean subjects
Leptin treatment is effective to reduce body weight in animal models, but patients with obesity and associated hyperleptinemia do not respond well to leptin therapy. Here the authors report a retrospective analysis of four clinical trials in normo- and mildly hypoleptinemic individuals and show that leptin therapy alters food intake in the short term and reduces weight and fat mass in the long term without effects on energy expenditure.
- Pavlina Chrysafi
- , Nikolaos Perakakis
- & Christos S. Mantzoros
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| Open AccessGut microbiome-related effects of berberine and probiotics on type 2 diabetes (the PREMOTE study)
The gut microbiome affects systemic metabolism and is a therapeutic target for type 2 diabetes. Here the authors demonstrate in a randomized controlled trial that effects of berberine, a plant alkaloid known to lower blood glucose, may be explained by the inhibition of Ruminococcus bromii mediated biotransformation of the bile acid deoxycholic acid.
- Yifei Zhang
- , Yanyun Gu
- & Weiqing Wang
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Article
| Open AccessChronic glucose-dependent insulinotropic polypeptide receptor (GIPR) agonism desensitizes adipocyte GIPR activity mimicking functional GIPR antagonism
Both agonism and antagonism of the glucose-dependent insulinotropic polypeptide receptor (GIPR) lead to weight loss in combination with glucagon-like peptide-1 receptor agonists in preclinical models. Here the authors show that this may be explained by desensitization of GIPR activity by chronic GIPR agonism in vitro and in vivo.
- Elizabeth A. Killion
- , Michelle Chen
- & David J. Lloyd
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Article
| Open AccessGPR101 drives growth hormone hypersecretion and gigantism in mice via constitutive activation of Gs and Gq/11
Growth hormone (GH) is a major modulator of physical growth and metabolism that is under tight regulatory control. Here the authors describe the signaling profile of GPR101, an orphan receptor that enhances GH secretion principally via constitutively activated Gs-PKA and Gq/11-PKC pathways.
- Dayana Abboud
- , Adrian F. Daly
- & Julien Hanson
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Article
| Open AccessTime-restricted feeding alters lipid and amino acid metabolite rhythmicity without perturbing clock gene expression
Time restricted feeding has several health benefits. Here the authors perform a randomised cross-over study with 11 men with overweight/obesity to investigate how time restricted feeding affects skeletal muscle and serum, and report that it does not affect the core circadian machinery, but modifies periodicity in amino acid related metabolites and transporters.
- Leonidas S. Lundell
- , Evelyn B. Parr
- & John A. Hawley
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Article
| Open AccessTranscriptomic analysis links diverse hypothalamic cell types to fibroblast growth factor 1-induced sustained diabetes remission
In rodent models of type 2 diabetes, sustained remission of hyperglycemia can be induced by FGF1 action in the mediobasal hypothalamus. Here, the authors show that FGF1-injection is followed by marked changes in glial cell populations and that the sustained glycemic response is dependent on intact melanocortin signaling.
- Marie A. Bentsen
- , Dylan M. Rausch
- & Tune H. Pers
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Article
| Open AccessTET1 is a beige adipocyte-selective epigenetic suppressor of thermogenesis
Epigenetic regulators contribute to the modulation of adipose thermogenesis by sensing environmental cues and regulating gene expression in response. Here the authors report that a DNA demethylase TET1 mediates epigenetic changes to repress thermogenic genes in mouse adipose tissue.
- Sneha Damal Villivalam
- , Dongjoo You
- & Sona Kang
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Article
| Open AccessParaventricular hypothalamus mediates diurnal rhythm of metabolism
Defective rhythmic metabolism is associated with high-fat diet feeding and obesity. The authors show that the clock gene BMAL1 drives paraventricular hypothalamic neuron activity via rhythmic GABAergic neurotransmission, and that this mediates diurnal metabolism and diet-induced obesity.
- Eun Ran Kim
- , Yuanzhong Xu
- & Qingchun Tong
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Article
| Open AccessPlasma levels of DPP4 activity and sDPP4 are dissociated from inflammation in mice and humans
DPP4 inhibitors are used for the treatment of diabetes, but the impact of DPP4 activity and soluble DPP4 on development of diabetes-associated inflammation remains uncertain. Here the authors study whether DPP4 inhibition controls sDPP4 and inflammatory biomarkers, and demonstrate that DPP4 inhibition is dissociated from changes in inflammation in mice and humans.
- Laurie L. Baggio
- , Elodie M. Varin
- & Daniel J. Drucker
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Article
| Open AccessMolecular engineering of safe and efficacious oral basal insulin
Recently, the first orally-administered ultra-long acting insulin was shown to have clinical efficacy. Here, the authors report the molecular engineering, as well as the biological and pharmacological properties of these insulin analogues.
- Frantisek Hubálek
- , Hanne H. F. Refsgaard
- & Thomas Kjeldsen
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Article
| Open AccessMucosal-associated invariant T cells promote inflammation and intestinal dysbiosis leading to metabolic dysfunction during obesity
Inflammation, immune cells and the host microbiota are intimately linked in the pathophysiology of obesity and diabetes. Here the authors show mucosal-associated invariant T cells fuel inflammation in the tissues and serve a function in promoting metabolic breakdown, polarising macrophage populations and inducing dysbiosis of the intestinal microbiota.
- Amine Toubal
- , Badr Kiaf
- & Agnès Lehuen