Glucagon-like peptide 1 receptor (GLP-1R) agonists have transformed obesity treatment, but weight loss responses to these drugs vary widely. Elucidating behavioral and metabolic phenotypes throughout GLP-1R agonist treatment could identify mechanisms underlying this response spectrum. We characterized food intake, meal patterns, energy expenditure (EE), and substrate oxidation during prolonged semaglutide treatment and posttreatment recovery in […]
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Profiling Associations Between IGHG-FCGR Ligand-Receptor Interactions and Disease Progression From Stage 1 and 2 to Stage 3 Type 1 Diabetes
The primary objective of this study was to investigate whether ligand-receptor interactions (LRIs) between IGHG and FCGR gene products are associated with progression to type 1 diabetes (T1D). Using two completed clinical trials (DPT-1 and TN07), we applied next-generation targeted sequencing to genotype IGHG and FCGR genes in a cohort of 1,214 individuals and assessed […]
Read MoreMaternal Obesity Leads to Muscle Dysfunction via H19 -Mediated Programming of Insulin-Like Growth Factor 2 Signaling
Forty-two percent of American women of childbearing age have obesity, impacting offspring muscle and metabolism. The insulin-like growth factor 2 (IGF2) pathway is vital for muscle growth, but its regulation by maternal obesity (MO) remains unclear. H19, a long noncoding RNA, is reciprocally regulated with Igf2, which has multiple promoters (P0–P3). H19 interacts with EZH2, […]
Read MoreAltered Molecular Regulation of TUG Is a Central Feature of Insulin-Resistant Human Adipose Tissue
White adipose tissue (WAT) insulin resistance (IR) is a central feature of metabolic syndrome; however, data regarding defects in WAT insulin signaling in humans with IR is limited. To determine which defects in WAT insulin signaling are associated with human IR, WAT was obtained from three cohorts of patients with obesity. In a bariatric surgery […]
Read MorePhosphatidylserine Supplementation Improves Metabolic Liver Disease and Glycemic Control in the Presence of Suppressed Oxidative Glucose Metabolism
Type 2 diabetes and obesity are commonly accompanied by metabolic dysfunction–associated steatotic liver disease (MASLD), increasing the risk of developing metabolic dysfunction–associated steatohepatitis (MASH) and fibrosis. The early stages of MASLD are characterized by dysfunctional lipid metabolism, including remodeling of the hepatic lipidome. In this context, reductions in hepatic phosphatidylserine (PS) have been associated with […]
Read MoreType 2 Diabetes Genetic Risk and Type 1 Diabetes Heterogeneity and Progression
Insulin secretion varies widely in preclinical type 1 diabetes. To understand the pathogenesis of this metabolic heterogeneity, we asked whether genetic predisposition to type 2 diabetes, quantified by a type 2 diabetes genetic risk score (T2D-GRS), modulates β-cell function and disease progression in individuals at risk of type 1 diabetes. We analyzed 4,324 islet autoantibody–positive […]
Read MoreUrinary Dickkopf-3 Reveals Tubular Fibrosis and Hidden Progression in Diabetic Kidney Disease
The study by Keller et al. (1) demonstrated that urinary Dickkopf-3 (uDKK3) independently predicted kidney function decline and mortality among individuals with type 2 diabetes managed in primary care. However, a reassessment of their data reveals two clinically important yet underexplored patterns and several potential methodological limitations that may influence both interpretation and applicability. Source link
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Read MoreDiabetes Spotlight: Jay M. Sosenko, MD—Diabetic Neuropathy and Prevention Strategies for Type 1 Diabetes
For a career in diabetes, Jay Sosenko was in the right place at the right time. He had just started a fellowship in adolescent medicine at the Children’s Hospital Medical Center in Boston when he heard about a new breakthrough making waves in medicine. The attending physician in the adolescent diabetes clinic, Dr. Kenneth Gabbay, […]
Read MoreAnother Review Shows Tylenol During Pregnancy Isn’t Linked to Autism
Share on PinterestA new gold standard review confirms that paracetamol, also known as acetaminophen, is not linked to autism or ADHD. Dobrila Vignjevic/Getty Images The most rigorous review to date found that there is no evidence that paracetamol (Tylenol) use in pregnancy increases the risk of autism, ADHD, or intellectual disabilities. This contradicts the information […]
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