An intrinsic hallmark of type 1 diabetes is the correlation between appearance of autoantibodies directed against islet cell autoantigens with subsequent development of the disease. We recently studied effects of human monoclonal autoantibodies (mAbs) derived from a patient with prediabetes and demonstrated that a GAD65mAb penetrated and accumulated in β-cells and significantly reduced the insulin […]
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Federal Ban on Hemp-Derived TCH May Restrict Access to Products
Share on PinterestAdvocates for the cannabis and hemp industries say regulation is preferable to an outright ban.Image credit: Robert Alexander/Getty Images A provision in the recent federal spending bill would ban a wide range of hemp-derived cannabinoid products starting in November 2026. The proposal closes the hemp “loophole,” stemming from the 2018 Farm Bill, and […]
Read MoreO-GlcNAcylation Stabilizes NEK7 to Drive Podocyte Pyroptosis in Diabetic Kidney Disease
Diabetic kidney disease (DKD) progression involves NIMA-related kinase 7 (NEK7)–driven podocyte pyroptosis, with hyperglycemia-induced O-GlcNAcylation as a key posttranslational regulator. This study elucidates how O-GlcNAc modification governs NEK7 stability and its pathological role. We used clinical DKD specimens, high-glucose–stimulated podocytes, and streptozotocin-induced diabetic mice to first examine NEK7, O-GlcNAc, O-GlcNAc transferase (OGT), and glutamine fructose-6-phosphate […]
Read Moreδ-Cells Control a Subset of β-Cells in Mouse Pancreatic Islets
Somatostatin is a powerful inhibitor of insulin secretion and β-cell electrical activity, but the effects are weak in intact islets, possibly because of high intraislet somatostatin levels. We used optogenetics in conjunction with hormone secretion measurements, electrophysiology, and cytoplasmic free Ca2+ concentration ([Ca2+]i) imaging to interrogate the relative roles of paracrine and electrical control of […]
Read MorePathobiology of Prediabetes: Understanding and Interrupting Progressive Dysglycemia and Associated Complications
Diabetes currently affects ∼37 million adults in the U.S. and 537 million people worldwide, with type 2 diabetes (T2D) accounting for 90%–95% of the diabetes burden. The transition from normal glucose regulation (NGR) to T2D is via an intermediate stage of prediabetes, characterized by impaired fasting glucose (IFG) and impaired glucose tolerance (IGT). Prediabetes affects […]
Read MoreUse of UCHL1 Gene Expression to Estimate Adipocyte Size
Adipocyte size is linked to insulin resistance and the risk of developing type 2 diabetes. We aimed to generate a surrogate method to estimate adipocyte size by measuring adipose tissue gene expression using quantitative real-time PCR (qRT-PCR), which could be used alongside systemic measures of insulin sensitivity to predict type 2 diabetes risk. We examined […]
Read MoreHypothalamic Prostaglandins Facilitate Recovery From Severe Hypoglycemia but Exacerbate Recurrent Hypoglycemia in Mice
The hypothalamus monitors blood glucose levels and regulates glucose production in the liver. In response to hypoglycemia, glucose-inhibited (GI) neurons trigger counterregulatory responses (CRRs), which stimulate the release of glucagon, epinephrine, and cortisol to elevate blood glucose. Recurrent hypoglycemia (RH), however, reduces the effectiveness of these CRRs. This study examined the role of hypothalamic prostaglandins […]
Read MoreAtherosclerotic Cardiovascular Risk Before and After Type 2 Diabetes Onset and the Roles of Ectopic Fat and Ethnic Variation: The 2025 Edwin Bierman Award Lecture
Atherosclerotic cardiovascular disease (ASCVD) risk begins increasing years before the clinical onset of type 2 diabetes, driven in part by ectopic lipid accumulation. Many individuals predisposed to diabetes often gain weight rapidly and have limited capacity to expand subcutaneous fat, leading to central fat storage and ectopic lipid deposition—especially in the liver. Hepatic fat contributes […]
Read MoreAn Unexpected Journey Into Brown Fat Research for Metabolic Health: The 2025 Outstanding Scientific Achievement Award Lecture
For many years, brown adipose tissue (BAT) was primarily regarded as a “heat organ” for rodents. Over the past 15 years, however, research in this field has shifted significantly toward understanding of the role of BAT in metabolic health, including systemic glucose homeostasis, lipid metabolism, insulin sensitivity, and protection against cardiometabolic disease. In this award […]
Read MoreGenetic Variants Increasing TAS2R38 Bitter Taste Receptor Sensitivity Are Associated With Lower Postprandial Glycemia
TAS2R38 is a bitter taste receptor that influences bitter taste perception and diet and is also found in intestinal L cells that store and secrete glucagon-like peptide 1 (GLP-1). Preclinical studies have linked TAS2R38 activation to postprandial GLP-1 secretion, fueling interest in TAS2R38 as a therapeutic target for glucose regulation; however, evidence in humans remains […]
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