الخميس، 24 مارس 2016

Euglycemia Restoration by Central Leptin in Type 1 Diabetes Requires STAT3 Signaling but Not Fast-Acting Neurotransmitter Release

Central leptin action is sufficient to restore euglycemia in insulinopenic type 1 diabetes (T1D); however, the underlying mechanism remains poorly understood. To examine the role of intracellular signal transducer and activator of transcription 3 (STAT3) pathways, we used LepRs/s mice with disrupted leptin-phosphorylated STAT3 signaling to test the effect of central leptin on euglycemia restoration. These mice developed streptozocin-induced T1D, which was surprisingly not associated with hyperglucagonemia, a typical manifestation in T1D. Further, leptin action on euglycemia restoration was abrogated in these mice, which was associated with refractory hypercorticosteronemia. To examine the role of fast-acting neurotransmitters glutamate and -aminobutyric acid (GABA), two major neurotransmitters in the brain, from leptin receptor (LepR) neurons, we used mice with disrupted release of glutamate, GABA, or both from LepR neurons. Surprisingly, all mice responded normally to leptin-mediated euglycemia restoration, which was associated with expected correction from hyperglucagonemia and hyperphagia. In contrast, mice with loss of glutamate and GABA appeared to develop an additive obesity effect over those with loss of single neurotransmitter release. Thus, our study reveals that STAT3 signaling, but not fast-acting neurotransmitter release, is required for leptin action on euglycemia restoration and that hyperglucagonemia is not required for T1D.



Source Diabetes Pathophysiology http://ift.tt/1VHQBuv

Disulfide Mispairing During Proinsulin Folding in the Endoplasmic Reticulum

Proinsulin folding within the endoplasmic reticulum (ER) remains incompletely understood, but it is clear that in mutant INS gene–induced diabetes of youth (MIDY), progression of the (three) native disulfide bonds of proinsulin becomes derailed, causing insulin deficiency, β-cell ER stress, and onset of diabetes. Herein, we have undertaken a molecular dissection of proinsulin disulfide bond formation, using bioengineered proinsulins that can form only two (or even only one) of the native proinsulin disulfide bonds. In the absence of preexisting proinsulin disulfide pairing, Cys(B19)-Cys(A20) (a major determinant of ER stress response activation and proinsulin stability) preferentially initiates B-A chain disulfide bond formation, whereas Cys(B7)-Cys(A7) can initiate only under oxidizing conditions beyond that existing within the ER of β-cells. Interestingly, formation of these two "interchain" disulfide bonds demonstrates cooperativity, and together, they are sufficient to confer intracellular transport competence to proinsulin. The three most common proinsulin disulfide mispairings in the ER appear to involve Cys(A11)-Cys(A20), Cys(A7)-Cys(A20), and Cys(B19)-Cys(A11), each disrupting the critical Cys(B19)-Cys(A20) pairing. MIDY mutations inhibit Cys(B19)-Cys(A20) formation, but treatment to force oxidation of this disulfide bond improves folding and results in a small but detectable increase of proinsulin export. These data suggest possible therapeutic avenues to ameliorate ER stress and diabetes.



Source Diabetes Pathophysiology http://ift.tt/1XP8GFt

الثلاثاء، 22 مارس 2016

الخميس، 17 مارس 2016

الثلاثاء، 15 مارس 2016

Diabetes Urine Tests

Title: Diabetes Urine Tests
Category: Procedures and Tests
Created: 1/31/2005 12:00:00 AM
Last Editorial Review: 3/15/2016 12:00:00 AM

Source MedicineNet Diabetes General http://ift.tt/1yt2bLM

Eating Heathy With Diabetes grocery tour at my local Vons

By Marie Feldman RD, CDE Author: The Big Book of Diabetes Recipes (Adams Media January 2016) Blog: http://ift.tt/1Uea6Lj This past Saturday I had the wonderful opportunity to conduct an Eating Heathy With Diabetes grocery tour at my local Vons. Being that this was the first tour I had ever conducted, I didn’t know quite what to expect and was both nervous and excited to embark upon the experience! The outcome was actually fantastic and the participants AND I both learned a lot. We started out in a cozy conference room with some snacks and enjoyed a great overview of diabetes by the Vons pharmacist also leading the tour. Then she kindly introduced me and I went over some of the basics about diabetes nutrition, carb counting and reading labels. After that we set out on the 90 minute walking tour and boy did time fly! I went through every section of the store and highlighted key points about the different food categories, suggested good choices and specific products with attention to labels, as well. It was really fun to hear all the great questions and comments from the 12 participants. We actually had the bonus of both a manager and [...]

Source Diabetic recipes, free diabetes magazine & more! http://ift.tt/1PavdpW