Showing posts with label genetic. Show all posts
Showing posts with label genetic. Show all posts

Tuesday, August 23, 2011

#Diabetes - Researchers Identify New Target for Treatment of Type 2 Diabetes and Prediabetes


Released: 8/22/2011 12:45 PM EDT
Source: Joslin Diabetes Center
Newswise — BOSTON — Aug. 22, 2011 — Researchers at the Joslin Diabetes Center have shown that an enzyme found in the mitochondria of cells is decreased in the skeletal muscle of those with type 2 diabetes, a finding that could lead to the development of drugs to boost the activity of this enzyme in an effort to fight the disease.
A paper in published online today in the Proceedings of the National Academy of Sciences, showed that the enzyme, Sirt3, is decreased in the skeletal muscle of humans and animals with diabetes by at least half, compared to those without diabetes and that this may contribute to development of insulin resistance, one of the earliest manifestations of the disease. Sirt3 is found in the mitochondria, the power producers of cells that convert energy into usable forms.
“Ours is perhaps the first study to understand what is going wrong in the mitochondria of those with diabetes,” said senior author C. Ronald Kahn, M.D., Head of the Joslin Section on Integrative Physiology and Metabolism and the Mary K. Iacocca Professor of Medicine at Harvard Medical School. “Many studies have shown that the mitochondria don’t work well in those with diabetes. This points to a cause of why they don’t work well.”
Dr. Kahn said the study sought to look at how decreased Sirt3 levels might affect the metabolism of cells, particularly how it could affect insulin action in cells. “We know that one of the hallmarks of early diabetes is insulin resistance in muscle, but we didn’t know what caused it,” he said.
He said the study showed that when Sirt3 levels are low, as they are in the case of diabetes, the mitochondria of the cells are not as efficient in energy metabolism as they should be.
When the mitochondria become inefficient, they generate what are known as reactive oxygen species (ROS), chemically reactive molecules containing oxygen, which create insulin resistance in the muscles, he said.
“This is the first time this has been shown,” Dr. Kahn said.
The goal for the future will be to find ways to restore levels of Sirt3 or increase the activity of the existing Sirt3, perhaps with a drug, in a bid to improve insulin resistance in the muscle and improve muscle metabolism, he said.
“It is a new target,” he said.
Dr. Kahn noted that this study is one of the first demonstrations of a single defect that could affect mitochondrial metabolism and insulin signaling in the muscle.
“In further studies we will try to understand what proteins Sirt3 acts on,” he said.
He noted that one of the earliest hallmarks of diabetes is insulin resistance in the skeletal muscle. As a result, a drug to boost Sirt3 levels could be useful in the treatment of prediabetes or in those newly diagnosed with the disease, he said.
“Agents which increase Sirt3 activity could, therefore, potentially reverse at least some of the adverse effects of type 2 diabetes,” the paper concludes.
Co-authors included Enxuan Jing, lead author, as well as Brice Emanuelli, Jeremie Boucher and Kevin Lee, all of Joslin; Matthew D. Hirschey and Eric M. Verdin, both of Gladstone Institute of Virology and Immunology and the University of California, San Francisco; and David Lombard, formerly of the Department of Genetics at Harvard Medical School and currently at the Department of Pathology and Institute of Gerontology at the University of Michigan.
Dr. Verdin noted that by “uncovering the multi-faceted role of SIRT3, we are laying important groundwork to better combat this widespread disease at the cellular level.”
The study was supported by research grants to Kahn and Verdin as well as a grant from the Ellison Foundation and the Mary K. Iacocca Professorship. The study also received support from the Joslin DERC cores laboratories.

Saturday, January 22, 2011

Day 6

12:00 PM

Well, I'm a little slow getting on the blog-o-sphere this morning. It's Saturday, what can I say, weekends are suppose to be slow, right?

I had another 3 readings in a row under 200 but again it was busted by my 11:00 reading. I'm sure the 11:00's are affected by my breakfasts, and I'm okay with that since the carb content was not in excess, at all. I realize that everything I eat will affect my sugar. And I am trying to adopt the philosophy that you eat a good breakfast, a decent lunch and a small dinner. Or as I once read, eat breakfast, share lunch with a friend and give dinner to your enemy (or something like that).
Had a nice long telephone conversation with my mom this morning. She is pre-diabetic and has been for years, but it was interesting to find out that not only did my grandmother & one of my uncles have Diabetes, but so did my great-grandmother & one of my other uncles. That is three generations preceding me and so far my younger sister & I have become the fourth generation that we know of. And with my daughter & granddaughter both being hypoglycemic I see the potential for the next 2 generations being diabetic also because to me Hypoglycemia is the sister to Diabetes. The body is not processing glucose correctly in both instances, so they seem to be pretty closely related.

Well, lunch today was another learning thing. We decided to have Pimento Cheese sandwiches. I bought an Italian bread with only 15g of carbs per slice, so knowing I had 30g already I needed to be sure of my Pimento Cheese. Well, the package says 2g per serving and a serving is 2 TBSP. I get my measuring spoon out and I'm thinking that 2 TBSP is not going to make much of a sandwich so this is going to determine how much Pimento Cheese stays in my repertoire of options. Amazingly it covered 2/3 of this bread with a sufficient amount for a sandwich. Now had this been a regular slice of bread it would have been perfect, but this Italian bread is slightly wider than a regular loaf so I actually used 3 TBSP, but still, at 2g/TBSP that only added 1 more gram. And no mayo since I prefer mustard with my Pimento Cheese, so no added carbs there.

7:30
Good number at my 4:00 check. Had a good chat with my little sister this afternoon. She is a wonderful resource for me since she has  had Diabetes for a few years. She sent me to allrecipes.com where I can search for recipes by ingredients I want in a recipe as well as exclude ingredients I do not want. Already found a few that I saved and will be trying. I really need to find some stuff more than the basics I know now. Had Broccoli Slaw for supper. It was an A' la carte kinda night here. Terry ate vegetable soup, Brett had Hormel Tamales topped with Hormel Chili so I had what was already in the fridge. I'm thinking I really need to cook up some chicken next week so that i have some protein food in the fridge ready to go. Yep, finding foods that fit the diabetic diet is what will be the hardest going forward.