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Yirui He The Center of Clinical Research of Endocrinology and Metabolic Diseases in Chongqing and Department of Endocrinology, Chongqing Three Gorges Central Hospital, Chongqing, China
Department of Endocrinology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China

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Cheng Zhang The Center of Clinical Research of Endocrinology and Metabolic Diseases in Chongqing and Department of Endocrinology, Chongqing Three Gorges Central Hospital, Chongqing, China

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Yong Luo The Center of Clinical Research of Endocrinology and Metabolic Diseases in Chongqing and Department of Endocrinology, Chongqing Three Gorges Central Hospital, Chongqing, China

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Jinhua Chen Department of Endocrinology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China

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Mengliu Yang The Center of Clinical Research of Endocrinology and Metabolic Diseases in Chongqing and Department of Endocrinology, Chongqing Three Gorges Central Hospital, Chongqing, China

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Ling Li Key Laboratory of Diagnostic Medicine (Ministry of Education) and Department of Clinical Biochemistry, College of Laboratory Medicine, Chongqing Medical University, Chongqing, China

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Harvest F Gu Department of Clinical Science, Intervention and Technology, Karolinska University Hospital, Karolinska Institutet, Huddinge, Stockholm, Sweden

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Gangyi Yang The Center of Clinical Research of Endocrinology and Metabolic Diseases in Chongqing and Department of Endocrinology, Chongqing Three Gorges Central Hospital, Chongqing, China
Department of Endocrinology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China

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Xianxiang Zhang The Center of Clinical Research of Endocrinology and Metabolic Diseases in Chongqing and Department of Endocrinology, Chongqing Three Gorges Central Hospital, Chongqing, China

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Bone morphogenetic proteins (BMPs) are secreted ligands that belong to the transforming growth factor-β (TGF-β) superfamily. BMP7 has been reported to play a role in reversing obesity and regulating appetite in the hypothalamus. Whether BMP9 plays a central role in regulating glucose metabolism and insulin sensitivity remains unclear. Here, we investigated the impact of central BMP9 signaling and possible route of transmission. We performed intracerebroventricular (ICV) surgery and injected adenovirus expressing BMP9 (Ad-BMP9) into the cerebral ventricle of mice. Metabolic analysis, hyperinsulinemic-euglycemic clamp test, and analysis of phosphatidylinositol 3,4,5-trisphosphate (PIP3) formation were then performed. Real-time PCR and Western blotting were performed to detect gene expression and potential pathways involved. We found that hypothalamic BMP9 expression was downregulated in obese and insulin-resistant mice. Overexpression of BMP9 in the mediobasal hypothalamus reduced food intake, body weight, and blood glucose level, and elevated the energy expenditure in high-fat diet (HFD)-fed mice. Importantly, central treatment with BMP9 improved hepatic insulin resistance (IR) and inhibited hepatic glucose production in HFD-fed mice. ICV BMP9-induced increase in hepatic insulin sensitivity and related metabolic effects were blocked by ICV injection of rapamycin, an inhibitor of mammalian target of rapamycin (mTOR) signaling. In addition, ICV BMP9 promoted the ability of insulin to activate the insulin receptor/phosphoinositide 3-kinase (PI3K)/Akt pathway in the hypothalamus. Thus, this study provides insights into the potential mechanism by which central BMP9 ameliorates hepatic glucose metabolism and IR via activating the mTOR/PI3K/Akt pathway in the hypothalamus.

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Dang-Dang Li College of Veterinary Medicine, Jilin University, Changchun 130062, People's Republic of China

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Ying-Jie Gao College of Veterinary Medicine, Jilin University, Changchun 130062, People's Republic of China

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Xue-Chao Tian College of Veterinary Medicine, Jilin University, Changchun 130062, People's Republic of China

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Zhan-Qing Yang College of Veterinary Medicine, Jilin University, Changchun 130062, People's Republic of China

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Hang Cao College of Veterinary Medicine, Jilin University, Changchun 130062, People's Republic of China

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Qiao-Ling Zhang College of Veterinary Medicine, Jilin University, Changchun 130062, People's Republic of China

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Bin Guo College of Veterinary Medicine, Jilin University, Changchun 130062, People's Republic of China

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Zhan-Peng Yue College of Veterinary Medicine, Jilin University, Changchun 130062, People's Republic of China

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Tryptophan 2,3-dioxygenase (T do 2) is a rate-limiting enzyme which directs the conversion of tryptophan to kynurenine. The aim of this study was to examine the expression and regulation of T do 2 in mouse uterus during decidualization. T do 2 mRNA was mainly expressed in the decidua on days 6–8 of pregnancy. By real-time PCR, a high level of T do 2 expression was observed in the uteri from days 6 to 8 of pregnancy, although T do 2 expression was observed on days 1–8. Simultaneously, T do 2 mRNA was also detected under in vivo and in vitro artificial decidualization. Estrogen, progesterone, and 8-bromoadenosine-cAMP could induce the expression of T do 2 in the ovariectomized mouse uterus and uterine stromal cells. T do 2 could regulate cell proliferation and stimulate the expression of decidual marker Dtprp in the uterine stromal cells and decidual cells. Overexpression of T do 2 could upregulate the expression of Ahr, Cox2, and Vegf genes in uterine stromal cells, while T do 2 inhibitor 680C91 could downregulate the expression of Cox2 and Vegf genes in uterine decidual cells. These data indicate that T do 2 may play an important role during mouse decidualization and be regulated by estrogen, progesterone, and cAMP.

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Chun-Hsien Chu
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Bor-Show Tzang
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Li-Mien Chen Institute of Biochemistry and Biotechnology, Division of Medical Technology, Laboratory of Exercise Biochemistry, Emergency Department, Department of Pediatrics, Department of Healthcare Administration, Department of Biological Science and Technology, Graduate Institute of Chinese Medical Science, Graduate Institute of Basic Medical Science, Department of Health and Nutrition Biotechnology, Chung Shan Medical University, Taichung 402, Taiwan, ROC

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Chia-Hua Kuo Institute of Biochemistry and Biotechnology, Division of Medical Technology, Laboratory of Exercise Biochemistry, Emergency Department, Department of Pediatrics, Department of Healthcare Administration, Department of Biological Science and Technology, Graduate Institute of Chinese Medical Science, Graduate Institute of Basic Medical Science, Department of Health and Nutrition Biotechnology, Chung Shan Medical University, Taichung 402, Taiwan, ROC

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Yi-Chang Cheng Institute of Biochemistry and Biotechnology, Division of Medical Technology, Laboratory of Exercise Biochemistry, Emergency Department, Department of Pediatrics, Department of Healthcare Administration, Department of Biological Science and Technology, Graduate Institute of Chinese Medical Science, Graduate Institute of Basic Medical Science, Department of Health and Nutrition Biotechnology, Chung Shan Medical University, Taichung 402, Taiwan, ROC

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Ling-Yun Chen
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Fuu-Jen Tsai Institute of Biochemistry and Biotechnology, Division of Medical Technology, Laboratory of Exercise Biochemistry, Emergency Department, Department of Pediatrics, Department of Healthcare Administration, Department of Biological Science and Technology, Graduate Institute of Chinese Medical Science, Graduate Institute of Basic Medical Science, Department of Health and Nutrition Biotechnology, Chung Shan Medical University, Taichung 402, Taiwan, ROC
Institute of Biochemistry and Biotechnology, Division of Medical Technology, Laboratory of Exercise Biochemistry, Emergency Department, Department of Pediatrics, Department of Healthcare Administration, Department of Biological Science and Technology, Graduate Institute of Chinese Medical Science, Graduate Institute of Basic Medical Science, Department of Health and Nutrition Biotechnology, Chung Shan Medical University, Taichung 402, Taiwan, ROC

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Chang-Hai Tsai Institute of Biochemistry and Biotechnology, Division of Medical Technology, Laboratory of Exercise Biochemistry, Emergency Department, Department of Pediatrics, Department of Healthcare Administration, Department of Biological Science and Technology, Graduate Institute of Chinese Medical Science, Graduate Institute of Basic Medical Science, Department of Health and Nutrition Biotechnology, Chung Shan Medical University, Taichung 402, Taiwan, ROC

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Wei-Wen Kuo Institute of Biochemistry and Biotechnology, Division of Medical Technology, Laboratory of Exercise Biochemistry, Emergency Department, Department of Pediatrics, Department of Healthcare Administration, Department of Biological Science and Technology, Graduate Institute of Chinese Medical Science, Graduate Institute of Basic Medical Science, Department of Health and Nutrition Biotechnology, Chung Shan Medical University, Taichung 402, Taiwan, ROC

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Chih-Yang Huang Institute of Biochemistry and Biotechnology, Division of Medical Technology, Laboratory of Exercise Biochemistry, Emergency Department, Department of Pediatrics, Department of Healthcare Administration, Department of Biological Science and Technology, Graduate Institute of Chinese Medical Science, Graduate Institute of Basic Medical Science, Department of Health and Nutrition Biotechnology, Chung Shan Medical University, Taichung 402, Taiwan, ROC
Institute of Biochemistry and Biotechnology, Division of Medical Technology, Laboratory of Exercise Biochemistry, Emergency Department, Department of Pediatrics, Department of Healthcare Administration, Department of Biological Science and Technology, Graduate Institute of Chinese Medical Science, Graduate Institute of Basic Medical Science, Department of Health and Nutrition Biotechnology, Chung Shan Medical University, Taichung 402, Taiwan, ROC
Institute of Biochemistry and Biotechnology, Division of Medical Technology, Laboratory of Exercise Biochemistry, Emergency Department, Department of Pediatrics, Department of Healthcare Administration, Department of Biological Science and Technology, Graduate Institute of Chinese Medical Science, Graduate Institute of Basic Medical Science, Department of Health and Nutrition Biotechnology, Chung Shan Medical University, Taichung 402, Taiwan, ROC

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The role played by IGF-II in signal transduction through the IGF-II/mannose-6-phosphate receptor (IGF2R) in heart tissue has been poorly understood. In our previous studies, we detected an increased expression of IGF-II and IGF2R in cardiomyocytes that had undergone pathological hypertrophy. We hypothesized that after binding with IGF-II, IGF2R may trigger intracellular signaling cascades involved in the progression of pathologically cardiac hypertrophy. In this study, we used immunohistochemical analysis of the human cardiovascular tissue array to detect expression of IGF2R. In our study of H9c2 cardiomyoblast cell cultures, we used the rhodamine phalloidin staining to measure the cell hypertrophy and western blot to measure the expression of cardiac hypertrophy markers atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) in cells treated with IGF-II. We found that a significant association between IGF2R overexpression and myocardial infarction. The treatment of H9c2 cardiomyoblast cells with IGF-II not only induced cell hypertrophy but also increased the protein level of ANP and BNP. Using Leu27IGF-II, an analog of IGF-II which interacts selectively with the IGF2R, to specifically activate IGF2R signaling cascades, we found that binding of Leu27IGF-II to IGF2R led to an increase in the phosphorylation of protein Kinase C (PKC)-α and calcium/calmodulin-dependent protein kinase II (CaMKII) in a Gαq-dependent manner. By the inhibition of PKC-α/CaMKII activity, we found that IGF-II and Leu27IGF-II-induced cell hypertrophy and upregulation of ANP and BNP were significantly suppressed. Taken together, this study provides a new insight into the effects of the IGF2R and its downstream signaling in cardiac hypertrophy. The suppression of IGF2R signaling pathways may be a good strategy to prevent the progression of pathological hypertrophy.

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Galya Vassileva
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Weiwen Hu
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Lizbeth Hoos Merck Research Laboratories, Merck Research Laboratories, Department of Discovery Technologies, Kenilworth, New Jersey 07033, USA

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Glen Tetzloff Merck Research Laboratories, Merck Research Laboratories, Department of Discovery Technologies, Kenilworth, New Jersey 07033, USA

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Shijun Yang
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Li Liu Merck Research Laboratories, Merck Research Laboratories, Department of Discovery Technologies, Kenilworth, New Jersey 07033, USA

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Ling Kang Merck Research Laboratories, Merck Research Laboratories, Department of Discovery Technologies, Kenilworth, New Jersey 07033, USA

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Harry R Davis Merck Research Laboratories, Merck Research Laboratories, Department of Discovery Technologies, Kenilworth, New Jersey 07033, USA

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Joseph A Hedrick Merck Research Laboratories, Merck Research Laboratories, Department of Discovery Technologies, Kenilworth, New Jersey 07033, USA

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Hong Lan Merck Research Laboratories, Merck Research Laboratories, Department of Discovery Technologies, Kenilworth, New Jersey 07033, USA

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Timothy Kowalski Merck Research Laboratories, Merck Research Laboratories, Department of Discovery Technologies, Kenilworth, New Jersey 07033, USA

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Eric L Gustafson
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G-protein-coupled bile acid receptor 1 (GPBAR1/TGR5/M-Bar/GPR131) is a cell surface receptor involved in the regulation of bile acid metabolism. We have previously shown that Gpbar1-null mice are resistant to cholesterol gallstone disease when fed a lithogenic diet. Other published studies have suggested that Gpbar1 is involved in both energy homeostasis and glucose homeostasis. Here, we examine the functional role of Gpbar1 in diet-induced obese mice. We found that body weight, food intake, and fasted blood glucose levels were similar between Gpbar1-null mice and their wild-type (WT) littermates when fed a chow or high-fat diet (HFD) for 2 months. However, insulin tolerance tests revealed improved insulin sensitivity in male Gpbar1 −/− mice fed chow, but impaired insulin sensitivity when fed a HFD. In contrast, female Gpbar1 −/− mice exhibited improved insulin sensitivity when fed a HFD compared with their WT littermates. Female Gpbar1 −/− mice had significantly lower plasma cholesterol and triglyceride levels than their WT littermates on both diets. Male Gpbar1 −/− mice on HFD displayed increased hepatic steatosis when compared with Gpbar1 + / + males and Gpbar1 −/− females on HFD. These results suggest a gender-dependent regulation of Gpbar1 function in metabolic disease.

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Wang-Yang Xu State Key Laboratory of Medical Genomics, Research Center for Experimental Medicine of Rui-Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Biotecan Medical Diagnostics Co., Ltd, Zhangjiang Center for Translational Medicine, Shanghai, China

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Yan Shen State Key Laboratory of Medical Genomics, Research Center for Experimental Medicine of Rui-Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Houbao Zhu State Key Laboratory of Medical Genomics, Research Center for Experimental Medicine of Rui-Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Junhui Gao Biotecan Medical Diagnostics Co., Ltd, Zhangjiang Center for Translational Medicine, Shanghai, China

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Chen Zhang Biotecan Medical Diagnostics Co., Ltd, Zhangjiang Center for Translational Medicine, Shanghai, China

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Lingyun Tang State Key Laboratory of Medical Genomics, Research Center for Experimental Medicine of Rui-Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Shun-Yuan Lu State Key Laboratory of Medical Genomics, Research Center for Experimental Medicine of Rui-Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Chun-Ling Shen State Key Laboratory of Medical Genomics, Research Center for Experimental Medicine of Rui-Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Hong-Xin Zhang State Key Laboratory of Medical Genomics, Research Center for Experimental Medicine of Rui-Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Ziwei Li Biotecan Medical Diagnostics Co., Ltd, Zhangjiang Center for Translational Medicine, Shanghai, China

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Peng Meng Biotecan Medical Diagnostics Co., Ltd, Zhangjiang Center for Translational Medicine, Shanghai, China

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Ying-Han Wan Shanghai Research Center for Model Organisms, Shanghai, China

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Jian Fei Shanghai Research Center for Model Organisms, Shanghai, China

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Zhu-Gang Wang State Key Laboratory of Medical Genomics, Research Center for Experimental Medicine of Rui-Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Shanghai Research Center for Model Organisms, Shanghai, China
Model Organism Division, E-Institutes of Shanghai Universities, Shanghai, China

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Obesity and type 2 diabetes (T2D) are both complicated endocrine disorders resulting from an interaction between multiple predisposing genes and environmental triggers, while diet and exercise have key influence on metabolic disorders. Previous reports demonstrated that 2-aminoadipic acid (2-AAA), an intermediate metabolite of lysine metabolism, could modulate insulin secretion and predict T2D, suggesting the role of 2-AAA in glycolipid metabolism. Here, we showed that treatment of diet-induced obesity (DIO) mice with 2-AAA significantly reduced body weight, decreased fat accumulation and lowered fasting glucose. Furthermore, Dhtkd1−/− mice, in which the substrate of DHTKD1 2-AAA increased to a significant high level, were resistant to DIO and obesity-related insulin resistance. Further study showed that 2-AAA induced higher energy expenditure due to increased adipocyte thermogenesis via upregulating PGC1α and UCP1 mediated by β3AR activation, and stimulated lipolysis depending on enhanced expression of hormone-sensitive lipase (HSL) through activating β3AR signaling. Moreover, 2-AAA could alleviate the diabetic symptoms of db/db mice. Our data showed that 2-AAA played an important role in regulating glycolipid metabolism independent of diet and exercise, implying that improving the level of 2-AAA in vivo could be developed as a strategy in the treatment of obesity or diabetes.

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Sy-Ying Leu Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC
Division of Nephrology, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, ROC

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Yi-Ling Tsang Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC
Institute of Physiological Chemistry and Pathobiochemistry and Cells in Motion Interfaculty Centre, University of Münster, Münster, Germany

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Li-Chun Ho School of Medicine, I-Shou University, Kaohsiung, Taiwan, ROC
Division of General Medicine, Department of Internal Medicine, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan, ROC

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Ching-Chun Yang Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC

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Ai-Ning Shao Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC

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Chia-Yu Chang Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC

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Hui-Kuan Lin Department of Cancer Biology, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA

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Pei-Jane Tsai Department of Medical Laboratory Science and Biotechnology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC

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Junne-Ming Sung Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC
Division of Nephrology, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, ROC

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Yau-Sheng Tsai Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC
Department of Cancer Biology, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA
Clinical Medicine Research Center, National Cheng Kung University Hospital, Tainan, Taiwan, ROC

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The NOD-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome is an oligomeric complex that assembles in response to exogenous signals of pathogen infection and endogenous danger signals of non-microbial origin. When NLRP3 inflammasome assembly activates caspase-1, it promotes the maturation and release of the inflammatory cytokines interleukin-1B and IL-18. Aberrant activation of the NLRP3 inflammasome has been implicated in various diseases, including chronic inflammatory, metabolic, and cardiovascular diseases. The NLRP3 inflammasome can be activated through several principal mechanisms, including K+ efflux, lysosomal damage, and the production of mitochondrial reactive oxygen species. Interestingly, metabolic danger signals activate the NLRP3 inflammasome to induce metabolic diseases. NLRP3 contains three crucial domains: an N-terminal pyrin domain, a central nucleotide-binding domain, and a C-terminal leucine-rich repeat domain. Protein–protein interactions act as a ‘pedal or brake’ to control the activation of the NLRP3 inflammasome. In this review, we present the mechanisms underlying NLRP3 inflammasome activation after induction by metabolic danger signals or via protein–protein interactions with NLRP3 that likely occur in metabolic diseases. Understanding these mechanisms will enable the development of specific inhibitors to treat NLRP3-related metabolic diseases.

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Thomas H Claus Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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Clark Q Pan Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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Joanne M Buxton Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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Ling Yang Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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Jennifer C Reynolds Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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Nicole Barucci Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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Michael Burns Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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Astrid A Ortiz Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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Steve Roczniak Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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James N Livingston Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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Kevin B Clairmont Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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James P Whelan Bayer HealthCare, Pharmaceuticals, Department of Metabolic Disease Research, 400 Morgan Lane, West Haven, Connecticut 06516 USA
Bayer HealthCare, Biotechnology, 800 Dwight Way, Berkeley, California 94701, USA

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Type 2 diabetes is characterized by reduced insulin secretion from the pancreas and overproduction of glucose by the liver. Glucagon-like peptide-1 (GLP-1) promotes glucose-dependent insulin secretion from the pancreas, while glucagon promotes glucose output from the liver. Taking advantage of the homology between GLP-1 and glucagon, a GLP-1/glucagon hybrid peptide, dual-acting peptide for diabetes (DAPD), was identified with combined GLP-1 receptor agonist and glucagon receptor antagonist activity. To overcome its short plasma half-life DAPD was PEGylated, resulting in dramatically prolonged activity in vivo. PEGylated DAPD (PEG-DAPD) increases insulin and decreases glucose in a glucose tolerance test, evidence of GLP-1 receptor agonism. It also reduces blood glucose following a glucagon challenge and elevates fasting glucagon levels in mice, evidence of glucagon receptor antagonism. The PEG-DAPD effects on glucose tolerance are also observed in the presence of the GLP-1 antagonist peptide, exendin(9–39). An antidiabetic effect of PEG-DAPD is observed in db/db mice. Furthermore, PEGylation of DAPD eliminates the inhibition of gastrointestinal motility observed with GLP-1 and its analogues. Thus, PEG-DAPD has the potential to be developed as a novel dual-acting peptide to treat type 2 diabetes, with prolonged in vivo activity, and without the GI side-effects.

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