blood glucose control

Getting fat to ‘talk’ again could help type 2 diabetics to lose weight and lower blood glucose

by Barbara Hewitt on August 28, 2017

Scientists are looking at a novel way of lowering blood glucose levels in people with type 2 diabetes by implanting a polymer sponge into fat tissue.

So far they have found that the implant led to obese mice with symptoms resembling type 2 diabetes losing weight and seeing blood sugar levels fall.

(kasto/Bigstock.com)

The team from the University of South Carolina in the United States say that the process gets the fat in the body to ‘talk again’.

‘We’re approaching diabetes as tissue engineers. When people eat poorly, don’t exercise and are under a lot of stress, they gain weight. When fat stores get too large, communication with other parts of the body breaks down and can lead to diabetes. What we’re trying to do is restart that conversation,’ said lead researcher assistant professor Michael Gower.

He explained that several years ago, endocrinologists and others had discovered that fat is an endocrine organ, contrary to the long held belief that it’s just a passive energy reservoir in the body. It releases compounds that regulate energy and metabolism, and it helps other organs respond to insulin and glucose.

In diabetes, major organs and tissues such as the brain, liver and skeletal muscles, which require high levels of glucose to function properly, lose their ability to take up the sugar molecule from the bloodstream and use it as energy. As a result, glucose builds up in the blood and can lead to hyperglycaemia, which is toxic to many organs and tissues.

The researchers decided to see if it was possible to reinstate the broken down communication from fat to other organs and tissues. In his postdoctoral work at Northwestern University, Gower used similar sponges of poly lactide-co-glycolide, or PLG, to deliver pancreatic islets into fat pads of mice as a type1 diabetes therapy.

Michael Hendley, a doctoral student in Gower’s laboratory, implanted PLG sponges in large abdominal fat pads in obese mice that had developed symptoms resembling those of type 2 diabetes.

Within one week, the mice’s fat cells, immune cells and blood vessels filled the pores of the implant. After three weeks of a high fat diet, mice with the sponges had a 10% increase in body fat, whereas the mice without the implant gained 30% more body fat.

In their calf muscles, treated mice had 60% higher levels of a protein known to help shuttle glucose from the bloodstream into muscle cells as compared to untreated mice, and they had lower blood sugar levels than the control animals.

The treated mice didn’t show any signs of negative side effects from the material. The polymer used to make the sponge is already used in stents, sutures and other implantable devices.

Now, the researchers are trying to pinpoint why the PLG sponge reduces fat and lowers blood glucose levels, so they can tune the approach further and make it more effective. They are also infusing the sponge with bioactive molecules to see if they can enhance its activity.

‘I think what’s really exciting about this work and its implications is that we’re looking at how implanting this biomaterial in fat tissue, which has the ability to communicate with other organs, is affecting the whole body,’ Gower added.

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