liveonearth: (moon)
EPIGENETICS OF DM2: GLUCOCORTICOID AND VIT D RECEPTORS MEDIATE
ALSO TNF ALPHA OR DEXAMETHASONE INDUCES IR
http://www.nature.com/ncb/journal/v17/n1/full/ncb3080.html
Identification of nuclear hormone receptor pathways causing insulin resistance by transcriptional and epigenomic analysis
Sona Kang, Linus T. Tsai, Yiming Zhou, Adam Evertts, Su Xu, Michael J. Griffin, Robbyn Issner, Holly J. Whitton, Benjamin A. Garcia, Charles B. Epstein, Tarjei S. Mikkelsen & Evan D. Rosen
Nature Cell Biology 17, 44–56 (2015) doi:10.1038/ncb3080
Received 06 August 2014 Accepted Nov 2014 Published online 15 Dec 2014
Abstract
Insulin resistance is a cardinal feature of Type 2 diabetes (T2D) and a frequent complication of multiple clinical conditions, including obesity, ageing and steroid use, among others. How such a panoply of insults can result in a common phenotype is incompletely understood. Furthermore, very little is known about the transcriptional and epigenetic basis of this disorder, despite evidence that such pathways are likely to play a fundamental role. Here, we compare cell autonomous models of insulin resistance induced by the cytokine tumour necrosis factor-α or by the steroid dexamethasone to construct detailed transcriptional and epigenomic maps associated with cellular insulin resistance. These data predict that the glucocorticoid receptor and vitamin D receptor are common mediators of insulin resistance, which we validate using gain- and loss-of-function studies. These studies define a common transcriptional and epigenomic signature in cellular insulin resistance enabling the identification of pathogenic mechanisms.
liveonearth: (Oprah_shocked)
Fascinating new research uses masses of data from NHANES to find that current cannabis users have less insulin resistance, smaller waists, and higher HDL, than former or non-users.

Notes from study and articles )
liveonearth: (Default)
(Reuters) - People with insulin resistance and type 2 diabetes are more likely to develop plaques in the brain associated with Alzheimer's disease, researchers in Japan reported on Thursday.

The study involved 135 elderly participants in the town of Hisayama, Fukuoka prefecture, who had their blood sugar levels checked several times at the start of the study. They were then monitored for signs of Alzheimer's disease for 10 to 15 years.

After they died, researchers conducted autopsies on their brains and found plaques, particularly in those who had high blood sugar levels while they were alive.
more )
liveonearth: (Default)
Red Rice Yeast
mainstay of Chinese medicine since ancient times
now available OTC as supplement for lowering cholesterol
promoted as alternative to statins
docs may recommend it when someone can't tolerate statins dt muscle pain
derived from a fungus that grows on rice
eaten as a dietary staple some places in Asia
BUT: RYR is a statin drug too w/ same SEs
notes )
liveonearth: (Default)
http://www.wired.com/medtech/drugs/magazine/17-09/ff_placebo_effect?currentPage=all

AWESOME article. Nutshell: research has show that the biochemistry of the placebo response is due to anticipation-activated opioids and dopamine. Effects of opioids include pain relief, heart rate and breathing modulation. Effects of dopamine include improved motor function in Parkinson's. Both contribute to elevated mood, sharpened cognitive ability, decreased digestive disorders and insomnia, and lower levels of insulin and cortisol. But the whole article is well worth reading. Here's the text. I would take notes but I admire this guy's prose too much to chop it up. This article matters. )
liveonearth: (Default)
A new study shows that taking 1000mg vitamin C and 400 IU's vitamin E per day may prevent exercise from increasing one's insulin sensitivity. The mechanism is not yet known. There are also studies out there that indicate that taking high doses of vitamin E may hasten death, also through an unknown mechanism.
notes and source )
liveonearth: (Default)
What enzyme shuts down gluconeogenesis?
fructose 1,6 phosphate
shuts down gluconeo when F6P or F26P concentrations rise

What two enzymes begin the process of breaking down glucose?
hexokinase in muscle and glucokinase in liver

What other sugar can hexokinase work on?
self quiz, these are the ones I need to remember for boards )
liveonearth: (Default)
Name the rash that SSL is going to ask about on the final exam.
necrobiosis lipoidica diabeticorum

Where does diabetes rank in the leading causes of death in the US?
7th

Approximately how many people in the US are affected?
16 million
half undiagnosed

Define diabetes.
A group of metabolic disorders of impaired glucose tolerance causing hyperglycemia, as well as abnormal and and protein metabolism.
Self-quiz from SSL's lecture and powerpoint )
liveonearth: (Default)
What is the pancreas' main function?
exocrine digestive enzymes, amylase and lipase
delivered to duodenum via pancreatic and common bile duct

One out of every seven healthcare dollars is spent on what medical condition?
diabetes mellitus

from Miller's notes, part 4 )
liveonearth: (Default)
The latest estimates show that by 2030, 26.4 million people a year may be diagnosed with cancer, with 17 million people dying from it. Mercola has a post today about the top advances in treating cancer. First he gives the list of the top 12 advances of 2008 according to Web MD. He points out that Web MD now has a "partnership" with the FDA. He points out that 10 of the top 12 are drugs: Web MD supports the FDA which supports the pharmaceutical corporations. And then Mercola lists what he sees as the top three advances in cancer treatment, which I think are worth noting:
1) optimizing vitamin D levels
2) optimizing insulin levels
3) thermography for early detection of breast cancer

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