BENITIONSClinical Trial Intelligence

Skeletal Muscle Diacylglycerol and Sphingolipids - Impact of Localization and Species on Insulin Resistance in Humans

不适用 已完成 NCT03077360

适应症Diabetes Mellitus, Type 2, Pre-diabetes, Obesity
分期不适用
申办方University of Colorado, Denver
状态已完成
受试者人数62 人
干预(药物)Lifestyle
开始日期2017年2月1日
完成日期2020年11月19日
结果公布日2022年6月21日

摘要

The rationale for the proposed research is that elucidating changes in localized diacylglycerol (DAG) and sphingolipid species that predict insulin sensitivity will reveal specific localized lipids to target in therapeutics for type 2 diabetes. To attain the overall objective, the investigators propose three specific aims: 1. Identify the influence of sarcolemmal DAG and sphingolipids on cell signaling and insulin sensitivity before and after insulin sensitizing lifestyle interventions. Strong preliminary data shape the hypothesis that sarcolemmal 1,2-disaturated DAG and C18:0 ceramide species will decrease after insulin sensitizing lifestyle interventions, leading to less Protein kinase C (PKC) and Protein phosphatase 2A (PP2A) activation, and enhanced insulin signaling. Skeletal muscle DAG and sphingolipid isomers, species, localization, and de novo synthesis will be measured before and after diet-induced weight loss or exercise training interventions in obese men and women. Insulin sensitivity will be measured using insulin clamps, and muscle lipids using Liquid Chromatography Mass Spectrometry (LC/MS). 2. Determine the impact of mitochondrial/ER (endoplasmic reticulum) DAG and

Percent Change in Insulin Sensitivity Compared to Baseline Measurement.

Baseline and 12 weeks · Percent change

Weight Loss Only31.8 ± 8.8 Percent change
Exercise Only17.4 ± 8.7 Percent change
Delayed Intervention Control-4.8 ± 9.3 Percent change

Percent Change in Localized Muscle Lipids Compared to Baseline

Baseline and 12 weeks · percentage change

Weight Loss Only-25 ± 6 percentage change
Exercise Only-30 ± 7 percentage change
Delayed Intervention Control5 ± 6 percentage change
Weight Loss Only-20 ± 5 percentage change
Exercise Only-25 ± 5 percentage change
Delayed Intervention Control10 ± 3 percentage change

Percent Change in Body Weight Compared to Baseline Measurement

Baseline, 3 Months · Percent Change

Weight Loss Only-10.5 ± 0.9 Percent Change
Exercise Only-0.5 ± 0.5 Percent Change
Delayed Intervention Control0.5 ± 0.4 Percent Change

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本页整理自 ClinicalTrials.gov 的公开数据,不构成医疗建议,也不构成投资建议。请务必咨询专业医师。