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Development of diabetes in obese, insulin-resistant mice: essential role of dietary carbohydrate in beta cell destruction
| Journal | Diabetologia |
| Publisher | Springer Berlin / Heidelberg |
| ISSN | 0012-186X (Print) 1432-0428 (Online) |
| Issue | Volume 50, Number 7 / July, 2007 |
| Category | Article |
| DOI | 10.1007/s00125-007-0662-8 |
| Pages | 1481-1489 |
| Subject Collection | Medicine |
| SpringerLink Date | Tuesday, April 17, 2007 |
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Article
Development of diabetes in obese, insulin-resistant mice: essential role of dietary carbohydrate in beta cell destruction
H. S. Jürgens1, S. Neschen1, S. Ortmann2, S. Scherneck1, K. Schmolz1, G. Schüler1, S. Schmidt1, M. Blüher3, S. Klaus1, D. Perez-Tilve4, M. H. Tschöp4, A. Schürmann1 and H.-G. Joost1
| (1) |
Department of Pharmacology, German Institute of Human Nutrition, Potsdam Rehbrücke, Arthur-Scheunert-Allee 114-116, 14558 Nuthetal, Germany |
| (2) |
Institute for Zoo and Wildlife Research, Berlin, Germany |
| (3) |
Internal Medicine III, University Hospital Leipzig, Leipzig, Germany |
| (4) |
Obesity Research Centre, Department of Psychiatry, University of Cincinnati, Cincinnati, OH, USA |
Received: 17 October 2006 Accepted: 31 January 2007 Published online: 17 April 2007
Abstract
Aims/hypothesis The role of dietary carbohydrate in the pathogenesis of type 2 diabetes is still a subject of controversial debate. Here we
analysed the effects of diets with and without carbohydrate on obesity, insulin resistance and development of beta cell failure
in the obese, diabetes-prone New Zealand Obese (NZO) mouse.
Materials and methods NZO mice were kept on a standard diet (4% [w/w] fat, 51% carbohydrate, 19% protein), a high-fat diet (15, 47 and 17%, respectively)
and a carbohydrate-free diet in which carbohydrate was exchanged for fat (68 and 20%, respectively). Body composition and
blood glucose were measured over a period of 22 weeks. Glucose tolerance tests and euglycaemic-hyperinsulinaemic clamps were
performed to analyse insulin sensitivity. Islet morphology was assessed by immunohistochemistry.
Results Mice on carbohydrate-containing standard or high-fat diets developed severe diabetes (blood glucose >16.6 mmol/l, glucosuria)
due to selective destruction of pancreatic beta cells associated with severe loss of immunoreactivity of insulin, glucose
transporter 2 (GLUT2) and musculoaponeurotic fibrosarcoma oncogene homologue A (MafA). In contrast, mice on the carbohydrate-free
diet remained normoglycaemic and exhibited hyperplastic islets in spite of a morbid obesity associated with severe insulin
resistance and a massive accumulation of macrophages in adipose tissue.
Conclusions/interpretation These data indicate that the combination of obesity, insulin resistance and the inflammatory response of adipose tissue are
insufficient to cause beta cell destruction in the absence of dietary carbohydrate.
Electronic supplementary material The online version of this article (doi:10.1007/s00125-007-0662-8) contains supplementary material, which is available to authorised users.
Keywords Beta cell failure - Carbohydrate - Euglycaemic-hyperinsulinaemic clamps - Inflammation - Insulin sensitivity - Insulin - New Zealand obese mouse - Obesity - Pancreas - White adipose tissue
H. S. Jurgens and S. Neschen contributed equally to this paper.
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Supplemental Material
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