Introduction: What they say
Nobel laureate in Physiology/Medicine (1975) Prof. David Baltimore and his research team, from California Institute of Technology, California, USA, had reported in the September 14, 2014 issue of the Journal “Journal of Experimental Medicine (JEM)” that: “The microRNA-212/132 cluster regulates B cell development by targeting Sox4.”
Subsequently, Prof. Rorsman’s research team, from Oxford Centre for Diabetes, Endocrinology & Metabolism, Radcliffe Department of Medicine, Oxford, U.K; Department of Neuroscience and Physiology, University of Göteborg, Göteborg, Sweden Oxford; and National Institute of Health Research, Biomedical Research Centre, Churchill Hospital, Oxford, U.K, had reported, in the March 18, 2016 issue of the Journal “Diabetes”, that “Increased Expression of the Diabetes Gene SOX4 Reduces Insulin Secretion by Impaired Fusion Pore Expansion.”
What we say:
On the foundation of these interesting findings, Dr L Boominathan PhD, Director-cum-chief Scientist of GBMD, reports that: Mechanistic insights into how Bariatric surgery aids in remission of hyperglycemia: Bariatric surgery inhibits Amysin expression, increases insulin secretion, and decreases the risk of hyperglycemia via down regulation of Sox4 and its target gene Amysin
From Significance of the study to Public health relevance:
Given that: (1) more than 387 million people worldwide are affected by Diabetes mellitus (DM); (2) Diabetes is going to be one of the top 10 causes of death by 2030; (3) the life-long painful injection/drug treatment is required to treat DM; (3) the global economic cost spent for diabetes treatment in 2014 was little more than 600 billion US dollars, there is an urgent need to find: (i) a way to induce regeneration of adult ß-cells that were lost in DM; (ii) a cheaper alternative to the existing expensive weight-loss drugs; (iii) a side-effect-free natural product-based drug; and (iv) a way to cure, not just treat, diabetes.
From what is known to what we infer from what they say:
Prof. Rorsman’s research team has recently shown that overexpression of Sox4 results in: (1) increased expression of Amysin; (2) reduction in fusion pore size; (3) impairment of granule emptying; (4) impairment of insulin exit; (5) prevention of hormone release; and (6) reduction of glucose-induced insulin secretion, suggesting that decreasing the expression of Sox4 and its target gene Amysin in diabetic patients may alleviate TIIDM.
From Research findings to Therapeutic opportunity:
This study suggests provides mechanistic insights into how bariatric surgery aids in remission of diabetes.
Bariatric surgery, by increasing the expression of its target genes, it may: (a) decrease the expression of exocytosis-regulating protein SOX4 and its target gene Amysin; and (b) increase the expression of PPARγ2 and A-FABP (fig.1). Thereby, it may: (1) promote granule emptying and insulin release; and (2) increase glucose-induced-insulin secretion.
Details of the research findings:
Idea Proposed/Formulated (with experimental evidence) by: Dr L Boominathan Ph.D.
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Undisclosed mechanistic information: How does Bariatric surgery decrease the expression of Amysin to increase insulin secretion?
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Citation: Boominathan, L., Mechanistic insights into how Bariatric surgery aids in remission of hyperglycemia: Bariatric surgery inhibits Amysin expression, increases insulin secretion, and decreases the risk of hyperglycemia via down regulation of Sox4 and its target gene Amysin, 21/April/2017, 11.36 pm, Genome-2-Bio-Medicine Discovery center (GBMD), http://genomediscovery.org
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