A new study by Yan and colleagues reveals a mechanism that links obesity and ageing to hypothalamic inflammation, and thus to type 2 diabetes mellitus. In this study, an initial analysis found that production of transforming growth factor β (TGF-β) was excessive in obese and elderly mice. These excess levels of TGF-β were shown to cause hyperglycaemia and glucose intolerance, an effect that was independent of changes in body weight. Excess levels of TGF-β were demonstrated to induce a hypothalamic RNA stress response, which accelerated the mRNA decay of Iκβα (an inhibitor of proinflammatory nuclear factor κB). TGF-β was mainly produced and released by astrocytes and affected hypothalamic neurons, which resulted in metabolic dysfunction.
References
Yan, Y. et al. Obesity- and aging-induced excess of central transforming growth factor-β potentiates diabetic development via an RNA stress response. Nat. Med. 10.1038/nm.3616
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RNA stress response links obesity and ageing to development of type 2 diabetes mellitus. Nat Rev Endocrinol 10, 640 (2014). https://doi.org/10.1038/nrendo.2014.153
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DOI: https://doi.org/10.1038/nrendo.2014.153