Effect of AT-derived miRNA on the Biology and Insulin Sensitivity of Skeletal Muscle in Humans
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 46
- Locations
- 1
- Primary Endpoint
- Levels of miRNA will be measured as well as the adipose tissue specific miRNA.
Study Overview
Brief Summary
The purpose of this study is examine the effect of fat tissue-released miRNA on skeletal muscle and if abnormal fat tissue-released miRNA contributes to insulin resistance in obese individuals. This information will be important for our understanding of how the body's sugar metabolism is regulated and why people who are obese become insulin resistant and are more likely to develop type 2 diabetes.
Detailed Description
Study Objectives:
- To establish and optimize the methodology for measuring adipose tissue miRNA release.
- To establish and optimize the methodology for measuring the effect of adipose tissue-released miRNA on skeletal muscle biology and insulin sensitivity.
- To profile adipose tissue-released miRNA in lean insulin-sensitive and obese insulin-resistant healthy individuals.
- To examine the effects of adipose tissue-released miRNA from lean insulin-sensitive individuals and obese insulin-resistant individuals on skeletal muscle biology and insulin sensitivity.
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Able to communicate meaningfully with the investigator and legally competent to provide informed written consent
- •18-65 years of age
- •BMI of 20-25 kg/m2 (lean subjects); 30-35 kg/m2 (obese subjects)
- •Stable body weight (< 3 kg change in the last 8 weeks)
- •homeostatic model assessment (HOMA)-insulin resistance <2.7 if lean; homeostatic model assessment (HOMA)-insulin resistance ≥2.7 if obese
Exclusion Criteria
- •Lactation or pregnancy, current and/or within last 6 months, per participant's report
- •Female subjects postmenopausal
- •Cardiovascular disease (unstable angina, myocardial infarction or coronary revascularization within 6 months)
- •Liver disease (AST or ALT(alanine aminotransferase)>2.5 times the upper limit of normal)
- •Kidney disease (creatinine >1.6 mg/dl)
- •Anemia (hemoglobin <12 g/dl in men, <11 g/dl in women)
- •Thyroid dysfunction (abnormal TSH)
- •HbA1c ≥6.5%
- •Uncontrolled hypertension (systolic BP>160 mmHg, diastolic BP>100 mmHg)
- •History of coagulopathies
- •History (within the last 5 years) or presence of malignancy, (skin cancers, with the exception of melanoma, may be acceptable)
- •Current or history of drug abuse or alcohol abuse (>2 drinks/day)
- •Prior treatment (within last 3 months) with systemic glucocorticoids (>2 weeks), beta-blockers, drugs for weight loss, niacin or fibrates
- •History of HIV, active Hepatitis B or C, or Tuberculosis (participant reported)
- •Smoke > 5 cigarettes per day
Outcomes
Primary Outcomes
Levels of miRNA will be measured as well as the adipose tissue specific miRNA.
Time Frame: 4 weeks
The effect of miRNA released by adipose tissue from lean insulin-sensitive and from obese insulin-resistant individuals on skeletal muscle biology and insulin signaling.
Secondary Outcomes
No secondary outcomes reported
