BAIBA attenuates insulin resistance and inflammation induced by palmitate or a high fat diet via an AMPK–PPARδ-dependent pathway in mice

Aims/hypothesis We explored the effects of β-aminoisobutyric acid (BAIBA) on hyperlipidaemic-condition-induced insulin resistance and inflammation as mediated through a signalling pathway involving AMP-activated protein kinase (AMPK) and peroxisome proliferator-activated receptor δ (PPARδ). Methods...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Diabetologia 2015-09, Vol.58 (9), p.2096-2105
Hauptverfasser: Jung, Tae Woo, Hwang, Hwan-Jin, Hong, Ho Cheol, Yoo, Hye Jin, Baik, Sei Hyun, Choi, Kyung Mook
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 2105
container_issue 9
container_start_page 2096
container_title Diabetologia
container_volume 58
creator Jung, Tae Woo
Hwang, Hwan-Jin
Hong, Ho Cheol
Yoo, Hye Jin
Baik, Sei Hyun
Choi, Kyung Mook
description Aims/hypothesis We explored the effects of β-aminoisobutyric acid (BAIBA) on hyperlipidaemic-condition-induced insulin resistance and inflammation as mediated through a signalling pathway involving AMP-activated protein kinase (AMPK) and peroxisome proliferator-activated receptor δ (PPARδ). Methods Mouse skeletal muscle C2C12 cells and C57BL/6J mice were treated with palmitate or a high-fat diet (HFD) and BAIBA. Inflammation and the expression of genes associated with insulin signalling were determined by western blot and quantitative real-time PCR. Selected genes from candidate pathways were evaluated by small interfering (si)RNA knockdown and specific inhibitors. Results BAIBA treatment ameliorated impairment of insulin receptor substrate (IRS)-1/Akt-mediated insulin signalling in palmitate-treated C2C12 myocytes and in skeletal muscle of HFD-fed mice. In addition, BAIBA treatment reversed HFD-induced increases in body weight and improved impaired glucose tolerance in mice. In vitro and in vivo, inhibitory κBα (IκBα) phosphorylation, nuclear factor κB (NFκB) nuclear translocation and downstream inflammatory cytokines were significantly suppressed by BAIBA. Furthermore, BAIBA treatment significantly induced AMPK phosphorylation and expression of PPARδ in C2C12 myocytes and in skeletal muscle of mice. Both compound C, an AMPK inhibitor, and Pparδ (also known as Ppard ) siRNA abrogated the inhibitory effects of BAIBA on palmitate-induced inflammation and insulin resistance. BAIBA significantly induced the expression of genes associated with fatty acid oxidation, such as carnitine palmitoyltransferase 1 ( Cpt1 ), acyl-CoA oxidase ( Aco ; also known as Acox1 ) and fatty acid binding protein 3 ( Fabp3 ); this effect of BAIBA was significantly reduced by compound C and Pparδ siRNA. Conclusions/interpretation These results are the first to demonstrate that BAIBA attenuates insulin resistance, suppresses inflammation and induces fatty acid oxidation via the AMPK–PPARδ pathway in skeletal muscle.
doi_str_mv 10.1007/s00125-015-3663-z
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1702654709</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1702654709</sourcerecordid><originalsourceid>FETCH-LOGICAL-c457t-f94e8b65eed4e63836b6dcd39af8e21f0a2d3e91bfe0a3c3e769e1f6cb6ea1fe3</originalsourceid><addsrcrecordid>eNp9kU1uFDEQhS1ERIbAAdggL9mY-Kfb3b3sRPxEBGWEQGJnue1yxlG3e7DdoMmKPUuuwjk4RE6CRxNYsipV1fueVPUQesboS0Zpc5ooZbwmlNVESCnI7QO0YpXghFa8fYhW-zVhrfx8jB6ndEMpFXUlH6FjLhmtm46v0I-z_uKsxzpnCIvOkLAPaRl9wBGST1kHA1gHW8Zu1NOks59DaexiwOJhh7d6nHwuJJ4j1njjrzfY6Yyth4y_el1g3L9fv7v7_nO97j_8_kUsbCFYCLmwefNN74odnryBJ-jI6THB0_t6gj69fvXx_C25vHpzcd5fElPVTSauq6AdZA1gK5CiFXKQ1ljRadcCZ45qbgV0bHBAtTACGtkBc9IMEjRzIE7Qi4PvNs5fFkhZTT4ZGEcdYF6SYg3lsq4a2hUpO0hNnFOK4NQ2-knHnWJU7TNQhwxUyUDtM1C3hXl-b78ME9h_xN-nFwE_CFJZhWuI6mZeYign_8f1D8RulkM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1702654709</pqid></control><display><type>article</type><title>BAIBA attenuates insulin resistance and inflammation induced by palmitate or a high fat diet via an AMPK–PPARδ-dependent pathway in mice</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Jung, Tae Woo ; Hwang, Hwan-Jin ; Hong, Ho Cheol ; Yoo, Hye Jin ; Baik, Sei Hyun ; Choi, Kyung Mook</creator><creatorcontrib>Jung, Tae Woo ; Hwang, Hwan-Jin ; Hong, Ho Cheol ; Yoo, Hye Jin ; Baik, Sei Hyun ; Choi, Kyung Mook</creatorcontrib><description>Aims/hypothesis We explored the effects of β-aminoisobutyric acid (BAIBA) on hyperlipidaemic-condition-induced insulin resistance and inflammation as mediated through a signalling pathway involving AMP-activated protein kinase (AMPK) and peroxisome proliferator-activated receptor δ (PPARδ). Methods Mouse skeletal muscle C2C12 cells and C57BL/6J mice were treated with palmitate or a high-fat diet (HFD) and BAIBA. Inflammation and the expression of genes associated with insulin signalling were determined by western blot and quantitative real-time PCR. Selected genes from candidate pathways were evaluated by small interfering (si)RNA knockdown and specific inhibitors. Results BAIBA treatment ameliorated impairment of insulin receptor substrate (IRS)-1/Akt-mediated insulin signalling in palmitate-treated C2C12 myocytes and in skeletal muscle of HFD-fed mice. In addition, BAIBA treatment reversed HFD-induced increases in body weight and improved impaired glucose tolerance in mice. In vitro and in vivo, inhibitory κBα (IκBα) phosphorylation, nuclear factor κB (NFκB) nuclear translocation and downstream inflammatory cytokines were significantly suppressed by BAIBA. Furthermore, BAIBA treatment significantly induced AMPK phosphorylation and expression of PPARδ in C2C12 myocytes and in skeletal muscle of mice. Both compound C, an AMPK inhibitor, and Pparδ (also known as Ppard ) siRNA abrogated the inhibitory effects of BAIBA on palmitate-induced inflammation and insulin resistance. BAIBA significantly induced the expression of genes associated with fatty acid oxidation, such as carnitine palmitoyltransferase 1 ( Cpt1 ), acyl-CoA oxidase ( Aco ; also known as Acox1 ) and fatty acid binding protein 3 ( Fabp3 ); this effect of BAIBA was significantly reduced by compound C and Pparδ siRNA. Conclusions/interpretation These results are the first to demonstrate that BAIBA attenuates insulin resistance, suppresses inflammation and induces fatty acid oxidation via the AMPK–PPARδ pathway in skeletal muscle.</description><identifier>ISSN: 0012-186X</identifier><identifier>EISSN: 1432-0428</identifier><identifier>DOI: 10.1007/s00125-015-3663-z</identifier><identifier>PMID: 26105792</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Active Transport, Cell Nucleus ; Aminoisobutyric Acids - chemistry ; AMP-Activated Protein Kinases - metabolism ; Animals ; Carnitine O-Palmitoyltransferase - metabolism ; Diabetes Mellitus - metabolism ; Diet, High-Fat - adverse effects ; Fatty Acids - chemistry ; Gene Expression Regulation ; Glucose Tolerance Test ; Human Physiology ; Inflammation - physiopathology ; Insulin - metabolism ; Insulin Resistance ; Internal Medicine ; Male ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Mice ; Mice, Inbred C57BL ; Muscle Fibers, Skeletal - metabolism ; NF-kappa B - metabolism ; Oxygen - chemistry ; Palmitates - adverse effects ; Receptors, Cytoplasmic and Nuclear - metabolism ; RNA, Small Interfering - metabolism ; Signal Transduction</subject><ispartof>Diabetologia, 2015-09, Vol.58 (9), p.2096-2105</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-f94e8b65eed4e63836b6dcd39af8e21f0a2d3e91bfe0a3c3e769e1f6cb6ea1fe3</citedby><cites>FETCH-LOGICAL-c457t-f94e8b65eed4e63836b6dcd39af8e21f0a2d3e91bfe0a3c3e769e1f6cb6ea1fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00125-015-3663-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00125-015-3663-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26105792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jung, Tae Woo</creatorcontrib><creatorcontrib>Hwang, Hwan-Jin</creatorcontrib><creatorcontrib>Hong, Ho Cheol</creatorcontrib><creatorcontrib>Yoo, Hye Jin</creatorcontrib><creatorcontrib>Baik, Sei Hyun</creatorcontrib><creatorcontrib>Choi, Kyung Mook</creatorcontrib><title>BAIBA attenuates insulin resistance and inflammation induced by palmitate or a high fat diet via an AMPK–PPARδ-dependent pathway in mice</title><title>Diabetologia</title><addtitle>Diabetologia</addtitle><addtitle>Diabetologia</addtitle><description>Aims/hypothesis We explored the effects of β-aminoisobutyric acid (BAIBA) on hyperlipidaemic-condition-induced insulin resistance and inflammation as mediated through a signalling pathway involving AMP-activated protein kinase (AMPK) and peroxisome proliferator-activated receptor δ (PPARδ). Methods Mouse skeletal muscle C2C12 cells and C57BL/6J mice were treated with palmitate or a high-fat diet (HFD) and BAIBA. Inflammation and the expression of genes associated with insulin signalling were determined by western blot and quantitative real-time PCR. Selected genes from candidate pathways were evaluated by small interfering (si)RNA knockdown and specific inhibitors. Results BAIBA treatment ameliorated impairment of insulin receptor substrate (IRS)-1/Akt-mediated insulin signalling in palmitate-treated C2C12 myocytes and in skeletal muscle of HFD-fed mice. In addition, BAIBA treatment reversed HFD-induced increases in body weight and improved impaired glucose tolerance in mice. In vitro and in vivo, inhibitory κBα (IκBα) phosphorylation, nuclear factor κB (NFκB) nuclear translocation and downstream inflammatory cytokines were significantly suppressed by BAIBA. Furthermore, BAIBA treatment significantly induced AMPK phosphorylation and expression of PPARδ in C2C12 myocytes and in skeletal muscle of mice. Both compound C, an AMPK inhibitor, and Pparδ (also known as Ppard ) siRNA abrogated the inhibitory effects of BAIBA on palmitate-induced inflammation and insulin resistance. BAIBA significantly induced the expression of genes associated with fatty acid oxidation, such as carnitine palmitoyltransferase 1 ( Cpt1 ), acyl-CoA oxidase ( Aco ; also known as Acox1 ) and fatty acid binding protein 3 ( Fabp3 ); this effect of BAIBA was significantly reduced by compound C and Pparδ siRNA. Conclusions/interpretation These results are the first to demonstrate that BAIBA attenuates insulin resistance, suppresses inflammation and induces fatty acid oxidation via the AMPK–PPARδ pathway in skeletal muscle.</description><subject>Active Transport, Cell Nucleus</subject><subject>Aminoisobutyric Acids - chemistry</subject><subject>AMP-Activated Protein Kinases - metabolism</subject><subject>Animals</subject><subject>Carnitine O-Palmitoyltransferase - metabolism</subject><subject>Diabetes Mellitus - metabolism</subject><subject>Diet, High-Fat - adverse effects</subject><subject>Fatty Acids - chemistry</subject><subject>Gene Expression Regulation</subject><subject>Glucose Tolerance Test</subject><subject>Human Physiology</subject><subject>Inflammation - physiopathology</subject><subject>Insulin - metabolism</subject><subject>Insulin Resistance</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metabolic Diseases</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Muscle Fibers, Skeletal - metabolism</subject><subject>NF-kappa B - metabolism</subject><subject>Oxygen - chemistry</subject><subject>Palmitates - adverse effects</subject><subject>Receptors, Cytoplasmic and Nuclear - metabolism</subject><subject>RNA, Small Interfering - metabolism</subject><subject>Signal Transduction</subject><issn>0012-186X</issn><issn>1432-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1uFDEQhS1ERIbAAdggL9mY-Kfb3b3sRPxEBGWEQGJnue1yxlG3e7DdoMmKPUuuwjk4RE6CRxNYsipV1fueVPUQesboS0Zpc5ooZbwmlNVESCnI7QO0YpXghFa8fYhW-zVhrfx8jB6ndEMpFXUlH6FjLhmtm46v0I-z_uKsxzpnCIvOkLAPaRl9wBGST1kHA1gHW8Zu1NOks59DaexiwOJhh7d6nHwuJJ4j1njjrzfY6Yyth4y_el1g3L9fv7v7_nO97j_8_kUsbCFYCLmwefNN74odnryBJ-jI6THB0_t6gj69fvXx_C25vHpzcd5fElPVTSauq6AdZA1gK5CiFXKQ1ljRadcCZ45qbgV0bHBAtTACGtkBc9IMEjRzIE7Qi4PvNs5fFkhZTT4ZGEcdYF6SYg3lsq4a2hUpO0hNnFOK4NQ2-knHnWJU7TNQhwxUyUDtM1C3hXl-b78ME9h_xN-nFwE_CFJZhWuI6mZeYign_8f1D8RulkM</recordid><startdate>20150901</startdate><enddate>20150901</enddate><creator>Jung, Tae Woo</creator><creator>Hwang, Hwan-Jin</creator><creator>Hong, Ho Cheol</creator><creator>Yoo, Hye Jin</creator><creator>Baik, Sei Hyun</creator><creator>Choi, Kyung Mook</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150901</creationdate><title>BAIBA attenuates insulin resistance and inflammation induced by palmitate or a high fat diet via an AMPK–PPARδ-dependent pathway in mice</title><author>Jung, Tae Woo ; Hwang, Hwan-Jin ; Hong, Ho Cheol ; Yoo, Hye Jin ; Baik, Sei Hyun ; Choi, Kyung Mook</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-f94e8b65eed4e63836b6dcd39af8e21f0a2d3e91bfe0a3c3e769e1f6cb6ea1fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Active Transport, Cell Nucleus</topic><topic>Aminoisobutyric Acids - chemistry</topic><topic>AMP-Activated Protein Kinases - metabolism</topic><topic>Animals</topic><topic>Carnitine O-Palmitoyltransferase - metabolism</topic><topic>Diabetes Mellitus - metabolism</topic><topic>Diet, High-Fat - adverse effects</topic><topic>Fatty Acids - chemistry</topic><topic>Gene Expression Regulation</topic><topic>Glucose Tolerance Test</topic><topic>Human Physiology</topic><topic>Inflammation - physiopathology</topic><topic>Insulin - metabolism</topic><topic>Insulin Resistance</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Metabolic Diseases</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Muscle Fibers, Skeletal - metabolism</topic><topic>NF-kappa B - metabolism</topic><topic>Oxygen - chemistry</topic><topic>Palmitates - adverse effects</topic><topic>Receptors, Cytoplasmic and Nuclear - metabolism</topic><topic>RNA, Small Interfering - metabolism</topic><topic>Signal Transduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jung, Tae Woo</creatorcontrib><creatorcontrib>Hwang, Hwan-Jin</creatorcontrib><creatorcontrib>Hong, Ho Cheol</creatorcontrib><creatorcontrib>Yoo, Hye Jin</creatorcontrib><creatorcontrib>Baik, Sei Hyun</creatorcontrib><creatorcontrib>Choi, Kyung Mook</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jung, Tae Woo</au><au>Hwang, Hwan-Jin</au><au>Hong, Ho Cheol</au><au>Yoo, Hye Jin</au><au>Baik, Sei Hyun</au><au>Choi, Kyung Mook</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>BAIBA attenuates insulin resistance and inflammation induced by palmitate or a high fat diet via an AMPK–PPARδ-dependent pathway in mice</atitle><jtitle>Diabetologia</jtitle><stitle>Diabetologia</stitle><addtitle>Diabetologia</addtitle><date>2015-09-01</date><risdate>2015</risdate><volume>58</volume><issue>9</issue><spage>2096</spage><epage>2105</epage><pages>2096-2105</pages><issn>0012-186X</issn><eissn>1432-0428</eissn><abstract>Aims/hypothesis We explored the effects of β-aminoisobutyric acid (BAIBA) on hyperlipidaemic-condition-induced insulin resistance and inflammation as mediated through a signalling pathway involving AMP-activated protein kinase (AMPK) and peroxisome proliferator-activated receptor δ (PPARδ). Methods Mouse skeletal muscle C2C12 cells and C57BL/6J mice were treated with palmitate or a high-fat diet (HFD) and BAIBA. Inflammation and the expression of genes associated with insulin signalling were determined by western blot and quantitative real-time PCR. Selected genes from candidate pathways were evaluated by small interfering (si)RNA knockdown and specific inhibitors. Results BAIBA treatment ameliorated impairment of insulin receptor substrate (IRS)-1/Akt-mediated insulin signalling in palmitate-treated C2C12 myocytes and in skeletal muscle of HFD-fed mice. In addition, BAIBA treatment reversed HFD-induced increases in body weight and improved impaired glucose tolerance in mice. In vitro and in vivo, inhibitory κBα (IκBα) phosphorylation, nuclear factor κB (NFκB) nuclear translocation and downstream inflammatory cytokines were significantly suppressed by BAIBA. Furthermore, BAIBA treatment significantly induced AMPK phosphorylation and expression of PPARδ in C2C12 myocytes and in skeletal muscle of mice. Both compound C, an AMPK inhibitor, and Pparδ (also known as Ppard ) siRNA abrogated the inhibitory effects of BAIBA on palmitate-induced inflammation and insulin resistance. BAIBA significantly induced the expression of genes associated with fatty acid oxidation, such as carnitine palmitoyltransferase 1 ( Cpt1 ), acyl-CoA oxidase ( Aco ; also known as Acox1 ) and fatty acid binding protein 3 ( Fabp3 ); this effect of BAIBA was significantly reduced by compound C and Pparδ siRNA. Conclusions/interpretation These results are the first to demonstrate that BAIBA attenuates insulin resistance, suppresses inflammation and induces fatty acid oxidation via the AMPK–PPARδ pathway in skeletal muscle.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26105792</pmid><doi>10.1007/s00125-015-3663-z</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0012-186X
ispartof Diabetologia, 2015-09, Vol.58 (9), p.2096-2105
issn 0012-186X
1432-0428
language eng
recordid cdi_proquest_miscellaneous_1702654709
source MEDLINE; SpringerLink Journals
subjects Active Transport, Cell Nucleus
Aminoisobutyric Acids - chemistry
AMP-Activated Protein Kinases - metabolism
Animals
Carnitine O-Palmitoyltransferase - metabolism
Diabetes Mellitus - metabolism
Diet, High-Fat - adverse effects
Fatty Acids - chemistry
Gene Expression Regulation
Glucose Tolerance Test
Human Physiology
Inflammation - physiopathology
Insulin - metabolism
Insulin Resistance
Internal Medicine
Male
Medicine
Medicine & Public Health
Metabolic Diseases
Mice
Mice, Inbred C57BL
Muscle Fibers, Skeletal - metabolism
NF-kappa B - metabolism
Oxygen - chemistry
Palmitates - adverse effects
Receptors, Cytoplasmic and Nuclear - metabolism
RNA, Small Interfering - metabolism
Signal Transduction
title BAIBA attenuates insulin resistance and inflammation induced by palmitate or a high fat diet via an AMPK–PPARδ-dependent pathway in mice
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T23%3A31%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=BAIBA%20attenuates%20insulin%20resistance%20and%20inflammation%20induced%20by%20palmitate%20or%20a%20high%20fat%20diet%20via%20an%20AMPK%E2%80%93PPAR%CE%B4-dependent%20pathway%20in%20mice&rft.jtitle=Diabetologia&rft.au=Jung,%20Tae%20Woo&rft.date=2015-09-01&rft.volume=58&rft.issue=9&rft.spage=2096&rft.epage=2105&rft.pages=2096-2105&rft.issn=0012-186X&rft.eissn=1432-0428&rft_id=info:doi/10.1007/s00125-015-3663-z&rft_dat=%3Cproquest_cross%3E1702654709%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1702654709&rft_id=info:pmid/26105792&rfr_iscdi=true