A mathematical model of type 1 diabetes involving leptin effects on glucose metabolism

•A mathematical model of brain-centered glucoregulatory system is proposed.•Effects of leptin on hyperglycemia are quantified.•Leptin administration drastically improves insulin therapy. Leptin, a hormone released from fat cells in adipose tissues, was recently found to be capable of normalizing glu...

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Veröffentlicht in:Journal of theoretical biology 2018-11, Vol.456, p.213-223
Hauptverfasser: Kadota, Rei, Sugita, Kazuma, Uchida, Kenko, Yamada, Hitoshi, Yamashita, Masashi, Kimura, Hidenori
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container_end_page 223
container_issue
container_start_page 213
container_title Journal of theoretical biology
container_volume 456
creator Kadota, Rei
Sugita, Kazuma
Uchida, Kenko
Yamada, Hitoshi
Yamashita, Masashi
Kimura, Hidenori
description •A mathematical model of brain-centered glucoregulatory system is proposed.•Effects of leptin on hyperglycemia are quantified.•Leptin administration drastically improves insulin therapy. Leptin, a hormone released from fat cells in adipose tissues, was recently found to be capable of normalizing glucose metabolism in animals. Clinical data on patients with lipodystrophy indicates that leptin may have a positive effect on glucose metabolism in individuals with diabetes. There are growing expectations that leptin can improve the current insulin treatment for patients with type 1 diabetes. We investigated this possibility through in silico experiments based on a mathematical model of diabetes, which is currently the only mode of research that eliminates human risk. A model of the brain-centered glucoregulatory system, in which leptin plays a central role, was constructed and integrated within a conventional model of insulin/glucose dynamics. The model has been validated using experimental data from animal studies. The in silico combination experiments showed excellent therapeutic performance over insulin monotherapy.
doi_str_mv 10.1016/j.jtbi.2018.08.008
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subjects Animals
Blood Glucose - metabolism
Brain - metabolism
Brain-centered glucoregulatory system
Computer Simulation
Diabetes Mellitus, Experimental - blood
Diabetes Mellitus, Experimental - drug therapy
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - drug therapy
Endogenous glucose production
Glucose Tolerance Test
Humans
Hypoglycemia
Hypoglycemic Agents - therapeutic use
Insulin
Insulin sensitivity
Leptin - physiology
Leptin - therapeutic use
Models, Biological
title A mathematical model of type 1 diabetes involving leptin effects on glucose metabolism
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