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Studying the Hypothalamic Insulin Signal to Peripheral Glucose Intolerance with a Continuous Drug Infusion System into the Mouse Brain
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Systemic Sonic Hedgehog Signaling Links Intestinal Nutrient Sensing With Sex-Specific Type 2 Diabetes Progression.

Johannes Alfredsson1,2, Nayere Taebnia3, Najat Dzaki4

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FASEB Journal : Official Publication of the Federation of American Societies for Experimental Biology
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Summary

Sonic Hedgehog (Shh) signaling impacts metabolic homeostasis. Elevated Shh levels are linked to type 2 diabetes and hypertension in females, suggesting a sexually dimorphic role in metabolic dysfunction.

Keywords:
Sonic Hedgehogcirculationfemaleinsulin resistanceorganoidsplasmaprediabetessex differencessmall intestinetype 2 diabetes

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Area of Science:

  • Endocrinology and Metabolism
  • Molecular Biology
  • Human Physiology

Background:

  • Systemic Sonic Hedgehog (Shh) signaling is implicated in metabolic homeostasis.
  • Its precise role in human metabolic diseases, including type 2 diabetes, requires further definition.

Purpose of the Study:

  • To investigate the association of plasma Shh levels with common non-communicable diseases, particularly type 2 diabetes mellitus (T2DM) and metabolic dysfunction.
  • To explore the sex-specific differences in these associations.

Main Methods:

  • Plasma Shh levels were measured in two large Swedish cohorts (n=735).
  • Associations with T2DM, hypertension, and insulin resistance were analyzed.
  • Mechanistic studies utilized human intestinal organoids to assess Shh secretion in response to glucose and insulin.

Main Results:

  • Substantial inter-individual variability in Shh levels was observed.
  • Elevated Shh levels were associated with T2DM and hypertension in females, but not males.
  • Shh levels correlated with insulin resistance, reflecting distinct pathophysiological states in males (compensatory insulin secretion) and females (β-cell dysfunction).
  • Human intestinal organoids showed Shh secretion induced by glucose and insulin.

Conclusions:

  • Shh is a sexually dimorphic marker of metabolic dysfunction.
  • Systemic Shh signaling, potentially originating from the intestine, plays a functional role in glycemic control and metabolic disease.