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| ID | Type | Description | Link |
|---|---|---|---|
| R01DK131188 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institutes of Health (NIH) | NIH |
| National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | NIH |
| Washington University School of Medicine | OTHER |
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The goal of this study is to evaluate the role of transcription factor EB (TFEB) in adipose (fat) tissue macrophages (ATM) in regulating adipose tissue and systemic metabolic function in obesity. The investigators will assess the differences in ATM lipid metabolism in people with metabolically abnormal obesity and lean individuals.
Both groups will have:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lean Individuals | No Intervention | No intervention will be administered. | |
| Metabolically abnormal obese Individuals (obesity with normoglycemia and abnormal liver fat content) | Experimental | Participants will undergo a dietary weight loss intervention to achieve 10% weight loss over about 6 months. |
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| Metabolically normal obese Individuals (obesity with normoglycemia and normal liver fat content) | Experimental | Participants will undergo a dietary weight loss intervention to achieve 10% weight loss over about 6 months. |
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| Individuals with Type 2 Diabetes Mellitus | Experimental | Participants will undergo a dietary weight loss intervention to achieve 10% weight loss over about 6 months. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dietary consultation weight loss intervention | Other | Participants will meet with a member of the study team biweekly for about 6 months. |
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| Measure | Description | Time Frame |
|---|---|---|
| Insulin sensitivity assessed as insulin-mediated glucose disposal during a hyperinsulinemic-euglycemic clamp procedure. | up to 6 months after the intervention | |
| 24-hour plasma glucose concentration | up to 6 months after the intervention | |
| Macrophage isolation in adipose tissue biopsy | macrophage gene expression using RNA sequencing and fluorescent activated cell sorting (FACS) | up to 6 months after the intervention |
| Macrophage isolation in skeletal muscle tissue | macrophage gene expression using RNA sequencing and fluorescent activated cell sorting (FACS) | up to 6 months after the intervention |
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Inclusion Criteria :
Lean group:
Metabolically normal obesity (MNO) group:
Metabolically abnormal obesity (MAO)-insulin resistance and non-alcoholic fatty liver disease (NAFLD) group:
MAO-type 2 diabetes group:
Exclusion Criteria:
- Individuals that do not meet all inclusion Criterion
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Heather McHatton | Contact | (573) 882-7619 | heathermchatton@health.missouri.edu | |
| Aman Pritish Aher | Contact | amanpritishaher@umsystem.edu |
| Name | Affiliation | Role |
|---|---|---|
| Bettina Mittendorfer | University of Missouri-Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Missouri School of Medicine | Recruiting | Columbia | Missouri | 65212 | United States |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D065626 | Non-alcoholic Fatty Liver Disease |
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005234 | Fatty Liver |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D004700 | Endocrine System Diseases |