NIDDK Recent Advances and Emerging Opportunities
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NIDDK Recent Advances & Emerging Opportunities January 2016 U.S. Department of Health and Human Services National Institutes of Health National Institute of Diabetes & Digestive & Kidney Diseases Cover Legend: The NIDDK has a long history of supporting research that employs cutting-edge tools and technologies to improve diagnoses, prevention strategies, and treatments for a broad array of human diseases and conditions. At the same time, the limits of technology are continually expanding, allowing an ever-deepening understanding of the biological processes underpinning health and disease. Images on the cover represent these interactions among technology, biology, and medicine in the quest to improve human health, exemplified by the NIDDK-supported research highlighted in this annual publication. Inset image credits: 1. Image provided by Dr. Richard Torres and Dr. Robert Safirstein. Republished with permission of the Journal of the American Society of Nephrology, from Torres R, Velazquez H, Chang JJ, et al. Copyright 2015; permission conveyed through Copyright Clearance Center, Inc. 2. From graphics for Liver Injury from Herbal and Dietary Supplements Workshop. 3. Image provided by Dr. Wei Yang. Reprinted by permission from Macmillan Publishers Ltd: Nature, Kim M-S, Lapkouski M, Yang W, and Gellert M. Copyright 2015. 4. Image provided by Dr. Xin Chen and Dr. Rayaz A. Malik. From: Chen X, Graham J, Dabbah MA, et al. American Diabetes Association Diabetes Care, American Diabetes Association, 2015. Copyright and all rights reserved. Material from this publication has been used with the permission of American Diabetes Association. 5. Image provided by Dr. Rebecca G. Wells. From: Lorent K, Gong W, Koo KA, et al, Sci Transl Med, 2015. Reprinted with permission from AAAS. 6. Image provided by Dr. C. Ronald Kahn. Reprinted from Cell Metab, Ussar S, Griffin NW, Bezy O, et al, copyright 2015, with permission from Elsevier. 7. From graphics for Scientific Workshop: Urinary Stone Disease—Research Challenges and Opportunities. NIDDK Recent Advances & Emerging Opportunities January 2016 U.S. Department of Health and Human Services National Institutes of Health National Institute of Diabetes & Digestive & Kidney Diseases TABLE OF CONTENTS Combating Hypoglycemia Associated with Insulin Therapy .........................................................17 MESSAGE FROM THE DIRECTOR Discovery of Brain Pathway That CROSS-CUTTING SCIENCE .........................1 Responds to Low Blood Glucose Levels ...........17 Insights into Protein Structure and Function............. 1 Replacing Beta Cells ................................................18 Solving Three-dimensional Structure of Molecule Shows Promise in Promoting Immune System Proteins .................................... 1 Beta Cell Replication .........................................18 Protein Folding Machinery— Advancing Type 2 Diabetes Treatments ..................19 GroEL Gives the Assist ........................................ 2 A Clearer Picture of the Molecular Friends of NIDDK Coalition Holds Underpinnings of Insulin Resistance and Congressional Reception ........................................... 3 Type 2 Diabetes .................................................19 NIDDK Workshop: How Microbes Residing in the Genetic Differences Throughout the Gut Influence the Health of Their Hosts .................... 4 Genome Affect the Function of a Key Metabolic Regulator ..........................................20 SPARC and NIDDK Organs of Interest ....................... 6 Discovery of Naturally Occurring Scientific Presentation: Dr. Wei Yang— Fats That May Alleviate Diabetes and Molecular Machines in DNA Biology ......................... 8 Inflammation .....................................................21 Understanding and Diagnosing DIABETES, ENDOCRINOLOGY, AND Diabetes Complications ..........................................22 METABOLIC DISEASES ...............................13 Insights into Development of Diabetes Prevalence ................................................15 Diabetes Complications ....................................22 First National Data on Diabetes For Diagnosing Diabetic Nerve Damage, the Rates in Asian Americans .................................15 Eyes May Have It ...............................................23 Type 1 Diabetes—Health Benefits of Effects of Insulin Resistance in the Brain ...............24 Good Glucose Management ....................................16 Linking Insulin Resistance in the Brain to Early and Intensive Glucose Control Can Behavioral Disorders ........................................24 Result in Better Eye Health and Longer Life for Those with Type 1 Diabetes .................16 Metabolic Regulators of Health and Disease .........25 Regulating the Cell’s Internal Recycling Ease of Weight Loss Influenced by Program During Feast and Famine ..................25 Individual Biology ..............................................57 Attention to Starving Has Been Healthier Weight in Impoverished Children .............57 Starving for Attention ........................................26 Head Start Participation Associated with Cystic Fibrosis Research ..........................................27 Healthy Changes in Body Weight Among Impoverished Overweight and Modest Benefit Seen from Treatment for Obese Children ..................................................57 Most Common Cystic Fibrosis Mutation ..........27 Multiple Brain Cell Pathways That NIDDK Director Testifies on Type 1 Diabetes Regulate Appetite .....................................................58 Research ...................................................................29 Brain Cells That Forge a Path from Exploring the Fourth Dimension on a Cellular Level: Hunger to a Quest for Food ...............................58 The 4D Nucleome .....................................................31 Hungry When You’re Full? Story of Discovery: SGLT2 Inhibitors: Cannabinoids Trigger a Surprising Harnessing the Kidneys To Help Switch in Brain Cells Known for Their Treat Diabetes ..........................................................33 Role in Suppressing Appetite ...........................59 Scientific Presentation: Dr. Jean E. Schaffer— Circadian Rhythm and Calorie Intake ......................60 An Unexpected Role for Certain Small RNAs in Diabetic Complications: sno in the Forecast ..........39 Time To Eat? ......................................................60 Patient Profile: Bariatric Surgery Offers Gut Microbiome, Genetics, and Obesity ..................61 Hope as a Treatment for Some People with Type 2 Diabetes ........................................................42 Nature, Nurture, and Nutrition— Gut Bacteria Native to Different Patient Profile: Improved Diagnosis Environments, Genetics, and Diet Leads to an Easier Treatment for Influence Metabolism .......................................61 Monogenic Diabetes ................................................48 Bariatric Surgery Research ......................................62 OBESITY .....................................................55 Bariatric Surgery May Help Reduce Urinary Incontinence ........................................62 Biological Factors in Human Body Weight...............56 Redirecting the Flow of Bile to the Distal Small Belly Fat, or Hip Fat? And How Much? Intestine Could Provide Metabolic Health Mining the Genome for Answers ......................56 Benefits Similar to Bariatric Surgery ................63 Burning Calories: Brown Fat, Beige Fat, and Digging Deeper for the Genetic Roots of Body Temperature ....................................................64 Inflammatory Bowel Disease ............................80 Mimicking a Meal To Reduce Viruses in Gut Linked to Inflammatory Weight Gain .......................................................64 Bowel Disease ...................................................80 A New Role for a Class of Immune Cells in Insights into Gut Development and Activities .........81 Regulating Beige Fat Development ..................65 Gut Sensory Cells Can Signal Directly to the Improved Utility of Mice as Models of Nervous System ................................................81 Human Obesity..................................................67 Animal Models Provide Important Clues to A Technological Partnership Between the Gut Vessel Development...................................82 NIH and the USDA Aims To Help People Achieve and Maintain a Healthy Weight ..................68 Human Intestinal Model from Stem Cells Grown in Culture and Transplanted into Mice .....................................83 DIGESTIVE DISEASES AND NUTRITION ...... 71 Intestinal Cancer Genetics.......................................84 Gut Microbes in Health and Disease .......................73 Identification of Genetic Mutation May Gut Microbial Communities Shaped by Lead to Better Screening for Carcinoid Human Genetic Factors ....................................73 Tumors, a Type of Intestinal Cancer .................84 Harmful Gut Bacterial Effects Behind Symptom Reporting in Irritable Persistent Childhood Undernutrition ...............74 Bowel Syndrome .......................................................85 Viruses Can Cover for Helpful Bacteria in the “Total Recall”? Variations in Memory of Gut’s Microbial Community ..............................75 Pain and Other Irritable Bowel Syndrome Symptoms Over Time ........................................85 Early Nutrition and Gastrointestinal Disease