An Immunomodulatory Device Improves Insulin Resistance in Obese Porcine Model of Metabolic Syndrome

Obesity is associated with tissue inflammation which is a crucial etiology of insulin resistance. This inflammation centers around circulating monocytes which form proinflammatory adipose tissue macrophages (ATM). Specific approaches targeting monocytes/ATM may improve insulin resistance without the...

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Main Authors: Angela J. Westover, Kimberly A. Johnston, Deborah A. Buffington, H. David Humes
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/3486727
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author Angela J. Westover
Kimberly A. Johnston
Deborah A. Buffington
H. David Humes
author_facet Angela J. Westover
Kimberly A. Johnston
Deborah A. Buffington
H. David Humes
author_sort Angela J. Westover
collection DOAJ
description Obesity is associated with tissue inflammation which is a crucial etiology of insulin resistance. This inflammation centers around circulating monocytes which form proinflammatory adipose tissue macrophages (ATM). Specific approaches targeting monocytes/ATM may improve insulin resistance without the adverse side effects of generalized immunosuppression. In this regard, a biomimetic membrane leukocyte processing device, called the selective cytopheretic device (SCD), was evaluated in an Ossabaw miniature swine model of insulin resistance with metabolic syndrome. Treatment with the SCD in this porcine model demonstrated a decline in circulating neutrophil activation parameters and monocyte counts. These changes were associated with improvements in insulin resistance as determined with intravenous glucose tolerance testing. These improvements were also reflected in lowering of homeostatic model assessment- (HOMA-) insulin resistant (IR) scores for up to 2 weeks after SCD therapy. These results allow for the planning of first-in-man studies in obese type 2 diabetic patients.
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spelling doaj-art-734ef56d5ae24833b04f31f1a22ef8622025-02-03T01:07:42ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/34867273486727An Immunomodulatory Device Improves Insulin Resistance in Obese Porcine Model of Metabolic SyndromeAngela J. Westover0Kimberly A. Johnston1Deborah A. Buffington2H. David Humes3Innovative BioTherapies, Inc., 650 Avis Drive, Suite 300, Ann Arbor, MI 48108, USAInnovative BioTherapies, Inc., 650 Avis Drive, Suite 300, Ann Arbor, MI 48108, USAInnovative BioTherapies, Inc., 650 Avis Drive, Suite 300, Ann Arbor, MI 48108, USAInnovative BioTherapies, Inc., 650 Avis Drive, Suite 300, Ann Arbor, MI 48108, USAObesity is associated with tissue inflammation which is a crucial etiology of insulin resistance. This inflammation centers around circulating monocytes which form proinflammatory adipose tissue macrophages (ATM). Specific approaches targeting monocytes/ATM may improve insulin resistance without the adverse side effects of generalized immunosuppression. In this regard, a biomimetic membrane leukocyte processing device, called the selective cytopheretic device (SCD), was evaluated in an Ossabaw miniature swine model of insulin resistance with metabolic syndrome. Treatment with the SCD in this porcine model demonstrated a decline in circulating neutrophil activation parameters and monocyte counts. These changes were associated with improvements in insulin resistance as determined with intravenous glucose tolerance testing. These improvements were also reflected in lowering of homeostatic model assessment- (HOMA-) insulin resistant (IR) scores for up to 2 weeks after SCD therapy. These results allow for the planning of first-in-man studies in obese type 2 diabetic patients.http://dx.doi.org/10.1155/2016/3486727
spellingShingle Angela J. Westover
Kimberly A. Johnston
Deborah A. Buffington
H. David Humes
An Immunomodulatory Device Improves Insulin Resistance in Obese Porcine Model of Metabolic Syndrome
Journal of Diabetes Research
title An Immunomodulatory Device Improves Insulin Resistance in Obese Porcine Model of Metabolic Syndrome
title_full An Immunomodulatory Device Improves Insulin Resistance in Obese Porcine Model of Metabolic Syndrome
title_fullStr An Immunomodulatory Device Improves Insulin Resistance in Obese Porcine Model of Metabolic Syndrome
title_full_unstemmed An Immunomodulatory Device Improves Insulin Resistance in Obese Porcine Model of Metabolic Syndrome
title_short An Immunomodulatory Device Improves Insulin Resistance in Obese Porcine Model of Metabolic Syndrome
title_sort immunomodulatory device improves insulin resistance in obese porcine model of metabolic syndrome
url http://dx.doi.org/10.1155/2016/3486727
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