The purpose of this study is to investigate whether Endoplasmic Reticulum (ER) stress pathway is activated in peripheral tissues (adipose tissue) in insulin resistant diabetic patients compared to healthy subjects normoglycemic matched for age and sex an to investigate whether ER stress pathway can be activated in response to insulin. Indeed, some preliminar on rates studies shows that ER stress pathway is activated by insulin in liver and adipose tissue showing that hyperinsulinemia might help trigger stress path ER. For this, we propose a case control study of type 2 diabetic patients vs control subjects in which markers of ER stress will be evaluated from abdominal subcutaneous adipose tissue obtained before and after euglycemic hyperinsulinemic. We chose to consider adipose tissue subcutaneous rather than visceral adipose tissue for obvious reasons of lesser invasiveness.
Study Type
OBSERVATIONAL
Enrollment
40
Saint-Louis Hospital
Paris, Paris, France
Show an increase in markers of ER stress in fasting patients with type 2 diabetes
Protein expression markers of ER stress pathway BiP / GRP 78, CHOP, ATF4 EDEM and XBP-1
Time frame: 2 days
Assess whether insulin induces an increase in markers of ER stress
Insulin sensitivity
Time frame: 2 days
Insulin secretion in response to glucose infusion
Time frame: 2 days
Insulin secretion in response to arginine infusion
Time frame: 2 days
Lipolysis on insulin
Time frame: 2 days
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