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Lessons from transgenic and knockout animals about noninsulin-dependent diabetes mellitus
Author(s): Patti ME, Kahn CR
Source: TRENDS IN ENDOCRINOLOGY AND METABOLISM    Volume: 7    Issue: 9    Pages: 311-319    Published: NOV 1996  
Times Cited: 11     References: 64     
Abstract: The application of transgenic techniques to alter gene expression in vivo has provided new models to evaluate the role of specific genes in the complex pathogenesis of noninsulin-dependent diabetes mellitus (NIDDM). In this review we summarize methods used to create transgenic animals and highlight results from those models which have contributed to our understanding of the overall pathophysiology of NIDDM. Transgenic animal models have clearly demonstrated the requirement for normal insulin action in skeletal muscle, adipose tissue, and liver as well as normal insulin secretion by the pancreatic p-cell, in the maintenance of glucose homeostasis. In addition, these data confirm that isolated defects in single critical genes, including the insulin receptor IRS-1, and glucokinase, may play a role in the development of some types of insulin resistance and NIDDM. However, it is likely that multiple additive defects, both genetic and acquired are required to produce the full clinical syndrome typical of more common forms of NIDDM. (C) 1996, Elsevier Science Inc.
Document Type: Review
Language: English
Reprint Address: Patti, ME (reprint author), JOSLIN DIABET CTR, DIV RES, 1 JOSLIN PL, BOSTON, MA 02215 USA
Addresses:
1. HARVARD UNIV, SCH MED, DEPT MED, BOSTON, MA 02215 USA
Publisher: ELSEVIER SCIENCE INC, 655 AVENUE OF THE AMERICAS, NEW YORK, NY 10010
Subject Category: Endocrinology & Metabolism
IDS Number: VV464
ISSN: 1043-2760
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