Nuria López-Alcántara, Lena Adam, Julia Resch, Susanne Keipert, Jens Mittag, Rebecca Oelkrug
{"title":"Pregnancy negates thyroid hormone-induced pyrexia.","authors":"Nuria López-Alcántara, Lena Adam, Julia Resch, Susanne Keipert, Jens Mittag, Rebecca Oelkrug","doi":"10.1152/ajpendo.00569.2025","DOIUrl":"https://doi.org/10.1152/ajpendo.00569.2025","url":null,"abstract":"<p><p>Thyroid hormone (TH) is a key regulator of body temperature; however, its role in the tightly controlled maternal thermoregulatory system that safeguards fetal viability remains unknown. To address this gap, we investigated how maternal hyperthyroidism affects thermoregulation, metabolic tissues, and endocrine signaling in pregnant C57BL/6NCrl mice. Treatment with 3,3',5-Triiodo-L-thyronine (T3) from conception to late gestation initially elevated maternal core temperature, reflecting a hypothalamic pyrexic set-point. However, this effect was gradually attenuated towards term, permitting the normal prepartum drop in core body temperature. Despite elevated TH levels, brown and white adipose tissues showed no thermogenic activation, whereas skeletal muscle exhibited selective metabolic remodeling, including glycogen depletion and increased mitochondrial capacity in glycolytic muscles, without changes in SERCA2 expression. Notably, maternal T3 treatment further boosted the pregnancy-associated increase in FGF21, while adipose tissue remained non-thermogenic, indicating a role of TH-induced FGF21 in sustaining maternal metabolic requirements. Together, these findings reveal a hierarchical adaptation in which central TH effects are overridden, peripheral thermogenic activation is partially suppressed, and endocrine signaling is redirected to maintain maternal-fetal energy balance. In summary, this study identifies a pregnancy-specific mechanism that protects the fetus from hyperthermia while sustaining maternal metabolic demands, with important implications for thyroid dysfunction and fetal programming.</p>","PeriodicalId":7594,"journal":{"name":"American journal of physiology. Endocrinology and metabolism","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie Estafanos, Daniel West, Anessa Koussiouris, Daniel R Moore, Jenna B Gillen
{"title":"Sex differences in exogenous glucose oxidation are attenuated by obesity: insights from a [U-<sup>13</sup>C<sub>6</sub>]glucose home breath test.","authors":"Stephanie Estafanos, Daniel West, Anessa Koussiouris, Daniel R Moore, Jenna B Gillen","doi":"10.1152/ajpendo.00576.2025","DOIUrl":"10.1152/ajpendo.00576.2025","url":null,"abstract":"<p><p>Biological sex influences whole body glucose metabolism, with females generally displaying greater insulin sensitivity than males, yet paradoxically similar or poorer glucose tolerance when assessed with oral glucose tolerance tests (OGTTs). This discrepancy suggests that plasma glucose concentrations alone may not capture sex-specific differences in postprandial glucose metabolism. Measuring exogenous glucose oxidation during a [U-<sup>13</sup>C<sub>6</sub>]glucose-enriched OGTT may offer a noninvasive approach to detect such differences, but this method has not yet been applied to examine sex differences. Forty adults (18-65 yr; <i>n</i> = 20/sex) classified as normal-weight (NW; <i>n</i> = 10/sex) or obese (OB; <i>n</i> = 10/sex) based on body mass index completed a virtually monitored metabolic trial. After a 10-h overnight fast, participants ingested a 75-g glucose beverage enriched with 75-mg (0.1%) [U-<sup>13</sup>C<sub>6</sub>]d-glucose. Capillary glucose concentration, salivary insulin, and exogenous glucose oxidation were measured fasted and across the 3-h postprandial period. Compared with NW, participants with OB had higher 3-h mean blood glucose (<i>P</i> < 0.001) and salivary insulin (<i>P</i> < 0.001) concentrations, with no differences between sexes (all <i>P</i> > 0.05). A sex × obesity interaction was observed for exogenous glucose oxidation, such that it was higher in females than males in NW (69.1 ± 5.4 vs. 48.2 ± 7.5; <i>P</i> < 0.0001) but not in OB (40.9 ± 8.4 vs. 36.0 ± 9.3 mg/kg/h; <i>P</i> = 0.53). OB participants also exhibited lower overall exogenous glucose oxidation compared with NW (38.4 ± 8.8 vs. 58.7 ± 6.4 mg/kg/h; <i>P</i> < 0.001). These findings suggest that despite no sex differences in glucose or insulin responses during the OGTT, females exhibit higher exogenous glucose oxidation than males, but this elevated metabolic response is attenuated in obesity.<b>NEW & NOTEWORTHY</b> Using a [U-<sup>13</sup>C<sub>6</sub>]glucose breath test during a 3-h OGTT, we show that normal-weight females oxidize a greater proportion of ingested glucose than males despite similar blood glucose and insulin responses. This sex difference is attenuated in obesity, which reduces overall glucose oxidation. These findings reveal sex-specific regulation of postprandial glucose metabolism not captured by conventional OGTT metrics and highlight breath testing as a sensitive, noninvasive approach for assessing glucose metabolism outside the laboratory.</p>","PeriodicalId":7594,"journal":{"name":"American journal of physiology. Endocrinology and metabolism","volume":" ","pages":"E684-E693"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147607664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carolina B Lobato, Amalie B E Nielsen, Jens J Holst
{"title":"A role for vagal activity in preventing the suppression of glucagon secretion by GLP-1 during hypoglycemia.","authors":"Carolina B Lobato, Amalie B E Nielsen, Jens J Holst","doi":"10.1152/ajpendo.00236.2025","DOIUrl":"10.1152/ajpendo.00236.2025","url":null,"abstract":"<p><p>Glucagon-like peptide 1 (GLP-1) is generally safe against hypoglycemia, although it stimulates insulin and inhibits glucagon secretion. One explanation is that glucagon secretion is not inhibited by GLP-1 during hypoglycemia. We aimed at understanding the lack of suppression of glucagon secretion by GLP-1 by exploring the paracrine and neural regulation of pancreatic hormone secretion during hypoglycemia. Isolated rat pancreas (A) and an organ block comprising pancreas and stomach (B) were perfused. We performed <i>1</i>) dose-response studies with GLP-1 (7-36) at hypoglycemia; <i>2</i>) studies with GLP-1 (7-36) with and without blockage of somatostatin (SST) activity (with SST receptor antagonists); <i>3</i>) and <i>4</i>) dose-response experiments with acetylcholine at euglycemia and studies under hypoglycemia; and <i>5</i>) finally, we studied the role of cholinergic signaling for modulation of GLP-1 activity under hypoglycemia. We measured glucagon, SST, and insulin levels. The secretion of SST was dependent on surgical preparation (A or B, <i>P</i> = 0.0006) and on cholinergic stimulation (<i>P</i> < 0.0001), rather than on glucose levels (<i>P</i> > 0.05). The infusion of SSTR antagonists in the isolated perfused rat pancreas blocked the paracrine effects of SST (<i>P</i> = 0.0041) and stimulated glucagon secretion (<i>P</i> = 0.0023). Cholinergic activity stimulated glucagon secretion during hypoglycemia through suppression of SST secretion. Cholinergic signaling delivered through the gastric intramural autonomic ganglia and/or vagus nerve efferents to the pancreas appears to be crucial for preventing GLP-1-induced inhibition of glucagon secretion during hypoglycemia.<b>NEW & NOTEWORTHY</b> Autonomic signaling suppresses somatostatin secretion, crucial for paracrine stimulation of glucagon secretion. SST mediates GLP-1-induced inhibition of glucagon secretion, but autonomic signaling may interfere with this mechanism. Activation of cholinergic pathways in a preparation with prepancreatic parasympathetic structures suppresses SST secretion in response to GLP-1 and potentiates glucagon secretion during hypoglycemia. These findings support the clinical importance of autonomic signaling in regulating pancreatic hormone secretion and hypoglycemia risk in some patients on GLP-1 receptor agonists.</p>","PeriodicalId":7594,"journal":{"name":"American journal of physiology. Endocrinology and metabolism","volume":" ","pages":"E737-E746"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147669864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hope Lee, Sarah Marie Gerges, Simran Gill, Amro Tambal, Harneet Kaur Bahia, Mohamed Aburadi, Shivani Grover, Somshuvra Mukhopadhyay, Cathleen L Doherty, Sean Stratton, Sylvia Christakos
{"title":"Evidence for a role of calcium and vitamin D in the regulation of manganese homeostasis and in the prevention or management of manganese-induced disease.","authors":"Hope Lee, Sarah Marie Gerges, Simran Gill, Amro Tambal, Harneet Kaur Bahia, Mohamed Aburadi, Shivani Grover, Somshuvra Mukhopadhyay, Cathleen L Doherty, Sean Stratton, Sylvia Christakos","doi":"10.1152/ajpendo.00511.2025","DOIUrl":"10.1152/ajpendo.00511.2025","url":null,"abstract":"<p><p>SLC30A10 mediates manganese (Mn) efflux in both the intestine and liver, protecting against Mn toxicity. In previous studies, we found that <i>Slc30a10</i> is one of the genes most induced by 1,25(OH)<sub>2</sub>D<sub>3</sub> in mouse intestine and human enteroids. In addition, in <i>Slc30a10</i> knockout mice, we noted a significant decrease in <i>Trpv6</i>, a vitamin D target gene involved in intestinal calcium transport, indicating a link between Mn efflux transport in the intestine, calcium, and the vitamin D endocrine system. In this study, we examined the effect of varying levels of Mn in 3-wk-old male and female mice fed diets either low, adequate, or high in calcium for 4 wk. Mn levels were markedly elevated in the mice fed the low calcium diets (0.02%, 0.1%) in tissues and blood. Under low calcium conditions, serum 1,25(OH)<sub>2</sub>D<sub>3</sub> and intestinal <i>Slc30a10</i> were induced as possible compensatory mechanisms to manage Mn toxicity. However, when older mice were similarly fed a high Mn low calcium diet for 4 wk, there was a decrease in serum 1,25(OH)<sub>2</sub>D<sub>3</sub>, in renal <i>Cyp27b1</i> and either no effect or a decreased Mn response to low calcium in tissues and blood. Our findings indicate that low dietary calcium may contribute to the pathogenesis of Mn-induced toxicity, that the interactions between Mn and calcium are mediated in part by 1,25(OH)<sub>2</sub>D<sub>3</sub> and that there is a protective mechanism of control of Mn homeostasis by vitamin D and calcium with potential therapeutic relevance for the prevention or management of Mn-induced disease.<b>NEW & NOTEWORTHY</b> This study demonstrates that low calcium levels in growing mice markedly elevate Mn in blood and other tissues thus contributing to the pathogenesis of Mn-induced toxicity, that interaction between Mn and calcium are mediated in part by 1,25(OH)<sub>2</sub>D<sub>3</sub> and that there is a protective mechanism of control of Mn homeostasis by vitamin D and calcium with potential therapeutic relevance for prevention or management of Mn induced diseases.</p>","PeriodicalId":7594,"journal":{"name":"American journal of physiology. Endocrinology and metabolism","volume":" ","pages":"E728-E736"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Enda Murphy, Claire Laurens, Laurie Frances, Marie-Adeline Marquès, François Crampes, Isabelle de Glisezinski, Javier Monedero, Helena Kenny, Noel McCaffrey, Francis M Finucane, Cedric Moro, Donal O'Gorman
{"title":"Acute metabolic and molecular responses to sprint interval versus moderate-intensity continuous exercise in healthy young men.","authors":"Enda Murphy, Claire Laurens, Laurie Frances, Marie-Adeline Marquès, François Crampes, Isabelle de Glisezinski, Javier Monedero, Helena Kenny, Noel McCaffrey, Francis M Finucane, Cedric Moro, Donal O'Gorman","doi":"10.1152/ajpendo.00548.2025","DOIUrl":"10.1152/ajpendo.00548.2025","url":null,"abstract":"<p><p>Exercise intensity is a key determinant of the physiological responses in skeletal muscle that lead to improvements in human health. Whether a bout of brief supramaximal acute exercise has similar effects on muscle physiology and metabolic health to a longer bout of continuous acute exercise remains unclear. In a randomized cross-over design, 12 healthy young recreationally active men completed single acute bouts of either sprint interval exercise (SIE; seven repeated 30 s maximal sprints at 130% over 35 min) or moderate-intensity continuous exercise (MICE; cycling at 65% effort over 60 min), or a nonexercise control (CON) session, on separate days. Acute changes in skeletal muscle insulin sensitivity were measured with a hyperinsulinemic euglycemic clamp. Muscle biopsies were performed to quantify changes in muscle glycogen content and insulin signaling proteins. Despite a sixfold lower total mechanical work in SIE versus MICE, SIE elicited greater and more prolonged increases in whole body insulin sensitivity, with greater preclamp muscle glycogen depletion and glycogen repletion during the clamp. We found reduced glycogen synthase and glycogen synthase kinase-3β phosphorylation, with no differences in Akt Thr308/Ser473 phosphorylation. A single session of sprint interval exercise elicits more pronounced effects on several measures of skeletal muscle insulin sensitivity than a single bout of moderate-intensity continuous exercise, despite substantially lower mechanical work and time commitment. These findings indicate that exercise intensity is a key mediator of acute skeletal muscle metabolic adaptations to exercise and suggest that sprint interval exercise represents a highly time-efficient stimulus for improving skeletal muscle insulin responsiveness.<b>NEW & NOTEWORTHY</b> This study shows that a single bout of sprint interval exercise produces greater acute improvements in whole body and skeletal muscle insulin sensitivity than a much longer session of moderate-intensity continuous exercise, despite requiring far less total work and time. The findings highlight exercise intensity, not duration, as a key driver of rapid metabolic adaptations and identify sprint interval exercise as a highly time-efficient strategy for enhancing insulin sensitivity.</p>","PeriodicalId":7594,"journal":{"name":"American journal of physiology. Endocrinology and metabolism","volume":" ","pages":"E562-E571"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147455259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alex E Mohr, Claire E Berryman, Melissa N Harris, Alexander B Lawrence, Nabarun Chakraborty, Ross Campbell, George I Dimitrov, Aarti Gautam, Rasha Hammamieh, Harris R Lieberman, Jennifer C Rood, Stefan M Pasiakos, J Philip Karl
{"title":"Testosterone administration partially modulates gut microbiota responses to severe energy deficit.","authors":"Alex E Mohr, Claire E Berryman, Melissa N Harris, Alexander B Lawrence, Nabarun Chakraborty, Ross Campbell, George I Dimitrov, Aarti Gautam, Rasha Hammamieh, Harris R Lieberman, Jennifer C Rood, Stefan M Pasiakos, J Philip Karl","doi":"10.1152/ajpendo.00291.2025","DOIUrl":"10.1152/ajpendo.00291.2025","url":null,"abstract":"<p><p>Severe diet- and exercise-induced energy deficit (SED) suppresses androgen production in healthy men, altering metabolism and driving muscle loss. The gut microbiota modulates host metabolism, yet the community's response to SED and any role of androgen hormones are unclear. Herein, healthy, physically active men were randomized to receive 200 mg/wk testosterone enanthate (<i>n</i> = 24) or placebo (<i>n</i> = 26) during a 28-day residential intervention that restricted energy intake and increased energy expenditure inducing a ∼2,000 kcal/day SED. Multiomic analyses revealed altered gut microbiota composition, reduced fecal short-chain fatty acids (SCFA), and shifts in bacterial metabolic pathways toward lipid utilization and mucin degradation during SED, suggesting adverse effects of SED on gut microbiota metabolic functions. Testosterone administration preserved certain SCFA-producing taxa and bioenergetic pathways without fully counteracting the effects of SED indicating a limited but potentially important interplay between androgen status and the gut microbiota under conditions of SED.<b>NEW & NOTEWORTHY</b> This study is the first to demonstrate that testosterone administration partially preserves gut microbiota composition and metabolic function during severe energy deficit in healthy men. Using a multiomic approach, we show that testosterone modulates short-chain fatty acid-producing taxa and microbial pathways linked to host energy metabolism. These findings reveal a novel role for androgens in shaping host-microbiome interactions during catabolic stress and may inform strategies to maintain metabolic resilience.</p>","PeriodicalId":7594,"journal":{"name":"American journal of physiology. Endocrinology and metabolism","volume":" ","pages":"E606-E626"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147502649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gertrude Kyere-Davies, Kaitlyn B Hill, Gregory P Mullen, Rohan R Varshney, Snehasis Das, Alexandrea Martinez, Jacob W Farriester, Michael Kinter, Cassie M Mitchell, Kevin R Short, Elvira M Isganaitis, David A Fields, Michael C Rudolph
{"title":"Maternal exercise during lactation remodels obesity-associated mammary metabolism and milk fatty acids, enhancing offspring lipid oxidation.","authors":"Gertrude Kyere-Davies, Kaitlyn B Hill, Gregory P Mullen, Rohan R Varshney, Snehasis Das, Alexandrea Martinez, Jacob W Farriester, Michael Kinter, Cassie M Mitchell, Kevin R Short, Elvira M Isganaitis, David A Fields, Michael C Rudolph","doi":"10.1152/ajpendo.00399.2025","DOIUrl":"10.1152/ajpendo.00399.2025","url":null,"abstract":"<p><p>Maternal obesity alters breast milk composition in ways that may predispose infants to excess adiposity. Although maternal exercise during lactation has been associated with favorable shifts in milk metabolites in humans, the mechanisms by which exercise remodels the mammary gland and milk lipid profile to influence offspring metabolism remain unclear. We developed a mouse model incorporating daily moderate treadmill exercise only during lactation, using lean (LN) and diet-induced obese (OB) dams, and leveraged indirect calorimetry, stable isotope tracer respirometry, and mammary epithelial cell (MEC) proteomics assays. Maternal obesity broadly remodeled the MEC proteome, decreasing enzymes of de novo fatty acid synthesis and altering lipid transport and oxidative pathways. These molecular adaptations in OB dams corresponded to higher milk triglyceride content and shifts in fatty acid composition, including suppressed medium-chain fatty acids (MCFAs). The exercise (EX) intervention during lactation reset MEC protein networks, enhancing protein translation and vesicle transport pathways, whereas decreasing fatty acid desaturation, relative to the sedentary (SED) group. In OB dams, the exercise intervention increased milk MCFA levels and partially corrected the proinflammatory omega-6 fatty acid bias. Offspring suckling OB-EX dams exhibited enhanced in vivo fatty acid oxidation, partially rescuing obesity-associated impairments in metabolic fuel preference. Together, maternal exercise during lactation remodels mammary metabolism and milk fatty acid composition in obese dams, which in turn, enhances postnatal lipid oxidation. These findings highlight lactation as a modifiable window, wherein maternal activity influences milk composition and early life metabolism.<b>NEW & NOTEWORTHY</b> Maternal obesity alters milk fatty acid composition, with consequences for postnatal metabolism. Maternal exercise during lactation in obese dams remodeled the mammary epithelial cell proteome, increasing medium-chain fatty acids in milk and enhancing offspring lipid oxidation.</p>","PeriodicalId":7594,"journal":{"name":"American journal of physiology. Endocrinology and metabolism","volume":" ","pages":"E541-E561"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lauren De Bruyn, Sarah Derde, Fien Van Beek, Inge Derese, Lies Pauwels, Sarah Vander Perre, Greet Van den Berghe, Lies Langouche
{"title":"Impact of infusing the cholesterol precursor mevalonate on the hypocholesterolemia of sepsis and its potential consequences: a paradoxical response.","authors":"Lauren De Bruyn, Sarah Derde, Fien Van Beek, Inge Derese, Lies Pauwels, Sarah Vander Perre, Greet Van den Berghe, Lies Langouche","doi":"10.1152/ajpendo.00514.2025","DOIUrl":"10.1152/ajpendo.00514.2025","url":null,"abstract":"<p><p>Hypocholesterolemia hallmarks sepsis, though its pathophysiology and tissue-specific consequences are unclear. As low circulating cholesterol may reflect impaired endogenous cholesterol synthesis, we hypothesized that infusion of the cholesterol precursor mevalonate can reverse sepsis-induced hypocholesterolemia, whereby beneficially affecting adrenal and muscle integrity. In a catheterized mouse model of cecal ligation and puncture-induced sepsis (male 24-wk-old C57BL/6J mice), septic mice received either 5-day mevalonate infusion (78 mg/day) or placebo versus healthy controls (<i>n</i> = 50). Plasma high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol, corticosterone, total bile acids, adrenocortical lipids, myofiber cholesterol, and muscle force were quantified. Expression markers of cholesterol homeostasis and structural integrity were investigated in adrenal, muscle and liver tissue. Liver mevalonate metabolites were quantified with liquid chromatography-mass spectrometry (LC-MS). Next, a secondary analysis on a prospective observational human study on the time course of adrenal function in the intensive care unit was performed to assess the association between plasma cholesterol and cortisol (<i>n</i> = 47). Also, plasma mevalonate was quantified with LC-MS. In septic mice, 5-day mevalonate infusion worsened HDL and LDL hypocholesterolemia versus placebo (<i>P</i> < 0.05). Decreased hepatic cholesterol synthesis expression markers, apolipoproteins, and hepatic cholesterol concentrations were observed in mevalonate-infused septic mice versus placebo (<i>P</i> < 0.05). No additional effect on plasma corticosterone, bile acids, myofiber cholesterol, and loss of muscle force and adrenocortical lipid depletion was observed. In prolonged sepsis patients, plasma mevalonate was increased, whereas plasma HDL- and LDL-cholesterol were low (<i>P</i> < 0.05) but did not correlate with plasma cortisol. To conclude, mevalonate infusion worsened sepsis-induced hypocholesterolemia, possibly due to increased feedback on hepatic cholesterol synthesis, without aggravating the adrenal or muscle sepsis phenotype.<b>NEW & NOTEWORTHY</b> Prolonged infusion with the cholesterol precursor, mevalonate, worsened hypocholesterolemia in a mouse model of sepsis-induced critical illness, likely due to increased feedback on hepatic cholesterol synthesis. Loss of muscle force and mass was not further affected, nor did mevalonate affect adrenal gland steroidogenic markers and the loss of adrenocortical lipids. In prolonged sepsis patients, sustained HDL and LDL hypocholesterolemia was observed in the face of high plasma mevalonate concentrations, but did not correlate with plasma cortisol.</p>","PeriodicalId":7594,"journal":{"name":"American journal of physiology. Endocrinology and metabolism","volume":" ","pages":"E694-E706"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jordan M Wong, Seyed Amirhossein Tabatabaei Dakhili, Purushothaman Kuppan, Joy Paramor, Nerea Cuesta-Gomez, John R Ussher, Caroline Richard, C W James Melling, Corbin Nitz, Jane E Yardley, Andrew R Pepper
{"title":"Pretransplant aerobic exercise improves glycemic outcomes after marginal islet mass transplantation in rats.","authors":"Jordan M Wong, Seyed Amirhossein Tabatabaei Dakhili, Purushothaman Kuppan, Joy Paramor, Nerea Cuesta-Gomez, John R Ussher, Caroline Richard, C W James Melling, Corbin Nitz, Jane E Yardley, Andrew R Pepper","doi":"10.1152/ajpendo.00007.2025","DOIUrl":"10.1152/ajpendo.00007.2025","url":null,"abstract":"<p><p>Pancreatic islet transplantation (ITx) improves glycemic management and prevents severe hypoglycemia in select individuals with type 1 diabetes (T1D). However, insulin independence cannot be guaranteed due to transplant and recipient-specific factors, limiting broad application. Exercise improves insulin sensitivity, reduces chronic inflammation, increases insulin-independent glucose uptake, and can decrease the risk of surgery-related complications. Therefore, we examined the utility of pretransplant exercise in the context of ITx on metabolic and immune outcomes. Streptozotocin (STZ)-induced diabetic rats performed voluntary, 1-h wheel-running exercise in an overnight-fasted state on three nonconsecutive days weekly for 4 wk preceding transplantation. Exercised (RUN, <i>n</i> = 7) and sedentary (SIT, <i>n</i> = 6) rats underwent marginal syngeneic ITx. Graft efficacy was compared with nonfasted blood glucose readings and a 4-wk intraperitoneal glucose challenge. At 4 wk posttransplant, 100% (7/7) of RUN rats became euglycemic compared with 66% (4/6) in the SIT condition (<i>P</i> < 0.05). RUN recipients demonstrated superior nonfasting blood glucose and weight gain (<i>P</i> < 0.05) and comparable glucose tolerance to naïve rats, whereas SIT rats had inferior clearance (<i>P</i> < 0.05), despite comparable proportions of insulin and glucagon graft-positive cells. Reduction in RUN adipose tissue macrophages suggests lower inflammation levels alongside greater insulin sensitivity based on the quantitative insulin-sensitivity check index (QUICKI) (<i>P</i> < 0.01). Moreover, the soleus muscle of RUN recipients had lower levels of pyruvate dehydrogenase phosphorylation at serine 232 (<i>P</i> < 0.05), and increased levels of phosphorylated glycogen synthase kinase (<i>P</i> < 0.05), suggestive of increased carbohydrate oxidation and insulin signaling, respectively. Altogether, we demonstrate that pretransplant exercise may enhance glycemic outcomes in ITx due to lower inflammation levels and increased carbohydrate oxidation.<b>NEW & NOTEWORTHY</b> To our knowledge, there have yet to be any formal investigations into the role of prehabilitation exercise in ITx. Our exciting preliminary work highlights a noninvasive and feasible approach that may improve the outcomes of this functionally curative procedure. Our findings presented support additional investigation into prehabilitation in ITx, which can encompass a wide array of exercise regimens.</p>","PeriodicalId":7594,"journal":{"name":"American journal of physiology. Endocrinology and metabolism","volume":" ","pages":"E715-E727"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147643596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Generation of Ucp1-ires-Cre knock-in mice to enhance specificity and efficiency of gene targeting in brown adipose tissue.","authors":"Jen-Ying Hsu, Wen-Hsin Lu, Yu-Ya Chang, Po-Chen Chiang, Pei-Chih King, Yu-Hsuan Hsu, Yi-Shuian Huang","doi":"10.1152/ajpendo.00533.2025","DOIUrl":"10.1152/ajpendo.00533.2025","url":null,"abstract":"<p><p>Brown adipose tissue (BAT) secretes cytokines that influence the function of other tissues. Given the widespread distribution of brown fat depots, we generated BAT-lacking (ΔBAT) mouse models by specifically eliminating brown adipocytes using the Cre-loxP system combined with a floxed-stop diphtheria toxin A (DTA) cassette. Uncoupling protein 1 (UCP1) is essential for BAT thermogenesis and exhibits a highly restricted expression pattern, so it was chosen to direct BAT-specific Cre recombinase expression. We used CRISPR-Cas9 to insert an ires-Cre sequence downstream of the UCP1 stop codon, developing the novel knock-in line, <i>Ucp1-Cre</i><sup>YH</sup>. <i>Ucp1-Cre</i><sup>YH</sup> and transgenic line <i>TgUcp1-Cre</i><sup>Evdr</sup> mouse (<i>Ucp1</i>-<i>Cre</i><sup>Evdr</sup>) were crossed with Ai14-tdTomato and floxed-CPEB2 mice to assess Cre specificity and efficiency. ΔBAT mice were then generated by crossing each Cre line with floxed-stop DTA mice, followed by assessments of locomotor activity, body weight, and glucose tolerance. Although both Cre lines showed cold-enhanced expression, <i>Ucp1</i>-<i>Cre</i><sup>Evdr</sup> exhibited considerably lower Cre levels in BAT compared with <i>Ucp1</i>-<i>Cre</i><sup>YH</sup> mice, leading to inefficient ablation of some floxed alleles, such as <i>Cpeb2</i>. Moreover, <i>Ucp1</i>-<i>Cre</i><sup>Evdr</sup> mice displayed nonspecific Cre expression, whereas neither line showed evidence of substantial autonomous Cre activity in BAT-resident macrophages. Consequently, ΔBAT<sup>Evdr</sup> mice experienced off-target neuronal ablation, resulting in hyperactive locomotion and reduced body weight. Although ΔBAT<sup>YH</sup> mice showed normal locomotor activity and body weight, they had a modest weight gain and altered glucose homeostasis only after high-fat-diet feeding. In conclusion, novel <i>Ucp1</i>-Cre knock-in mouse showed specificity and efficiency for gene manipulation in brown adipocytes, highlighting its application in generating BAT-specific knockout and BAT-depleted mouse models.<b>NEW & NOTEWORTHY</b> A novel Ucp1-CreYH knock-in mouse exhibits improved efficiency and specificity of Cre recombinase activity in brown adipose tissue (BAT) compared with the widely used Ucp1-CreEvdr line, which showed nonspecific Cre activity in many organs. A BAT-deprived mouse model, generated with this Cre line, showed normal locomotion and body weight, but altered body weight and glucose homeostasis after high-fat feeding, validating its use for BAT-specific gene manipulation.</p>","PeriodicalId":7594,"journal":{"name":"American journal of physiology. Endocrinology and metabolism","volume":" ","pages":"E675-E683"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147502724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}