
Type 2 Diabetes Mellitus Model
Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance and a progressive decline in pancreatic beta-cell function, leading to hyperglycemia. Unlike Type 1 diabetes, where insulin deficiency is the primary issue, T2DM is often associated with an initial period of compensatory hyperinsulinemia, followed by beta-cell exhaustion. T2DM is commonly associated with obesity, particularly central obesity, and is strongly linked to lifestyle factors such as a sedentary lifestyle and poor diet. It is the most prevalent form of diabetes, affecting millions of people worldwide and contributing to the development of serious complications such as cardiovascular disease, neuropathy, nephropathy, and retinopathy.
Cause: The development of T2DM is multifactorial, involving a combination of genetic, environmental, and lifestyle factors. The primary mechanisms include insulin resistance in peripheral tissues (particularly muscle, fat, and liver), which forces the pancreas to produce more insulin to maintain normal blood glucose levels. Over time, this compensatory mechanism fails, leading to a progressive decline in beta-cell function and subsequent hyperglycemia.
Genetic predisposition plays a significant role in T2DM, with several genes implicated in increasing susceptibility to the condition, particularly those involved in insulin signaling, beta-cell function, and glucose metabolism. Environmental factors, including poor diet (high in sugars and fats), obesity, and lack of physical activity, are major contributors to insulin resistance. Other risk factors include age, ethnicity, and the presence of comorbidities such as hypertension and dyslipidemia.
Diagnosing T2DM typically involves blood tests to measure fasting blood glucose, hemoglobin A1c, and an oral glucose tolerance test. Management of T2DM focuses on lifestyle interventions, such as diet and exercise, alongside pharmacological therapies like metformin, insulin, GLP-1 receptor agonists, and SGLT2 inhibitors to control blood sugar levels and prevent complications.
Advantages of Non-Human Primate (NHP) Models for T2DM Research:
Advantages of NHP Models Compared to Mouse Models for T2DM Research:
Study design and clinical endpoints
Study design:
healthy young cynomolgus monkeys, male/female, adult, pre-screening
Clinical endpoints:
Body weight, food consumption,
Regular blood glucose level, regular urine glucose level, HbA1c
Fasting glucose level, fasting insulin
OGTT/IVGTT
ITT
Renal function biomarkers

key result and figure legend
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