Publications by authors named "Rebecca L Hull-Meichle"

The pancreatic islet vasculature comprises microvascular endothelial cells surrounded by mural cells (pericytes). Both cell types support the islet by providing (1) a conduit for delivery and exchange of nutrients and hormones; (2) paracrine signals and extracellular matrix (ECM) components that support islet development, architecture, and endocrine function; and (3) a barrier against inflammation and immune cell infiltration. In type 2 diabetes, the islet vasculature becomes inflamed, showing loss of endothelial cells, detachment, and/or trans-differentiation of pericytes, vessel dilation, and excessive ECM deposition.

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Insulin secretion is impaired in individuals with cystic fibrosis (CF), contributing to high rates of CF-related diabetes (CFRD) and substantially increasing disease burden. To develop improved therapies for CFRD, better knowledge of pancreatic pathology in CF is needed. Glucagon like peptide-1 (GLP-1) from islet α cells potentiates insulin secretion by binding GLP-1 receptors (GLP-1Rs) on β cells.

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Given that the extracellular matrix polymer hyaluronan (HA) has been implicated in longevity, we asked whether 4-methylumbelliferone (4-MU), an inhibitor of HA synthesis, impacts lifespan in mice. We designed a prospective study of long-term administration of 4-MU with conventional C57BL/6J mice. We find that 4-MU extends median survival from 122 weeks (control) to 154 weeks (4-MU), an increase of 32 weeks ( < 0.

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Cystic fibrosis (CF) is a multi-organ disease caused by loss-of-function mutations in (which encodes the CF transmembrane conductance regulator ion channel). Cystic fibrosis related diabetes (CFRD) occurs in 40-50% of adults with CF and is associated with significantly increased morbidity and mortality. CFRD arises from insufficient insulin release from β cells in the pancreatic islet, but the mechanisms underlying the loss of β cell function remain understudied.

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The year 2023 marks 100 years since publication of the first report of a hyperglycemic factor in pancreatic extracts which C P Kimball and John R Murlin named glucagon (from GLUCose AGONist). Glucagon has a range of profound effects on metabolism including, but not limited to, stimulation of hepatic glucose production. Dysregulation of glucagon secretion is a key feature of both major forms of diabetes, leading to the concept that diabetes is a bihormonal disorder.

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Article Synopsis
  • The workshop on the integrated physiology of pancreatic diseases took place at the NIH, bringing together researchers to discuss pancreatic health and disease over 1.5 days.
  • It focused on six key themes, including pancreas anatomy, diabetes, metabolic influences, genetic factors, analysis tools, and crosstalk between endocrine and exocrine functions.
  • Discussions highlighted knowledge gaps and emphasized the need for better integration of basic physiology with the disease mechanisms affecting both endocrine and exocrine pancreatic disorders.
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Article Synopsis
  • The Integrated Physiology of the Exocrine and Endocrine Compartments in Pancreatic Diseases workshop was a 1.5-day conference at the NIH for researchers focusing on pancreatic diseases.
  • The workshop included six topics: pancreas anatomy, diabetes linked to exocrine issues, metabolic effects on the pancreas, genetic factors in pancreatic diseases, tools for analysis, and exocrine-endocrine interactions.
  • Panel discussions highlighted research gaps, emphasizing the need for a more integrated understanding of normal and diseased pancreatic physiology to improve knowledge about endocrine and exocrine disorders.
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One hundred years have passed since the discovery of insulin-an achievement that transformed diabetes from a fatal illness into a manageable chronic condition. The decades since that momentous achievement have brought ever more rapid innovation and advancement in diabetes research and clinical care. To celebrate the important work of the past century and help to chart a course for its continuation into the next, the Canadian Institutes of Health Research's Institute of Nutrition, Metabolism and Diabetes and the U.

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