Publications by authors named "Takafumi Yoshimura"

Aims: This study aimed to evaluate the effectiveness of imeglimin in improving liver function and fibrosis in patients with type 2 diabetes (T2D) complicated by metabolic dysfunction-associated steatotic liver disease (MASLD).

Materials And Methods: We conducted a multicentre study involving 80 patients with T2D and MASLD who were treated with or without imeglimin for 24 weeks. We assessed the changes in diabetes-related parameters, including HbA1c, fasting blood glucose, glycoalbumin and C-peptide index.

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Dysfunction or loss of pancreatic β cells can cause insulin deficiency and impaired glucose regulation, resulting in conditions like type 2 diabetes. The ATP-binding cassette transporter A1 (ABCA1) plays a key role in the reverse cholesterol transport system, and its decreased expression is associated with pancreatic β cell lipotoxicity, resulting in abnormal insulin synthesis and secretion. Increased glutamate release can cause glucotoxicity in β cells, though the detailed mechanisms remain unclear.

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High sugar consumption increases the risk of diabetes, obesity, and cardiovascular diseases. Regarding the diet of patients with diabetes, artificial sweeteners are considered a safe alternative to sugar; however, there is also a risk that artificial sweeteners exacerbate glucose metabolism. D-allulose (C-3 isomer of d-fructose), which is a rare sugar, has been reported to have antidiabetic and antiobesity effects.

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Glucagon-like peptide-1 receptor agonist (GLP-1RA) has been clinically proven to protect endothelial function. Previously, we demonstrated that endothelial NO synthase (eNOS) was activated by high-density lipoprotein (HDL) via its scavenger receptor of the B class/human homologue of SR-BI, CD36 and LIMPII analogous-1(hSR-BI/CLA-1). Here, we investigated the effect of GLP-1RA and exendin-4 on the expression of hSR-BI/CLA-1 in HUVECs.

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Article Synopsis
  • The study assessed diabetes knowledge and self-management among Malaysian patients with type 2 diabetes during Ramadan fasting.
  • A total of 306 participants showed average diabetes knowledge, with only a small percentage avoiding sweet foods during iftar; factors like education and income significantly influenced knowledge levels.
  • The findings highlight the importance of improving diabetes knowledge to enhance self-management practices during fasting periods, addressing the identified factors for better outcomes.
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Article Synopsis
  • The study examines the effectiveness of D-allulose in reducing postprandial hyperglycemia in type 2 diabetes patients during Ramadan fasting.
  • Participants consumed 8.5 g of D-allulose before their iftar meal over a 10-day period, resulting in significantly lower postprandial glucose levels compared to a control period.
  • The findings suggest that D-allulose may help manage blood sugar spikes after meals, but further research is required to validate these results.
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ATP-binding cassette transporter A1 (ABCA1) is a key regulator of lipid efflux, and the absence of ABCA1 induces hepatic lipid accumulation, which is one of the major causes of fatty liver. 2-Methoxyestradiol (2-ME) has been demonstrated to protect against fatty liver. In this study, we investigated the effects of 2-ME on the hepatic lipid content and ABCA1 expression.

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Impaired insulin secretion is one of the main causes of type 2 diabetes. Cholesterol accumulation-induced lipotoxicity contributes to impaired insulin secretion in pancreatic beta cells. However, the detailed mechanism in this process remains unclear.

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