Daniel Drucker
@danieljdrucker.bsky.social
1.1K followers 170 following 910 posts
A clinician scientist at LTRI @sinaihealth studying Glucagon, GIP, GLP-1, GLP-2, diabetes, obesity, metabolism and the gut endocrine system
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danieljdrucker.bsky.social
Our latest assessment of 3 widely used GLP-1R antisera independently with @daveyboyhod Some are useful, others not fit for purpose. Use of non-validated antisera sows confusion in the field and creates problems that are difficult to later rectify www.cell.com/cell-metabol...
Reassessment of antibody-based detection of the murine T cell GLP-1 receptor
Glucagon-like peptide 1 receptor (GLP-1R) agonists exhibit anti-inflammatory actions, yet the importance of direct immune cell GLP-1R signaling remains uncertain. Although T cells respond to GLP-1, lo...
www.cell.com
danieljdrucker.bsky.social
Due to the widespread use of non-validated reagents, accurate localization of GLP-1R expression in the immune system is challenging. Most of the immune/hematopoietic cells depicted here don’t express the GLP-1R cellandbioscience.biomedcentral.com/articles/10....
Roles of glucagon-like peptide 1 receptor agonists in immune cell biology and autoimmune/autoinflammatory diseases - Cell & Bioscience
Glucagon-like peptide-1 (GLP-1) is a gut-derived hormone essential for maintaining glucose homeostasis through multiple physiological pathways: triggering insulin release, inhibiting glucagon secretion, delaying gastric emptying, enhancing feelings of fullness, and suppressing appetite. Since GLP-1 is prone to degradation by dipeptidyl peptidase 4, GLP-1 receptor agonists (GLP-1RAs) have been developed to surmount this degradation challenge. At present, GLP-1RAs have become highly effective treatments for managing type 2 diabetes mellitus and obesity. Beyond their well-established benefits for blood sugar regulation and weight control, GLP-1RAs also exhibit various biological activities associated with both insulinotropic effects and immunoregulation. These effects have been demonstrated through in vitro studies, preclinical models, and clinical observations. This review aims to explore the effects of GLP-1R signaling on various immune cells and evaluate the therapeutic potential of GLP-1RAs in autoimmune and autoinflammatory diseases, including psoriasis, inflammatory bowel diseases, rheumatoid arthritis, asthma, multiple sclerosis, Sjögren’s syndrome, and systemic lupus erythematosus.
cellandbioscience.biomedcentral.com
danieljdrucker.bsky.social
Crying wolf. The ongoing saga of periprocedural discontinuation of GLP-1 medicines. Searching for an imbalance of complications dom-pubs.pericles-prod.literatumonline.com/doi/10.1111/...
danieljdrucker.bsky.social
β-cell mass does not differ between individuals with and without PBH #Hypoglycemia after RYGB argue against expansion of β-cell mass to explain PBH. diabetesjournals.org/diabetes/art... ada.silverchair-cdn.com/ada/content_...
danieljdrucker.bsky.social
Inflammation is a key driver of the pathophysiology of cardiometabolic disorders #obesity #T2D and new metabolic medicines based on GLP-1 action exert their magic in part by reducing inflammation. A new review from Professor Donath summarizes the field www.sciencedirect.com/science/arti...?
Obesity, diabetes, and inflammation: Pathophysiology and clinical implications
Obesity and its related disorders, including type 2 diabetes and liver, kidney, and cardiovascular diseases, are now recognized as chronic inflammator…
www.sciencedirect.com
danieljdrucker.bsky.social
Efferocytosis-associated reprogramming of the islet macrophages and the subsequent influence on the adaptive immune response could be beneficial in modulating diabetic autoimmunity #diabetes #T1D www.nature.com/articles/s41...
www.nature.com
danieljdrucker.bsky.social
Incoming nutritional epidemiology. Low Carbohydrate Diets may not be beneficial for primary prevention of #T2D unless they prioritize plant-based protein, healthy fats, and high-quality carbohydrates. diabetesjournals.org/care/article...
danieljdrucker.bsky.social
Novel insights into the molecular underpinnings of islet cell dysfunction in #T1D highlighting pathways that may be leveraged to preserve residual β-cell function and modulate α-cell activity @bcellorg.bsky.social www.jci.org/articles/vie...
danieljdrucker.bsky.social
Human #genetics implies that therapeutic inhibition of SLC30A8, mediating zinc transport up to and including complete knockout, may treat type 2 diabetes safely and effectively @diabetologiajnl.bsky.social link.springer.com/article/10.1...
Complete loss of SLC30A8 in humans improves glucose metabolism and beta cell function - Diabetologia
Aims/hypothesis Genetic association studies have demonstrated that partial loss of SLC30A8 Function protects against type 2 diabetes in humans. We investigated the impact of complete loss of SLC30A8 Function on type 2 diabetes risk and related phenotypes in humans. Methods The Pakistan Genome Resource (PGR), a biobank comprising whole-exome and whole-genome sequences of 145,037 participants, was analysed for phenotypic associations with SLC30A8 loss-of-function (LoF) variants. To follow up on the observations in the PGR, we conducted recall-by-genotype analyses of SLC30A8 LoF heterozygotes and homozygotes, as well as their participating family members, using OGTTs. Results We identified 18 SLC30A8 knockouts, including homozygotes for a variant enriched in South Asians (Gln174Ter), and 1024 heterozygotes for LoF variants. Type 2 diabetes risk was lower in SLC30A8 LoF heterozygotes and homozygotes relative to non-carriers, and the protective effect strengthens in a gene dose-dependent manner (ORadditive=0.62; 95% CI 0.53, 0.72; p=1.1×10–9; ORrecessive=0.34; 95% CI 0.12, 0.93; p=0.04). OGTTs in recall-by-genotype studies showed a gene dose-dependent reduction in glucose levels, coupled with elevated insulin. Conclusions/interpretation The corrected insulin response, disposition index and insulin sensitivity index in LoF heterozygotes and homozygotes indicated higher glucose-stimulated insulin secretion with preserved beta cell function that was independent of BMI. These data suggest that therapeutic inhibition of SLC30A8, up to and including complete knockout, may treat type 2 diabetes safely and effectively. Graphical Abstract
link.springer.com