A
recent study has demonstrated a link between bacterial exposure and the
development of diabetes mellitus type 2 (DMII). This important work could lead
to new treatments or even prevention through species-specific interventions.
Staphylococcus aureus is an
opportunistic bacteria that lives on the skin. Colonization by S. aureus is associated with expression
of a superantigen called toxic shock syndrome toxin-1 (TSST-1) which results in
systemic immune activation. Importantly, there is a positive correlation
between obesity and S. aureus
colonization. In a recent study using a rabbit model, scientists from the
University of Iowa showed that S. aureus
colonization, and the resulting TSST-1 exposure, results in a loss in glucose
response, increased insulin production, systemic inflammation, liver damage and
increased circulating endotoxin - all hallmarks of DMII. To validate these
findings they measured TSST-1 levels in DMII patients and found elevated
levels. This is the first direct connection between bacterial exposure and
diabetes.
Posted by Dr. Tim Sandle
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