Harnessing Macrophage Lysosomal Lipid Metabolism in Obesity (ATM)

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-70
SponsorBettina Mittendorfer

About this trial

The goal of this study is to evaluate the role of transcription factor EB (TFEB) in adipose (fat) tissue macrophages (ATM) in regulating adipose tissue and systemic metabolic function in obesity. The investigators will assess the differences in ATM lipid metabolism in people with metabolically abnormal obesity and lean individuals.

Both groups will have:

* screening visit * imaging (body composition testing - dual-energy x-ray absorptiometry (DEXA) scans, magnetic resonance imaging \[MRI\] and magnetic resonance spectroscopy \[MRS\] scans) * Overnight visit with intravenous infusion (IV), muscle, and fat tissue biopsies

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

age: ≥18 but ≤70 years

not pregnant or breastfeeding

weight stable and sedentary before enrollment

no use tobacco products, excessive amounts of alcohol, or dietary supplements, or medications known to or suspected to affect glucose and lipid metabolism (aside from certain medications used to treat diabetes in the metabolically abnormal obesity [MAO]-Type 2 Diabetes group)

Disqualifiers

None

Trial population

All Volunteers , separated into 4 groups as per eligibility Criterion.

Trial design

Design model

Cohort

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

60 Participants
are grouped into 4 trial groups
Group A: Lean Individuals
Group B: Metabolically abnormal obese Individuals
Group C: Metabolically normal obese Individuals
Group D: Individuals with Type 2 Diabetes Mellitus

Trial outcomes

Primary outcomes

1

Insulin sensitivity

Sensitivity assessed as insulin-mediated glucose disposal during a hyperinsulinemic-euglycemic clamp procedure

Time frame
Within 2 weeks of Clinical Visit
2

24-hour plasma glucose concentration

Time frame
Within 2 weeks of Clinical Visit
3

Macrophage isolation in adipose tissue biopsy

macrophage gene expression using RNA sequencing and fluorescent activated cell sorting (FACS)

Time frame
Within 2 weeks of Clinical Visit
4

Macrophage isolation in skeletal muscle tissue

macrophage gene expression using RNA sequencing and fluorescent activated cell sorting (FACS)

Time frame
Within 2 weeks of Clinical Visit

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Bettina Mittendorfer

Lead sponsor

University of Missouri-Columbia

Sponsor institution

National Institutes of Health (NIH)

Collaborator

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Washington University School of Medicine

Collaborator