Type 2 & other diabetes

Antigen-Presenting Cell Isolevuglandins Link Salt Sensitivity of Blood Pressure to Insulin Resistance

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

Within 24 hours of acute salt depletion, markers of insulin resistance exhibit a significant increase, which strongly correlates with change in IsoLG formation in APCs. This finding implies that oxidative stress in APCs may be implicated in the salt-sensitive modulation of glucose metabolism.

Study context

Population
Participants with hypertension
Participants
20 participants
Comparison
Acute salt loading vs salt depletion
Outcome
Insulin resistance (HOMA-IR) and IsoLG + APCs
Follow-up
24 hours
Methodological detailsinpatient protocol of salt loading and depletion
  • Inpatient protocol of salt loading and depletion

Main finding

As reported in the abstract

24 hours
  • Baseline insulin resistance correlated with higher salt sensitivity
  • Insulin resistance significantly increased from salt loading to salt depletion
  • Salt depletion induced changes in isolevuglandin (IsoLG) + antigen-presenting cells (APCs) significantly correlated with changes in HOMA-IR
  • Correlation significant only in participants insulin resistant at baseline

Original publication

Antigen-Presenting Cell Isolevuglandins Link Salt Sensitivity of Blood Pressure to Insulin Resistance. J Clin Endocrinol Metab. Published 7 October 2025. doi:10.1210/clinem/dgaf556

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