Type 2 & other diabetes

Expression of Neurotensin and Its Receptors Along the Intestinal Tract in Type 2 Diabetes Patients and Healthy Controls

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

This unique intestinal mapping of N cell density and NTS expression shows increasing levels from the small intestine's proximal to distal end (without differences between patients with T2D and healthy controls), while negligible N-cells and NTS mRNA expression were observed in the large intestine. Sortilin was expressed throughout the intestines in both groups; no NTS receptor 1 or 2 mRNA expression were detected.

Study context

Population
Patients with T2D and matched healthy controls; mucosa biopsies along the entire small intestine (30-cm intervals) and 7 locations in the large intestine
Participants
12 vs 12
Comparison
T2D vs healthy controls
  • T2Dn = 12
  • Healthy controlsn = 12reference
Outcome
N cell density and NTS/NTS receptor mRNA expression along the intestine
Methodological detailsmatched healthy controls (sex, age, BMI), double-balloon enteroscopy, immunohistochemistry and messenger RNA (mRNA) sequencing
  • Matched healthy controls (sex, age, BMI)
  • Double-balloon enteroscopy
  • Immunohistochemistry and mRNA sequencing

Main finding

As reported in the abstract

  • N cell density and neurotensin (NTS) mRNA expression gradually increased from duodenum to ileum
  • Negligible NTS-positive cells and NTS mRNA expression in the large intestine
  • NTS receptor 1 and 2 mRNA expression not detected
  • Sortilin uniformly expressed in the intestines
  • T2D had lower NTS-positive cells and mRNA expression than healthy controls, not statistically significant after adjusting for multiple testing

Original publication

Expression of Neurotensin and Its Receptors Along the Intestinal Tract in Type 2 Diabetes Patients and Healthy Controls. J Clin Endocrinol Metab. Published 14 March 2023. doi:10.1210/clinem/dgad146

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