foodconsumer.org: Inflammation may raise diabetes risk Inflammation may raise diabetes risk ================================================================================ admin on 04/24/2009 22:59:00 An international research team has discovered that an inflammatory factor seems to cause insulin resistance in the obese. Medical scientists have long pondered the following: does obesity cause diabetes, or does diabetes cause obesity? Obesity will soon surpass tobacco as the leading cause of preventable deaths in the United States, according to Dr. David Satcher. The former surgeon general asserted in the New York Times that as a nation, we should be concerned with the pathology associated with carrying excess weight. This is because a startling number of Americans have weight issues: 35% of them are overweight, and another 37% are obese, according to the Center for Disease Control and Prevention (CDC). The results of this new study, published in the April issue of Cell Metabolism, delineate how inflammation and obesity work synergistically to increase diabetes risk. Researchers found that fat tissue not only serves as a “storage facility” for excess fat, it forms triglycerides and energy releases, in the form of fatty acid, into the blood stream. One particular chemokine, called CXL5, is increased dramatically in the bloodstreams of those who are obese, as compared to those who are lean. And, CXL5 is the key to insulin resistance in laboratory mice. When scientists treated affected mice with antibodies that neutralize the chemokine, or with drugs that blocked the receptor it triggers, insulin resistance was reversed. Researchers also discovered that CXL5 circulates outside of muscle in the cells that line blood vessel walls, the lung and the intestine. Thus, there seems to be a correlation with other inflammatory illnesses, such as atherosclerosis, and CXL5. Something that has puzzled researchers in the past is that although a large percentage of obese individuals are insulin resistant, others are not. Inflammation appears to be the reason for the inconsistency. Rather than obesity being the primary dynamic for type 2 diabetes, the results of this study seem to point to CXL5 as the “X” factor that determines whether or not an individual will develop diabetes in the long run. (By Rachel Stockton, and edited by Heather Kelley)