OHIO diabetes researchers discover the potential of CIDEC protein to mitigate obesity-related cardiometabolic disease

Dr. Vishwajeet Puri speaks at the Patient Care and Diabetes in Appalachian Ohio and Beyond Symposium in Heritage Hall on Friday, Nov. 5, 2021.

A team of researchers from 51��’s Heritage College of Osteopathic Medicine recently discovered a novel role of human-CIDEC gene in improving metabolic dysfunction and cardiovascular health. The study, “Endothelial-Specific Expression of CIDEC Improves High-Fat Diet–Induced Vascular and Metabolic Dysfunction,” published in focuses on vascular function and its association with metabolic diseases like insulin resistance, Type 2 diabetes, and cardiovascular disease.

“This is a very impactful study, and we have moved in the right direction to find a way to reduce cardiovascular diseases,” said Vishwajeet Puri, Ph.D., professor of biomedical sciences and co-director of the Diabetes Institute. He was the principal investigator and senior author of the study. “When looking at diseases like diabetes and obesity, you cannot disassociate them from cardiovascular disease since they are all closely associated. Discoveries like this one allow us to not only manage the disease but work to cure it and help fight any related disorders.”

According to Bijinu Balakrishnan, Ph.D., a scientist in Puri’s lab who led the study, endothelial cells line the blood vessels and play a major role in maintaining vascular function including blood pressure. He explains that endothelial dysfunction has a major role in the progression of insulin resistance, diabetes, cardiovascular disease and other metabolic diseases.

“We recently discovered that CIDEC, previously identified as fat-associated protein in adipocytes, is abundantly expressed in endothelial cells and regulates its function,” Balakrishnan said. “The objective of the study was to find the mechanism of action of how human-CIDEC regulates the endothelial function and to determine its effect on whole-body physiology.”

To conduct the study, the team of researchers generated humanized transgenic mice that expressed human CIDEC transgene, specifically in endothelial cells. Using mice as the model was instrumental in determining the cardiometabolic effects of the human-CIDEC gene and its role in protection against obesity-induced metabolic dysfunctions. To mimic the obese state in humans, the mice were fed a high-fat diet.

“These humanized transgenic mice showed protection against high-fat diet-induced insulin resistance and displayed lower circulating lipid levels,” Balakrishnan said.

“It’s amazing to see that an endothelial-specific expression of a human transgene in mice could protect them from obesity-associated metabolic disorders,” Puri added.

Their findings contribute to the understanding of the role of the vascular endothelium in regulating systemic metabolism and prompt recognition for potentially targeting the vasculature for the treatment of obesity-associated cardiometabolic disorders.

“Cardiovascular diseases are the leading cause of death worldwide and have a significant negative influence on patient quality of life and disability,” Balakrishnan said. “Endothelial dysfunction contributes significantly to the development and progression of cardiovascular pathophysiology and is considered an early predictor of cardiovascular events.”

In addition to Puri and Balakrishnan, members of the research team from 51��’s Heritage College also include Abhishek Gupta, Vishva M. Sharma, Mark Slayton, Rabia Basri, Kailey Gentner, Chloe Becker, Harrison Muturi, and Endowed Eminent Research Chair Sonia M. Najjar. The team also collaborated with researchers Shakun Karki, and Noyan Gokce, from Boston University School of Medicine, and Analia S Loria, from the University of Kentucky in Lexington. The study was funded by the National Heart, Lung, and Blood Institute.

“This study truly shows the power of teamwork and collaboration,” Puri said. “It is thrilling to see the diversity of people contributing to advance science and medicine. We have researchers on this study with diverse ethnic backgrounds, with all sorts of experience levels ranging from established scientists to undergraduate students, and with all types of areas of expertise such as cardiologists, cell biologists, physiologists and more.”

Originally from India, Balakrishnan came to OHIO to study molecular mechanisms associated with cardiovascular disease. Prior to his time at OHIO, Balakrishnan received his Ph.D. from Myongji University in the Republic of Korea in 2012 where his primary focus was to elucidate the biosynthetic pathway of fungal polyketides. While pursuing his doctoral degree, he published nine papers and found a position at the Mayo Clinic to pursue his postdoctoral training to study the role of pancreatic lipases in acute pancreatitis. He became interested in obesity-associated metabolic diseases, including cardiovascular disease and in 2018 joined Puri’s laboratory. During his first year of post-doctoral training in Puri’s lab, he received the American Heart Association Postdoctoral Fellowship award for two years to work on identifying the role of CIDEC protein in vascular functions.

Puri is the Osteopathic Heritage Foundation Ralph S. Licklider, D.O., Endowed Professor in Diabetes at the Heritage College. He is recognized for identifying the CIDE proteins and their role in pathogenesis and pathophysiology of obesity, type 2 diabetes and cardiovascular disease.

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