Difference between revisions of "Team:Virginia/Team"
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− | + | <h1>Welcome to the University of Virginia iGEM 2015 Wiki</h1> | |
− | + | <p>Use the navigation bar at the top of every page to move between pages. Please let us know if you have any comments or questions about our project by visiting the “Contact Us” page.</p> | |
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− | + | <p id="above-nav">University of Virginia iGEM 2015</p> | |
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− | + | <li><a href="/Team:Virginia">Home</a></li> | |
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− | + | <li><a href="/Team:Virginia/Team">Team</a></li> | |
− | + | <li><a href="/Team:Virginia/Project">Project</a></li> | |
− | + | <li><a href="/Team:Virginia/Practices">Policy and Practices</a></li> | |
− | + | <li><a href="/Team:Virginia/Attributions">Attributions</a></li> | |
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− | + | <h2> | |
− | + | House of Carbs | |
− | + | <p>A Novel Solution to Minimizing Postprandial Hyperglycemic Spikes</p> | |
− | + | </h2> | |
− | + | </div> | |
− | + | <div id="description-wrapper"> | |
− | + | <div id="description-text-wrapper"> | |
− | + | <h1>Project Overview</h1> | |
− | + | <h3>The Problem: Diabetes Mellitus and Hyperglycemia</h3> | |
− | + | < p >From diabetes mellitus a number of devastating complications, such as amputations, blindness, crippling neuropathies, and many others, can arise from increased blood sugar levels on a regular basis, but many of | |
− | + | the major complications of diabetes arise from drastic fluctuations in the blood glucose | |
− | + | level (Ceriello et al., 2012). Up to two-thirds of people with diabetes die of | |
− | + | cardiovascular disease (CVD) brought about by diabetes-related macrovascular diseases | |
− | + | (Deshpande et al. 2008). In fact, the risk for cardiovascular disease mortality is 2 to 4 | |
− | + | times higher in people with diabetes than in people who do not have diabetes. | |
− | + | Additionally, diabetic retinopathy is the most common microvascular complication | |
− | + | among people with diabetes and results in more than 10,000 new cases of blindness per | |
− | + | year. Retinopathy is associated with prolonged hyperglycemia; it is slow to develop, and | |
− | + | there is some evidence that it can begin to develop as early as 7 years before clinical | |
− | + | diagnosis of diabetes (Deshpande et al., 2008).</p> | |
− | + | <p>Postprandial (post-meal) blood sugar spikes specifically are one of the most | |
− | + | damaging complications of diabetes (Parkin et al., 2002). Many diabetics are able to | |
− | + | effectively manage post-meal glycemic spikes with self-administered doses of insulin, | |
− | + | but these hyperglycemic incidents still kill more Americans per year than any other | |
− | + | diabetes-related complications (Parkin et al., 2002). Arguably, the gravest consequence of | |
− | + | glycemic spikes in diabetes patients is the development of progressive macrovascular | |
− | + | disease (MVD), which affects the large blood vessels of the body, hardening and | |
− | + | blocking these vessels (Ceriello et al., 2012). MVD is the leading cause of death among | |
− | + | T2DM patients in the United States, causing up to 65% of diabetes-related deaths, making it a huge target for diabetes treatments research (Deshpande et al., 2008). MVD | |
− | + | also frequently leads to other severe complications such as ischemia in the extremities | |
− | + | and blindness (Haffner et al., 1998).</p> | |
− | + | <h3>Controlling Hyperglycemic Spikes</h3> | |
− | + | <p>For many T1DM and T2DM patients, it has been shown that the regular | |
− | + | control and management of blood glucose levels prevents many of the vascular | |
− | + | complications of the disease, but most of the time control over glucose is difficult to | |
− | + | attain because the self-dosing insulin treatment system that a lot of moderately to | |
− | + | severely sick diabetes patients use is often hard to calibrate and use (Parkin et al., 2002).</p> | |
− | + | <p>Compared to sucrose-rich food, starch-rich food has been found to create less | |
− | + | fluctuation in blood glucose levels, and thus is beneficial to diabetes patients and | |
− | + | hyperglycemia patients. There is evidence that this flatter response caused by a starch | |
− | + | rich meal is associated with the slower rate of digestion of complex sugars versus simple | |
− | + | sugars (Jenkins, Wolever, & Jenkins, 1988). Thus, if some of the simple sugars are first | |
− | + | converted into complex saccharides inside the E. coli and then released back into small | |
− | + | intestine, a similar flatter glycemic response will take place, which will be beneficial to | |
− | + | the patients. </p> | |
− | + | <h3>Our Devices</h3> | |
− | + | <p> We have assembled one plasmid with genes that dictate a controllable level of simple sugars uptake and one plasmid to produce glucan and fructan from simple sugars and then lyse to release the complex sugars back into the environment. In essence, this microbial device runs on two genetic devices -- an uptake circuit and a polymeriztion circuit. </p> | |
− | + | <p style="font-style:italic"> In order to learn more details, please visit the <a href="/Team:Virginia/Project">Project page.</a> </p> | |
− | + | <div id="ref-button"> | |
− | + | <p>Show References</p> | |
− | + | </div> | |
− | + | <div id="ref-button2"> | |
− | + | <p>Hide References</p> | |
− | + | </div> | |
− | + | <div id="ref-content"> | |
− | + | <p>A. Ceriello, S. Colagiuri, (2011). Guideline for management of postmeal glucose in | |
− | + | diabetes. International Diabetes Federation Guideline Development Group, | |
− | + | http://www.idf.org/sites/default/files/postmeal%20glucose%20guidelines.pdf , | |
− | + | Accessed May. 6th, 2015 | |
− | + | </p> | |
− | + | <p>American Diabetes Association (2014). National Diabetes Statistics Report. | |
− | + | http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf | |
− | + | Accessed May. 5th, 2015 | |
− | + | </p> | |
− | + | <p>Anal, A. K., & Singh, H. (2007). Recent advances in microencapsulation of probiotics for | |
− | + | industrial applications and targeted delivery. Trends in Food Science & | |
− | + | Technology, 18(5), 240–251. http://doi.org/10.1016/j.tifs.2007.01.004 | |
− | + | </p> | |
− | + | <p>Anan, F., Masaki, T., Eto, T., Fukunaga, N., Iwao, T., Kaneda, K., ... Yoshimatsu, H. | |
− | + | (2008). Postchallenge Plasma Glucose and Glycemic Spikes Are Associated with | |
− | + | Pulse Pressure in Patients with Impaired Glucose Tolerance and Essential | |
− | + | Hypertension. Hypertension Research, 31(8), 1565–1571. | |
− | + | http://doi.org/10.1291/hypres.31.1565 | |
− | + | </p> | |
− | + | <p>AHFS Consumer Medication Information [Internet]. Bethesda (MD): American Society | |
− | + | of Health-System Pharmacists, Inc.; ©2008. Acarbose; [revised 2015 Feb. 15; | |
− | + | reviewed 2015 Apr. 28; cited 2015 May. 3]; Available from: | |
− | + | http://www.nlm.nih.gov/medlineplus/druginfo/meds/ a696015.html | |
− | + | </p> | |
− | + | <p>AHFS Consumer Medication Information [Internet]. Bethesda (MD): American Society | |
− | + | of Health-System Pharmacists, Inc.; ©2008. Pramlintide; [revised 2015 Feb. 15; | |
− | + | reviewed 2015 Apr. 28; cited 2015 May. 3]; Available from: | |
− | + | http://www.nlm.nih.gov/medlineplus/druginfo/meds/a605031.html | |
− | + | </p> | |
− | + | <p>Banguela, A., Arrieta, J. G., Rodríguez, R., Trujillo, L. E., Menéndez, C., & Hernández, | |
− | + | L. (2011). High levan accumulation in transgenic tobacco plants expressing the | |
− | + | Gluconacetobacter diazotrophicus levansucrase gene. Journal of Biotechnology, | |
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− | + | </p> | |
− | + | <p>Barr EL, Zimmet PZ, Welborn TA et al. (2007). "Risk of cardiovascular and all-cause | |
− | + | mortality in individuals with diabetes mellitus, impaired fasting glucose, and | |
− | + | impaired glucose tolerance: the Australian Diabetes, Obesity, and Lifestyle Study | |
− | + | (AusDiab)". Circulation 116 (2): 151–7. | |
− | + | </p> | |
− | + | <p>Bernard, A. M., Anderson, L., Cook, C. B., & Phillips, L. S. (1999). What do internal | |
− | + | medicine residents need to enhance their diabetes care? Diabetes Care, 22(5), | |
− | + | 661–666. http://doi.org/10.2337/diacare.22.5.661 | |
− | + | </p> | |
− | + | <p>Boada C, Martínez-Moreno J. Pathophysiology of diabetes mellitus type 2: beyond the | |
− | + | duo "insulin resistance-secretion deficit.". Nutricion Hospitalaria [serial online]. | |
− | + | March 2, 2013;28:78-87. Available from: Fuente Académica, Ipswich, MA. | |
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− | + | <p>B. Göke, H. F. (1995). Voglibose (AO128) Is an Efficient α-Glucosidase Inhibitor and | |
− | + | Mobilizes the Endogenous GLP-1 Reserve. Digestion, 56(6), 493–501. | |
− | + | http://doi.org/10.1159/000201282 | |
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− | + | (2002). The role of patient, physician and systemic factors in the management of | |
− | + | type 2 diabetes mellitus. Family Practice, 19(4), 344–349. | |
− | + | http://doi.org/10.1093/fampra/19.4.344 | |
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− | + | <p>Butterworth, P. J., Warren, F. J., & Ellis, P. R. (2011). Human α-amylase and starch | |
− | + | digestion: An interesting marriage. Starch - Stärke, 63(7), 395–405. | |
− | + | http://doi.org/10.1002/star.201000150 | |
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− | + | <p>Centers for Disease Control and Prevention. (2014). National Diabetes Statistics Report.</p> | |
− | + | <p>Chiasson, J.-L., Josse, R. G., Gomis, R., Hanefeld, M., Karasik, A., & Laakso, M. (2002). | |
− | + | Acarbose for prevention of type 2 diabetes mellitus: the STOP-NIDDM | |
− | + | randomised trial. The Lancet, 359(9323), 2072–2077. | |
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− | + | Wolever*, T. M. S. (1994). The Efficacy of Acarbose in the Treatment of Patients | |
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− | + | Crude and Age-Adjusted Rate per 100 of Civilian, Noninstitutionalized Population with | |
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− | + | http://www.cdc.gov/diabetes/statistics/prev/national/figage.htm | |
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− | + | <p>Deshpande, A. D., Harris-Hayes, M., & Schootman, M. (2008). Epidemiology of diabetes | |
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− | + | <p>D.M. Nathan, P.A. Cleary, J.Y. Backlund, S.M. Genuth, J.M. Lachin, T.J. Orchard, et al., | |
− | + | Intensive diabetes treatment and cardiovascular disease in patients with type 1 | |
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− | + | <p>D.R. Whiting, L. Guariguata, C. Weil, J. Shaw, IDF diabetes atlas: global estimates of the | |
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− | + | <p>Grant, R. W., Buse, J. B., & Meigs, J. B. (2005). Quality of Diabetes Care in U.S. | |
− | + | Academic Medical Centers Low rates of medical regimen change. Diabetes Care, | |
− | + | 28(2), 337–442. http://doi.org/10.2337/diacare.28.2.337 | |
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− | + | <p>Grant, R. W., Pirraglia, P. A., Meigs, J. B., & Singer, D. E. (2004). Trends in complexity | |
− | + | of diabetes care in the United States from 1991 to 2000. Archives of Internal | |
− | + | Medicine, 164(10), 1134–1139. http://doi.org/10.1001/archinte.164.10.1134 | |
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− | + | (2005). Robbins and Cotran Pathologic Basis of Disease (7th ed.). Philadelphia, | |
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− | + | <p>Riddle, M., Frias, J., Zhang, B., Maier, H., Brown, C., Lutz, K., & Kolterman, O. (2007). | |
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+ | Type 2 Diabetes Using Basal Insulin. Diabetes Care, 30(11), 2794–2799. | ||
+ | http://doi.org/10.2337/dc07-0589 | ||
+ | </p> | ||
+ | <p>Saydah, S. H., Miret, M., Sung, J., Varas, C., Gause, D., & Brancati, F. L. (2001). | ||
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+ | </p> | ||
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+ | <p>Sonnenborn, Ulrich; Schulze, Jurgen. 2009. The Non-Pathogenic Escherichia coli strain | ||
+ | Nissle 1917 - Features of a Versatile Probiotic. Microbial Ecology in Health and | ||
+ | Disease, (21), 122-158. | ||
+ | </p> | ||
+ | <p>S.M. Haffner, S. Lehto, T. Ronnemaa, K. Pyorala, M. Laakso, Mortality from coronary | ||
+ | heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and | ||
+ | without prior myocardial infarction, N Engl J Med, 339 (1998), pp. 229–234 | ||
+ | </p> | ||
+ | <p>Schultz, M. (2008). Clinical use of E. coli Nissle 1917 in inflammatory bowel disease. | ||
+ | Inflammatory Bowel Diseases, 14(7), 1012–1018. | ||
+ | http://doi.org/10.1002/ibd.20377 | ||
+ | </p> | ||
+ | <p>Seifter, S., & Dayton, S. (1950). The estimation of glycogen with the anthrone reagent. | ||
+ | Archives of Biochemistry, 25(1), 191–200. | ||
+ | </p> | ||
+ | <p>Shulman, N. B., Martinez, B., Brogan, D., Carr, A. A., & Miles, C. G. (1986). Financial | ||
+ | cost as an obstacle to hypertension therapy. American Journal of Public Health, | ||
+ | 76(9), 1105–1108. | ||
+ | </p> | ||
+ | <p>Suwattee, P., Lynch, J. C., & Pendergrass, M. L. (2003). Quality of Care for Diabetic | ||
+ | Patients in a Large Urban Public Hospital. Diabetes Care, 26(3), 563–568. | ||
+ | http://doi.org/10.2337/diacare.26.3.563 | ||
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+ | Hanefeld, M. (2000). Postchallenge plasma glucose and glycemic spikes are more | ||
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+ | </p> | ||
+ | <p>Diabetes Care, 23(12), 1830–1834. http://doi.org/10.2337/diacare.23.12.1830 | ||
+ | What are normal blood glucose levels? Retrieved from Virginia Mason Medical Center | ||
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Revision as of 17:09, 14 July 2015
Welcome to the University of Virginia iGEM 2015 Wiki
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House of Carbs
A Novel Solution to Minimizing Postprandial Hyperglycemic Spikes
Project Overview
The Problem: Diabetes Mellitus and Hyperglycemia
< p >From diabetes mellitus a number of devastating complications, such as amputations, blindness, crippling neuropathies, and many others, can arise from increased blood sugar levels on a regular basis, but many of the major complications of diabetes arise from drastic fluctuations in the blood glucose level (Ceriello et al., 2012). Up to two-thirds of people with diabetes die of cardiovascular disease (CVD) brought about by diabetes-related macrovascular diseases (Deshpande et al. 2008). In fact, the risk for cardiovascular disease mortality is 2 to 4 times higher in people with diabetes than in people who do not have diabetes. Additionally, diabetic retinopathy is the most common microvascular complication among people with diabetes and results in more than 10,000 new cases of blindness per year. Retinopathy is associated with prolonged hyperglycemia; it is slow to develop, and there is some evidence that it can begin to develop as early as 7 years before clinical diagnosis of diabetes (Deshpande et al., 2008).Postprandial (post-meal) blood sugar spikes specifically are one of the most damaging complications of diabetes (Parkin et al., 2002). Many diabetics are able to effectively manage post-meal glycemic spikes with self-administered doses of insulin, but these hyperglycemic incidents still kill more Americans per year than any other diabetes-related complications (Parkin et al., 2002). Arguably, the gravest consequence of glycemic spikes in diabetes patients is the development of progressive macrovascular disease (MVD), which affects the large blood vessels of the body, hardening and blocking these vessels (Ceriello et al., 2012). MVD is the leading cause of death among T2DM patients in the United States, causing up to 65% of diabetes-related deaths, making it a huge target for diabetes treatments research (Deshpande et al., 2008). MVD also frequently leads to other severe complications such as ischemia in the extremities and blindness (Haffner et al., 1998).
Controlling Hyperglycemic Spikes
For many T1DM and T2DM patients, it has been shown that the regular control and management of blood glucose levels prevents many of the vascular complications of the disease, but most of the time control over glucose is difficult to attain because the self-dosing insulin treatment system that a lot of moderately to severely sick diabetes patients use is often hard to calibrate and use (Parkin et al., 2002).
Compared to sucrose-rich food, starch-rich food has been found to create less fluctuation in blood glucose levels, and thus is beneficial to diabetes patients and hyperglycemia patients. There is evidence that this flatter response caused by a starch rich meal is associated with the slower rate of digestion of complex sugars versus simple sugars (Jenkins, Wolever, & Jenkins, 1988). Thus, if some of the simple sugars are first converted into complex saccharides inside the E. coli and then released back into small intestine, a similar flatter glycemic response will take place, which will be beneficial to the patients.
Our Devices
We have assembled one plasmid with genes that dictate a controllable level of simple sugars uptake and one plasmid to produce glucan and fructan from simple sugars and then lyse to release the complex sugars back into the environment. In essence, this microbial device runs on two genetic devices -- an uptake circuit and a polymeriztion circuit.
In order to learn more details, please visit the Project page.
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