Difference between revisions of "Team:Virginia/Team"

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                <p id="above-nav">University of Virginia iGEM 2015</p>
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<h1>Welcome to the University of Virginia iGEM 2015 Wiki</h1>
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<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>(click to close)</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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<ul class="pull-right">
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<li><a href="/Team:Virginia/Team">Team</a></li>
                            <a href="/Team:Virginia/Team">Team</a>
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<li><a href="/Team:Virginia/Project">Project</a></li>
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<li><a href="/Team:Virginia/Practices">Policy and Practices</a></li>
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<li><a href="/Team:Virginia/Attributions">Attributions</a></li>
                            <a href="/Team:Virginia/Project">Project</a>
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<li><a href="/Team:Virginia/Contact_us">Contact Us</a></li>
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</ul>
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                            <a href="/Team:Virginia/Practices">Policy and Practices</a>
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</div>
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<h2>
                            <a href="/Team:Virginia/Attributions">Attributions</a>
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House of Carbs
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<p>A Novel Solution to Minimizing Postprandial Hyperglycemic Spikes</p>
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</h2>
                            <a href="/Team:Virginia/Contact_us">Contact Us</a>
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</div>
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<div id="description-wrapper">
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<div id="description-text-wrapper">
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<h1>Project Overview</h1>
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<h3>The Problem: Diabetes Mellitus and Hyperglycemia</h3>
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< 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
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the major complications of diabetes arise from drastic fluctuations in the blood glucose
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level (Ceriello et al., 2012). Up to two-thirds of people with diabetes die of
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cardiovascular disease (CVD) brought about by diabetes-related macrovascular diseases
 
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(Deshpande et al. 2008). In fact, the risk for cardiovascular disease mortality is 2 to 4
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times higher in people with diabetes than in people who do not have diabetes.  
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Additionally, diabetic retinopathy is the most common microvascular complication
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among people with diabetes and results in more than 10,000 new cases of blindness per
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year. Retinopathy is associated with prolonged hyperglycemia; it is slow to develop, and
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there is some evidence that it can begin to develop as early as 7 years before clinical
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diagnosis of diabetes (Deshpande et al., 2008).</p>
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<p>Postprandial (post-meal) blood sugar spikes specifically are one of the most
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damaging complications of diabetes (Parkin et al., 2002). Many diabetics are able to
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effectively manage post-meal glycemic spikes with self-administered doses of insulin,
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but these hyperglycemic incidents still kill more Americans per year than any other
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diabetes-related complications (Parkin et al., 2002). Arguably, the gravest consequence of
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glycemic spikes in diabetes patients is the development of progressive macrovascular
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disease (MVD), which affects the large blood vessels of the body, hardening and
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blocking these vessels (Ceriello et al., 2012). MVD is the leading cause of death among
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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
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also frequently leads to other severe complications such as ischemia in the extremities
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and blindness (Haffner et al., 1998).</p>
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<h3>Controlling Hyperglycemic Spikes</h3>
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<p>For many T1DM and T2DM patients, it has been shown that the regular
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control and management of blood glucose levels prevents many of the vascular
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complications of the disease, but most of the time control over glucose is difficult to
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attain because the self-dosing insulin treatment system that a lot of moderately to
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severely sick diabetes patients use is often hard to calibrate and use (Parkin et al., 2002).</p>
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<p>Compared to sucrose-rich food, starch-rich food has been found to create less
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fluctuation in blood glucose levels, and thus is beneficial to diabetes patients and
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hyperglycemia patients. There is evidence that this flatter response caused by a starch
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rich meal is associated with the slower rate of digestion of complex sugars versus simple
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sugars (Jenkins, Wolever, & Jenkins, 1988). Thus, if some of the simple sugars are first
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converted into complex saccharides inside the E. coli and then released back into small
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intestine, a similar flatter glycemic response will take place, which will be beneficial to
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the patients. </p>
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<h3>Our Devices</h3>
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<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>
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<p style="font-style:italic"> In order to learn more details, please visit the <a href="/Team:Virginia/Project">Project page.</a> </p>
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<p>Show References</p>
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</div>
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<p>Hide References</p>
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</div>
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<div id="ref-content">
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<p>A. Ceriello, S. Colagiuri, (2011). Guideline for management of postmeal glucose in
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diabetes. International Diabetes Federation Guideline Development Group,
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http://www.idf.org/sites/default/files/postmeal%20glucose%20guidelines.pdf ,
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Accessed May. 6th, 2015
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</p>
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<p>American Diabetes Association (2014). National Diabetes Statistics Report.
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http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf
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Accessed May. 5th, 2015
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</p>
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<p>Anal, A. K., & Singh, H. (2007). Recent advances in microencapsulation of probiotics for
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industrial applications and targeted delivery. Trends in Food Science &  
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Technology, 18(5), 240–251. http://doi.org/10.1016/j.tifs.2007.01.004
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</p>
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<p>Anan, F., Masaki, T., Eto, T., Fukunaga, N., Iwao, T., Kaneda, K., ... Yoshimatsu, H.
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(2008). Postchallenge Plasma Glucose and Glycemic Spikes Are Associated with
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Pulse Pressure in Patients with Impaired Glucose Tolerance and Essential
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Hypertension. Hypertension Research, 31(8), 1565–1571.  
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http://doi.org/10.1291/hypres.31.1565
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</p>
 
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<p>AHFS Consumer Medication Information [Internet]. Bethesda (MD): American Society
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of Health-System Pharmacists, Inc.; ©2008. Acarbose; [revised 2015 Feb. 15;
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reviewed 2015 Apr. 28; cited 2015 May. 3]; Available from:
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http://www.nlm.nih.gov/medlineplus/druginfo/meds/ a696015.html
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</p>
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<p>AHFS Consumer Medication Information [Internet]. Bethesda (MD): American Society
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of Health-System Pharmacists, Inc.; ©2008. Pramlintide; [revised 2015 Feb. 15;
                    <p>(click to close)</p>
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reviewed 2015 Apr. 28; cited 2015 May. 3]; Available from:
                    <img src="/wiki/images/1/10/Virginia_supraja2.jpg"></img>
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http://www.nlm.nih.gov/medlineplus/druginfo/meds/a605031.html
                    <h3>Supraja Chittari</h3>
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</p>
                    <h5>Poster and Presentation Coordinator & Biological Research Team Member</h5>
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<p>Banguela, A., Arrieta, J. G., Rodríguez, R., Trujillo, L. E., Menéndez, C., & Hernández,
                    <h4>Class of 2018 - College of Arts & Sciences, Undeclared</h4>
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L. (2011). High levan accumulation in transgenic tobacco plants expressing the
                    <p>Supraja Chittari is a rising second-year at the University of Virginia from Vienna, Virginia. Supraja can’t quite make up her mind about what she’s studying, but we know it’ll be something that’s fairly science-heavy. A dedicated member of iGEM 2015’s so-called BioSquad, she can be seen in the lab at ungodly hours of the night screaming something about failed competent cells.</p>
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Gluconacetobacter diazotrophicus levansucrase gene. Journal of Biotechnology,  
                </div>
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154(1), 93–98. http://doi.org/10.1016/j.jbiotec.2011.04.007
            </div>
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</p>
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<p>Barr EL, Zimmet PZ, Welborn TA et al. (2007). "Risk of cardiovascular and all-cause
            <div class="popup inactive" id="popup-dominic">
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mortality in individuals with diabetes mellitus, impaired fasting glucose, and  
                <div class="text-wrap">
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impaired glucose tolerance: the Australian Diabetes, Obesity, and Lifestyle Study
                    <p>(click to close)</p>
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(AusDiab)". Circulation 116 (2): 151–7.
                    <img src="/wiki/images/6/6f/Virginia_dominic2.jpg"></img>
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</p>
                    <h3>Dominic Ritchey</h3>
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<p>Bernard, A. M., Anderson, L., Cook, C. B., & Phillips, L. S. (1999). What do internal
                    <h5>Chief Financial Officer and Wiki Programmer</h5>
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medicine residents need to enhance their diabetes care? Diabetes Care, 22(5),
                    <h4>Class of 2018 - School of Engineering and Applied Sciences, Computer Science & Biology</h4>
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661–666. http://doi.org/10.2337/diacare.22.5.661
                    <p> Dominic Ritchey is a rising second-year at the University of Virginia from Columbus, Ohio. Dominic is studying Computer Science and Biology because he has no idea yet what he wants to do with his life. Dominic is the Chief Financial Officer and Wiki Programmer for team, so he has not even touched a pipette in the lab as of yet. Dominic is a dedicated member of the so-called Ca$hCrew, and he can often be found camped-out in a U.Va. library coding for hours on end. </p>
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</p>
                </div>
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<p>Boada C, Martínez-Moreno J. Pathophysiology of diabetes mellitus type 2: beyond the
            </div>
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duo "insulin resistance-secretion deficit.". Nutricion Hospitalaria [serial online].
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March 2, 2013;28:78-87. Available from: Fuente Académica, Ipswich, MA.
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Accessed April 16, 2015.
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</p>
                    <p>(click to close)</p>
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<p>B. Göke, H. F. (1995). Voglibose (AO128) Is an Efficient α-Glucosidase Inhibitor and
                    <img src="/wiki/images/a/ac/Virginia_jingyuan2.jpg"></img>
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Mobilizes the Endogenous GLP-1 Reserve. Digestion, 56(6), 493–501.
                    <h3>Jingyuan Zhang</h3>
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http://doi.org/10.1159/000201282
                    <h5>Laboratory Technician & Biological Research Team Member</h5>
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</p>
                    <h4>Class of 2017 - School of Engineering and Applied Sciences, Biomedical Engineering</h4>
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<p>Brown, J. B., Harris, S. B., Webster-Bogaert, S., Wetmore, S., Faulds, C., & Stewart, M.
                    <p>Jingyuan Zhang is a rising third-year at the University of Virginia from Beijing, China, and she studies Biomedical Engineering. Jingyuan is a dedicated member of the BioSquad, and officially she is one of the team laboratory technicians. Jingyuan can frequently be found running hastily around the lab with multiple timers going off. </p>
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(2002). The role of patient, physician and systemic factors in the management of
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type 2 diabetes mellitus. Family Practice, 19(4), 344–349.
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http://doi.org/10.1093/fampra/19.4.344
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</p>
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<p>Butterworth, P. J., Warren, F. J., & Ellis, P. R. (2011). Human α-amylase and starch
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digestion: An interesting marriage. Starch - Stärke, 63(7), 395–405.
                    <p>(click to close)</p>
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http://doi.org/10.1002/star.201000150
                    <img src="/wiki/images/1/1e/Virginia_liam2.jpg"></img>
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</p>
                    <h3>Liam Wolf</h3>
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<p>Centers for Disease Control and Prevention. (2014). National Diabetes Statistics Report.</p>
                    <h5>Administrator, Policy and Practices, & Finance Team Member</h5>
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<p>Chiasson, J.-L., Josse, R. G., Gomis, R., Hanefeld, M., Karasik, A., & Laakso, M. (2002).
                    <h4>Class of 2018 - School of Engineering and Applied Sciences, Systems Engineering</h4>
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Acarbose for prevention of type 2 diabetes mellitus: the STOP-NIDDM
                    <p>Liam Wolf is a rising second-year at the University of Virginia from Pittsburgh, Pennsylvania. Liam is studying Systems Engineering, even though no one really knows what that is. Liam is involved in just about everything the team does, whether he is asked or not, and the team lovingly (and mostly jokingly) refers to him as the Overlord. Officially, Liam is the team Administrator, though he is also involved in every other part of the project. Liam claims that, one day, all 9 team members will get together for a team-building activity, but no one really believes it. </p>
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randomised trial. The Lancet, 359(9323), 2072–2077.  
                </div>
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http://doi.org/10.1016/S0140-6736(02)08905-5
            </div>
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</p>
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<p>Chiasson, J.-L., Josse, R. G., Hunt, J. A., Palmason, C., Rodger, N. W., Ross, S. A., ...
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Wolever*, T. M. S. (1994). The Efficacy of Acarbose in the Treatment of Patients
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with Non–Insulin-Dependent Diabetes Mellitus: A Multicenter, Controlled
                    <p>(click to close)</p>
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Clinical Trial. Annals of Internal Medicine, 121(12), 928–935.
                    <img src="/wiki/images/9/9d/Virginia_rena2.jpg"></img>
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http://doi.org/10.7326/0003-4819-121-12-199412150-00004
                    <h3>Rena Yuan</h3>
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Crude and Age-Adjusted Rate per 100 of Civilian, Noninstitutionalized Population with
                    <h5>Policy & Practices and Biology Research Team Member</h5>
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Diagnosed Diabetes, United States, 1980–2011. (2014, September 5). Retrieved
                    <h4>Class of 2018 - College of Arts and Sciences, Biology and Statistics</h4>
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April 24, 2015, from
                    <p> Rena Yuan is a rising second-year at the University of Virginia studying biology and statistics. Rena is originally from Long Island, New York, but is now a NOVA (Northern Virginia) transplant. Rena is a dedicated member of the so-called BioSquad and though she works full-time in another position, she can frequently be seen coming into the lab at 4:00 am in order to get some of her work done, even when she knows that she’s not expected to do so.</p>
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http://www.cdc.gov/diabetes/statistics/prev/national/figage.htm
                </div>
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</p>
            </div>
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<p>Dedonder, R. 1966. Levansucrase from Bacillus subtilis. Methods Enzymol. 8:500–505.</p>
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<p>Deshpande, A. D., Harris-Hayes, M., & Schootman, M. (2008). Epidemiology of diabetes
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and diabetes-related complications. Physical therapy, 88(11), 1254-1264.
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</p>
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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.,
                    <img src="/wiki/images/3/38/Virginia_issac2.jpg"></img>
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Intensive diabetes treatment and cardiovascular disease in patients with type 1
                    <h3>Issac Li</h3>
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diabetes, N Engl J Med, 353 (2005), pp. 2643–2653
                    <h5>Head of Modelling, Policy & Practices Team Member and Biology Research Team Member</h5>
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</p>
                    <h4>Class of 2016 - School of Engineering and Applied Sciences, Biomedical Engineering</h4>
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<p>D.R. Whiting, L. Guariguata, C. Weil, J. Shaw, IDF diabetes atlas: global estimates of the  
                    <p> Issac Li is a rising fourth-year at the University of Virginia studying Biomedical Engineering from Shijiazhuang, China. Issac is the official Head of Modeling for the 2015 team. Issac is a de facto addition to the BioSquad and also aids in Policy and Practices. </p>
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prevalence of diabetes for 2011 and 2030 Diabetes Res Clin Pract, 94 (2011), pp.  
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311–321
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</p>
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<p>Duncan, A. E. (2012). Hyperglycemia and Perioperative Glucose Management.Current
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Pharmaceutical Design, 18(38), 6195–6203.
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</p>
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<p>Edelman, P. S., Maier, H., & Wilhelm, K. (2012). Pramlintide in the Treatment of
                    <img src="/wiki/images/a/ad/Virginia_sean2.jpg"></img>
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Diabetes Mellitus. BioDrugs, 22(6), 375–386. http://doi.org/10.2165/0063030-
                    <h3>Sean Sequeira</h3>
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200822060-00004
                    <h5>Modelling Team Member, Policy and Practices Team Member, and Finance Team Member</h5>
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</p>
                    <h4>Class of 2018 - School of Engineering and Applied Sciences, Biomedical Engineering</h4>
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<p>Ferraris, R. P., Yasharpour, S. A. S. A. N., Lloyd, K. C., Mirzayan, R. A. F. F. Y., &
                    <p> Sean Sequeira is a rising second-year at the University of Virginia, from Richmond, Virginia. Sean is studying Biomedical Engineering and is a member of the BioSquad, the Ca$hCrew, and helps out in Policy and Practices. Sean can frequently either be found “working” in the second floor conference room with Connor or at his other lab. </p>
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Diamond, J. M. (1990). Luminal glucose concentrations in the gut under normal
                </div>
+
conditions. American Journal of Physiology-Gastrointestinal and Liver
            </div>
+
Physiology, 259(5), G822-G837.
            <!-- Shiran’s popup structural code-->
+
</p>
            <div class="popup inactive" id="popup-shiran">
+
<p>Gay, P., Le Coq, D., Steinmetz, M., Ferrari, E., & Hoch, J. A. (1983). Cloning structural
                <div class="text-wrap">
+
gene sacB, which codes for exoenzyme levansucrase of Bacillus subtilis:
                    <p>(click to close)</p>
+
expression of the gene in Escherichia coli. Journal of bacteriology,153(3), 1424-
                    <img src="/wiki/images/0/0f/Virginia_shiran2.jpg"></img>
+
1431.
                    <h3>Shiran Su</h3>
+
</p>
                    <h5>Laboratory Technician and Biological Research Team Member</h5>
+
<p>Gray, G. M., & Ingelfinger, F. J. (1966). Intestinal absorption of sucrose in man:
                    <h4>Class of 2016 - School of Engineering and Applied Sciences, Biomedical Engineering</h4>
+
interrelation of hydrolysis and monosaccharide product absorption. Journal of
                    <p>Shiran Su is a rising fourth-year at the University of Virginia from Nanjing, China. Shiran is finishing up her degree in Biomedical Engineering this year. Shiran is a dedicated member of the so-called BioSquad. Without fail, one can either find Shiran somewhere in the building taking a quick daytime nap on a bench or lecturing another engineering teammate about the ease of the U.Va. engineering curriculum, especially after s/he has been complaining about a difficult class.</p>
+
Clinical Investigation, 45(3), 388.
                </div>
+
</p>
            </div>
+
<p>Grant, R. W., Buse, J. B., & Meigs, J. B. (2005). Quality of Diabetes Care in U.S.
            <!-- Connor’s popup structural code-->
+
Academic Medical Centers Low rates of medical regimen change. Diabetes Care,  
            <div class="popup inactive" id="popup-connor">
+
28(2), 337–442. http://doi.org/10.2337/diacare.28.2.337
                <div class="text-wrap">
+
</p>
                    <p>(click to close)</p>
+
<p>Grant, R. W., Pirraglia, P. A., Meigs, J. B., & Singer, D. E. (2004). Trends in complexity
                    <img src="/wiki/images/f/f3/Virginia_connor2.jpg"></img>
+
of diabetes care in the United States from 1991 to 2000. Archives of Internal
                    <h3>Connor Jahelka</h3>
+
Medicine, 164(10), 1134–1139. http://doi.org/10.1001/archinte.164.10.1134
                    <h5>Head of Policy & Practices</h5>
+
</p>
                    <h4>Class of 2017 - College of Arts and Sciences, Biology </h4>
+
<p>Halschou, K., Bukhave, K., & Rikardt, J. (2012). Intestinal Disaccharidase Activity and
                    <p> Connor Jahelka is a rising third-year at the University of Virginia from Fairfax, Virginia. Connor is studying biology and splits his time between a neuroscience lab and iGEM during the summer. Connor is the Head of Policy and Practices for this year’s team. Connor has a notoriously faulty alarm clock, on which he blames his persistent lateness, and he works most effectively when given very detailed, itemized to-do lists and constant negative reinforcement, mostly provided by Liam.</p>
+
Uptake of Glucose from Sucrose. In S. Chackrewarthy (Ed.), Glucose Tolerance.
                </div>
+
InTech. Retrieved from http://www.intechopen.com/books/glucose-
            </div>
+
tolerance/intestinal-disaccharidase-activity-and-uptake-of-glucose-from-sucrose
            <!-- END Pop-ups structural code -->
+
</p>
            <div class="wrapper1">
+
<p>Hanahan, D. (1983). Studies on transformation of Escherichia coli with plasmids. Journal
                <div class="team_profile_link">
+
of Molecular Biology, 166(4), 557–580.
                    <a href="https://igem.org/Team.cgi" >
+
</p>
                        <div>
+
<p>Hoffmann, J., & Spengler, M. (1997). Efficacy of 24-Week Monotherapy With Acarbose,
                            <img src="/wiki/images/1/10/Virginia_igem_logo.jpg"></img>
+
Metformin, or Placebo in Dietary-Treated NIDDM Patients: The Essen-II Study.
                        </div>
+
The American Journal of Medicine, 103(6), 483–490.
                        <div>
+
http://doi.org/10.1016/S0002-9343(97)00252-0
                            <p>Official iGEM Team Profile</p>
+
Intensive blood-glucose control with sulphonylureas or insulin compared with
                        </div>
+
conventional treatment and risk of complications in patients with type 2 diabetes
                    </a>
+
(UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group.
                </div>
+
</p>
                <div class="team_profile_link">
+
<p>Jenkins, D. J. A., Wolever, T. M. S., & Jenkins, A. L. (1988). Starchy Foods and  
                    <a href="http://seas.virginia.edu/students/igem/" >
+
Glycemic Index. Diabetes Care, 11(2), 149–159.
                        <div>
+
http://doi.org/10.2337/diacare.11.2.149
                            <img src="/wiki/images/a/a7/Virginia_rotunda.png"></img>
+
</p>
                        </div>
+
<p>Jones, M. C. (2007). Therapies for diabetes: pramlintide and exenatide. American Family
                        <div>
+
Physician, 75(12), 1831–1835.
                            <p>Official U.Va. iGEM Website</p>
+
</p>
                        </div>
+
<p>J Reizer, S. L. S. (1992). Functional interactions between proteins of the  
                    </a>
+
phosphoenolpyruvate:sugar phosphotransferase systems of Bacillus subtilis and
                </div>
+
Escherichia coli. The Journal of Biological Chemistry, 267(13), 9158–69.
            </div>
+
Jenkins, D. J., Wolever, T. M., & Jenkins, A. L. (1988). Starchy foods and glycemic
            <h1>University of Virginia 2015 iGEM Team Members</h1>
+
index. Diabetes care, 11(2), 149-159.
            <p id="parenth">(click an image to learn more about any team member)</p>
+
</p>
            <!-- BEGIN Team photos structural code -->
+
<p>Kumar, Vinay; Fausto, Nelson; Abbas, Abul K.; Cotran, Ramzi S. ; Robbins, Stanley L.
            <div id="team-info">
+
(2005). Robbins and Cotran Pathologic Basis of Disease (7th ed.). Philadelphia,
                <div class="container">
+
Pa.: Saunders. pp. 1194–1195. ISBN 0-7216-0187-1. Lancet. 1998 Sep 12;
                    <!--Supraja Chittari-->
+
352(9131):837-53.
                    <div class="team-box" id="supraja-box">
+
</p>
                        <img src="/wiki/images/0/06/Virginia_supraja.jpg">
+
<p>Kundig, W., Ghosh, S., & Roseman, S. (1964). PHOSPHATE BOUND TO HISTIDINE
                            <p>Supraja Chittari</p>
+
IN A PROTEIN AS AN INTERMEDIATE IN A NOVEL PHOSPHO-
                        </img>
+
TRANSFERASE SYSTEM. Proceedings of the National Academy of Sciences of
                    </div>
+
the United States of America, 52, 1067–1074.
                    <!--Dominic Ritchey-->
+
</p>
                    <div class="team-box" id="dominic-box">
+
<p>Lebovitz, H. E. (1997). ALPHA-GLUCOSIDASE INHIBITORS. Endocrinology and
                        <img src="/wiki/images/a/af/Virginia_dominic.jpg">
+
Metabolism Clinics of North America, 26(3), 539–551.
                            <p>Dominic Ritchey</p>
+
http://doi.org/10.1016/S0889-8529(05)70266-8
                        </img>
+
</p>
                    </div>
+
<p>Lourens-Hattingh, A., & Viljoen, B. C. (2001). Yogurt as probiotic carrier food.
                    <!-- Jingyuan Zhang -->
+
International Dairy Journal, 11(1–2), 1–17. http://doi.org/10.1016/S0958-
                    <div class="team-box" id="jingyuan-box">
+
6946(01)00036-X
                        <img src="/wiki/images/3/37/Virginia_jingyuan.jpg">
+
</p>
                            <p>Jingyuan Zhang</p>
+
<p>Malagelada, J. R., Bazzoli, F., Elewaut, A., Fried, M., Krabshuis, J. H., Lindberg, G., ...
                        </img>
+
Vakil, N. (2007). World Gastroenterology Organisation Practice Guidelines.
                    </div>
+
Dysphagia. Retrieved from http://almacen-
                    <!-- Liam Wolf -->
+
gpc.dynalias.org/publico/Dysphagia%20WGO%202004%20Ingles.pdf
                    <div class="team-box" id="liam-box">
+
</p>
                        <img src="/wiki/images/e/ef/Virginia_liam.jpg">
+
<p>Man, C. D., Camilleri, M., & Cobelli, C. (2006). A System Model of Oral Glucose
                            <p>Liam Wolf</p>
+
Absorption: Validation on Gold Standard Data. IEEE Transactions on Biomedical  
                        </img>
+
Engineering, 53(12), 2472–2478. http://doi.org/10.1109/TBME.2006.883792
                    </div>
+
</p>
                    <!-- Rena Yuan -->
+
<p>Meigs, J. B., Nathan, D. M., Wilson, P. W., Cupples, L. A., & Singer, D. E. (1998).
                    <div class="team-box" id="rena-box">
+
Metabolic risk factors worsen continuously across the spectrum of nondiabetic
                        <img src="/wiki/images/b/bd/Virginia_rena.jpg">
+
glucose tolerance. The Framingham Offspring Study. Annals of Internal Medicine,  
                            <p>Rena Yuan</p>
+
128(7), 524–533.
                        </img>
+
</p>
                    </div>
+
<p>Narimasa, S., Tatsuo, H., Mitsutaka, Y., & Toshio, I. (1979). Action of human pancreatic
                    <!-- Issac Li -->
+
and salivary α-amylases on maltooligosaccharides: Evaluation of kinetic
                    <div class="team-box" id="issac-box">
+
parameters. Clinica Chimica Acta, 97(2–3), 253–260.
                        <img src="/wiki/images/3/3b/Virginia_issac.jpg">
+
http://doi.org/10.1016/0009-8981(79)90423-6
                            <p>Issac Li</p>
+
</p>
                        </img>
+
<p>National Diabetes Data Group. (1979). Classification and Diagnosis of Diabetes Mellitus
                    </div>
+
and Other Categories of Glucose Intolerance. Diabetes, 28(12), 1039–1057.
                    <!-- Sean Sequeira -->
+
http://doi.org/10.2337/diab.28.12.1039
                    <div class="team-box" id="sean-box">
+
</p>
                        <img src="/wiki/images/8/8e/Virginia_sean.jpg">
+
<p>Nissle, A. (1959). [Explanations of the significance of colonic dysbacteria & the
                            <p>Sean Sequeira</p>
+
mechanism of action of E. coli therapy (mutaflor)]. Die Medizinische, 4(21),
                        </img>
+
1017–1022.
                    </div>
+
</p>
                    <!-- Shiran Su -->
+
<p>Parkin, C. G., & Brooks, N. (2002). Is postprandial glucose control important? Is it
                    <div class="team-box" id="shiran-box">
+
practical in primary care settings?. Clinical Diabetes, 20(2), 71-76.
                        <img src="/wiki/images/8/8b/Virginia_shiran.jpg">
+
</p>
                            <p>Shiran Su</p>
+
<p>Patterson, Joan (2013). Many Schools Cutting Back on Physical Education. Las Vegas
                        </img>
+
Review - Journal.
                    </div>
+
Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolerance in U.S.
                    <!-- Connor Jahelka -->
+
adults. The Third National Health and Nutrition Examination Survey, 1988-1994.
                    <div class="team-box" id="connor-box">
+
</p>
                        <img src="/wiki/images/0/03/Virginia_connor.jpg">
+
<p>Peng, C.-K., Buldyrev, S. V., Havlin, S., Simons, M., Stanley, H. E., & Goldberger, A. L.
                            <p>Connor Jahelka</p>
+
(1994). Mosaic organization of DNA nucleotides. Physical Review E, 49(2),  
                        </img>
+
1685–1689. http://doi.org/10.1103/PhysRevE.49.1685
                    </div>
+
</p>
                </div>
+
<p>Rathmann, W., & Giani, G. (2004). Global Prevalence of Diabetes: Estimates for the
            </div>
+
Year 2000 and Projections for 2030: Response to Wild et al. Diabetes Care, 2568-
            <!-- SPECIFIC STRUCTURAL CODE ENDS HERE -->
+
2569.  
            <footer>
+
</p>
                <div id="foot-img">
+
<p>Recorbet, G. H. I. S. L. A. I. N. E., Robert, C., Givaudan, A., Kudla, B., Normand, P., &
                    <img src="https://static.igem.org/mediawiki/2015/d/d1/Virginia_logo4.png"></img>
+
Faurie, G. (1993). Conditional suicide system of Escherichia coli released into
                </div>
+
soil that uses the Bacillus subtilis sacB gene. Applied and environmental
                <div id="foot-text">
+
microbiology, 59(5), 1361-1366.
                    <p>University of Virginia iGEM</p>
+
</p>
                    <p>148 Gilmer Hall</p>
+
<p>Ried, J. L., and A. Collmer. 1987. An nptI-sacB-sacR cartridge for constructing directed,
                    <p>485 McCormick Road</p>
+
unmarked mutations in Gram-negative bacteria by marker exchange-eviction
                    <p>Charlottesville, Virginia 22904</p>
+
mutagenesis. Gene 57:239–246.
                    <p>United States of America</p>
+
</p>
                    <p>
+
<p>Riddle, M., Frias, J., Zhang, B., Maier, H., Brown, C., Lutz, K., & Kolterman, O. (2007).
                        <a href="mailto:virginia.igem@gmail.com">
+
Pramlintide Improved Glycemic Control and Reduced Weight in Patients With
 +
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).
 +
Postchallenge Hyperglycemia and Mortality in a National Sample of U.S. Adults.
 +
Diabetes Care, 24(8), 1397–1402. http://doi.org/10.2337/diacare.24.8.1397
 +
</p>
 +
<p>Snelling, Anatasia; Korba, Casey; Burkey, Alyvia (2007). The National School Lunch
 +
and Competitive Food Offerings and Purchasing Behaviors of High School
 +
Students, 77(10), 701-705.
 +
</p>
 +
<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
 +
</p>
 +
<p>Temelkova-Kurktschiev, T. S., Koehler, C., Henkel, E., Leonhardt, W., Fuecker, K., &
 +
Hanefeld, M. (2000). Postchallenge plasma glucose and glycemic spikes are more
 +
strongly associated with atherosclerosis than fasting glucose or HbA1c level.
 +
</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
 +
website: https://www.virginiamason.org/whatarenormalbloodglucoselevels.
 +
Accessed: May. 5th ,2015
 +
</p>
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</div>
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<p>University of Virginia iGEM</p>
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<p>148 Gilmer Hall</p>
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<p>Charlottesville, Virginia 22904</p>
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Revision as of 17:09, 14 July 2015

University of Virginia iGEM 2015

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.

Show References

Hide References

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