{"id":1803,"date":"2019-02-13T17:39:09","date_gmt":"2019-02-14T01:39:09","guid":{"rendered":"http:\/\/depts.washington.edu\/cfrtc\/?p=1803"},"modified":"2021-04-20T17:27:42","modified_gmt":"2021-04-21T00:27:42","slug":"pilot-17-paik-hoffman","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/cfrtc\/pilot-17-paik-hoffman\/","title":{"rendered":"Pilot 17 &#8211; Paik and Hoffman"},"content":{"rendered":"<p>[et_pb_section fullwidth=&#8221;on&#8221; specialty=&#8221;off&#8221;][et_pb_fullwidth_slider admin_label=&#8221;Fullwidth Slider&#8221; show_arrows=&#8221;on&#8221; show_pagination=&#8221;on&#8221; auto=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; module_id=&#8221;interior&#8221;][et_pb_slide background_image=&#8221;https:\/\/depts.washington.edu\/cfrtc\/wp-content\/uploads\/2014\/12\/microscope11.jpg&#8221; background_color=&#8221;#ffffff&#8221; alignment=&#8221;center&#8221; background_layout=&#8221;dark&#8221; \/][\/et_pb_fullwidth_slider][\/et_pb_section][et_pb_section][et_pb_row][et_pb_column type=&#8221;1_4&#8243;][et_pb_sidebar admin_label=&#8221;Pilots Sidebar&#8221; orientation=&#8221;left&#8221; area=&#8221;et_pb_widget_area_7&#8243; background_layout=&#8221;light&#8221; \/][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221;]<\/p>\n<h1 style=\"text-align: center;\">Pilot 17 &#8211; Gastrointestinal dysbiosis as a modifier of CF infant somatic growth: A murine investigation<\/h1>\n<p class=\"p1\"><span class=\"s1\"><b>P.I.:<\/b> <a href=\"https:\/\/www.washington.edu\/compmed\/facultystaff\/faculty-directory\/jisun-paik\/\"><span class=\"s2\"><b>Jisun Paik, PhD<\/b><\/span><\/a><br \/>\n<\/span>Research Assistant Professor, Comparative Medicine<\/p>\n<p class=\"p1\"><span class=\"s3\"><a href=\"https:\/\/microbiology.washington.edu\/users\/lucas-hoffman\"><b>Luke Hoffman, MD PhD<\/b><\/a><br \/>\n<\/span>Associate Professor, Pediatrics<br \/>\nAdjunct Associate Professor, Microbiology<\/p>\n<p class=\"p1\">Infants with the genetic disease cystic fibrosis (CF) tend to have early growth failure, including stunted growth. These inadequate growth outcomes correlate with later severity of lung disease and overall survival. Despite the opportunities for earlier diagnosis and interventions therapy afforded by newborn screening, 40% of infants with CF still fail to meet their growth goals by two years of age. While the reasons for this persistent growth failure are poorly understood, our preliminary data indicate that the GI microbiotathe bacteria that inhabit the GI tracts- of children with CF play an important role in early growth. In particular, we found that the fecal microbiota of infants with CF are depleted for bacteria known to be important for (1) most efficient nutrient and energy harvest, and (2) production of a class of molecules known as short-chain fatty acids (SCFAs). SCFAs regulate a variety of important host biological processes, including endocrine and metabolic activities. For example, SCFAs produced by gut microbes regulate the production of a growth hormone, insulin-like growth factor 1 (IGF-1), that is now known to be underproduced by people and animals with CF. Therefore, the relatively poor bone and somatic growth of children with CF may in part be due to insufficient GI SCFA abundance, which can be improved through nutritional supplements. Therefore, we propose to test this model in a CF mouse model, with the hypothesis that oral or probiotic supplementation of SCFAs will improve the linear growth and bone deposition of CF mice. Using an established model, we will compare the bone and somatic growth characteristics of germ-free and conventional mice with and without CF (Aim 1), and then investigate the effects of oral supplementation with SCFAs and with bacteria known to produce SCFAs, (Aim 2). To perform this study, we have combined the expertise a CF clinician and microbiologist, an expert in CF mouse models, and a specialist in the endocrinology of bone metabolism, the latter of whom is new to CF research. Our goal is to identify interventions that will normalize the growth of infants with CF, which is known to correlate with longterm outcomes.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pilot 17 &#8211; Gastrointestinal dysbiosis as a modifier of CF infant somatic growth: A murine investigation<\/p>\n<p>P.I.: Stacey Meeker, PhD<br \/>\nActing Instructor, Comparative Medicine<\/p>\n<p>Luke Hoffman, MD PhD<br \/>\nAssociate Professor, Pediatrics<br \/>\nAdjunct Associate Professor, Microbiology<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>P.I.: <a href=\"http:\/\/depts.washington.edu\/metab\/directory\/faculty\/steven-e-kahn-m-b-ch-b\/\" target=\"_blank\">Steven Kahn, MB, ChB<\/a><br \/> Professor of Medicine<br \/> Metabolism, Endocrinology and Nutrition<\/p><p><a href=\"http:\/\/depts.washington.edu\/metab\/directory\/faculty\/kristina-utzschneider-m-d\/\" target=\"_blank\">Kristina Utzschneider, MD<\/a><br \/> Associate Professor of Medicine<br \/> Metabolism, Endocrinology and Nutrition<\/p><p>With the increased life expectancy of patients with cystic fibrosis (CF), other co-morbidities have become apparent in these patients. One of these is abnormal glucose metabolism, where CF-related diabetes (CFRD) is common. More recently, another abnormality of glucose metabolism has been recognized; namely late hypoglycemia following oral glucose loading. In this study, we propose to test the hypothesis that the post-glucose load hypoglycemia observed in patients with CF results from a deficient counterregulatory hormone response and\/or an insulin response that is exaggerated and delayed. This increased insulin response could be the result of an exaggerated incretin hormone response or altered gastric emptying. To address this hypothesis, we will perform a 3-hour oral glucose tolerance test during which we will measure counterregulatory, islet and incretin hormone responses and determine the rate of gastric emptying using acetaminophen. To determine whether patients with CF and late hypoglycemia also have episodes of hypoglycemia during daily living that includes mixed meals, we will use a continuous glucose monitoring system (CGMS) to examine 24-hour glucose profiles for 3 days. All these measures will be compared between patients with CF who develop late hypoglycemia, CF patients who do not develop hypoglycemia, and age and body mass index-matched healthy controls. The findings from this study will provide important new information regarding the mechanism(s) responsible for the late hypoglycemia observed in patients with CF and the data could be used as the basis for future grant applications. The ultimate goal is to gain insight into the condition of late hypoglycemia in order to better manage patients with CF.<\/p>","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[12],"tags":[],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1803"}],"collection":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/comments?post=1803"}],"version-history":[{"count":3,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1803\/revisions"}],"predecessor-version":[{"id":2105,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1803\/revisions\/2105"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/media?parent=1803"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/categories?post=1803"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/tags?post=1803"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}