Lactate and Glycerol Contribution to Gluconeogenesis
NCT06955130 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 48
Last updated 2025-12-02
Summary
A major cause of increased blood glucose levels in type 2 diabetes (T2D) is increased hepatic gluconeogenesis (GNG), as the liver converts various substrates into glucose. Two of these substrates include glycerol, a molecule from fat, and lactate, a molecule that circulates in the blood. Our previously collected data suggest that glycerol's role in this process has been underestimated, so the investigators will directly compare the carbon contribution of glycerol and lactate to new glucose production under fasting conditions in patients with and without T2D. The investigators will also assess how glucagon, a hormone that raises blood glucose levels, impacts the conversion of glycerol and lactate to glucose. Enrolled participants will undergo three separate isotope tracer infusions with serial blood collections for liquid chromatography-mass spectrometry analysis. This research could identify new therapeutic drug targets that can lower blood glucose levels more directly and effectively.
Conditions
- Type 2 Diabetes
- Obesity
- Healthy
Interventions
- DRUG
-
Glycerol
Subjects will receive an infusion of glycerol and glucagon.
- DRUG
-
Lactate
Subjects will receive an infusion of lactate and glucagon.
- DRUG
-
Glucose
Subjects will receive an infusion of glucose and glucagon.
Sponsors & Collaborators
-
Rutgers, The State University of New Jersey
lead OTHER
Principal Investigators
-
Ankit Shah, MD · Rutgers Robert Wood Johnson Medical School
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 40 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-07-01
- Primary Completion
- 2029-04-30
- Completion
- 2030-04-30
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