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Oh Y, Lai JSY, Mills HJ, Erdjument-Bromage H, Giammarinaro B, Saadipour K, Wang JG, Abu F, Neubert TA, Suh GSB. A glucose-sensing neuron pair regulates insulin and glucagon in Drosophila. Nature 2019; 574:559-564. [PMID: 31645735 PMCID: PMC6857815 DOI: 10.1038/s41586-019-1675-4] [Citation(s) in RCA: 65] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Accepted: 09/16/2019] [Indexed: 01/08/2023]
Abstract
Although glucose-sensing neurons were identified more than 50 years ago, the physiological role of glucose sensing in metazoans remains unclear. Here we identify a pair of glucose-sensing neurons with bifurcated axons in the brain of Drosophila. One axon branch projects to insulin-producing cells to trigger the release of Drosophila insulin-like peptide 2 (dilp2) and the other extends to adipokinetic hormone (AKH)-producing cells to inhibit secretion of AKH, the fly analogue of glucagon. These axonal branches undergo synaptic remodelling in response to changes in their internal energy status. Silencing of these glucose-sensing neurons largely disabled the response of insulin-producing cells to glucose and dilp2 secretion, disinhibited AKH secretion in corpora cardiaca and caused hyperglycaemia, a hallmark feature of diabetes mellitus. We propose that these glucose-sensing neurons maintain glucose homeostasis by promoting the secretion of dilp2 and suppressing the release of AKH when haemolymph glucose levels are high.
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Affiliation(s)
- Yangkyun Oh
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, Neuroscience Institute, New York University School of Medicine, New York, NY, USA
| | - Jason Sih-Yu Lai
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, Neuroscience Institute, New York University School of Medicine, New York, NY, USA
- QPS-Qualitix Taiwan, Ren-Ai Road, Taipei, Taiwan
| | - Holly J Mills
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, Neuroscience Institute, New York University School of Medicine, New York, NY, USA
- Ascend Public Charter Schools, New York, NY, USA
| | - Hediye Erdjument-Bromage
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, Neuroscience Institute, New York University School of Medicine, New York, NY, USA
| | - Benno Giammarinaro
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, Neuroscience Institute, New York University School of Medicine, New York, NY, USA
- Vision Sciences Graduate Program, School of Optometry, UC Berkeley, Berkeley, CA, USA
| | - Khalil Saadipour
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, Neuroscience Institute, New York University School of Medicine, New York, NY, USA
| | - Justin G Wang
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, Neuroscience Institute, New York University School of Medicine, New York, NY, USA
- Salk Institute for Biological Studies, La Jolla, CA, USA
| | - Farhan Abu
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, Neuroscience Institute, New York University School of Medicine, New York, NY, USA
- Department of Genetics and Development, Columbia University, New York, NY, USA
| | - Thomas A Neubert
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, Neuroscience Institute, New York University School of Medicine, New York, NY, USA
| | - Greg S B Suh
- Skirball Institute of Biomolecular Medicine, Department of Cell Biology, Neuroscience Institute, New York University School of Medicine, New York, NY, USA.
- Department of Biological Sciences, Korea Advanced Institute of Science and Technology, Daejeon, South Korea.
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Mills HJ, Horne G, Devane P. Osteosarcoma in New Zealand 1981-7: an overview. N Z Med J 1995; 108:458-9. [PMID: 8538963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
AIMS To examine the incidence, and results of treatment of osteosarcoma in New Zealand between 1981 and 1987. METHOD Data was obtained from the Cancer Registry for all patients registered with osteosarcoma between 1981 and 1987. RESULTS There were 104 patients in the study group. There was a peak incidence in the second decade with a second smaller peak in the seventh and eight decades. The overall 5 year survival rate was 29%. For the group aged under 30 years there was a 44% 5 year survival rate. Those aged over 60 years had a 3.2% 5 year survival. Survival rates were better when treated with surgery and chemotherapy and where the tumour was of the appendicular skeleton. CONCLUSION This is a mixed group of patients. The 5 year survival rates appear to be at the lower end of the spectrum of the results reported for similar groups in other countries.
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Affiliation(s)
- H J Mills
- Department of Surgery, Wellington School of Medicine
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Mills HJ, McKee MD, Horne G, Waddell JP. Dislocation of posteriorly stabilized total knee arthroplasties. Can J Surg 1994; 37:225-8. [PMID: 8199941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
Two cases of dislocation of an Insall-Burnstein II knee are reported. They occurred when a rotational force was applied to the loaded knee positioned in extreme flexion. Both dislocations were reduced closed and were found to be stable in the reduced position. The patients did well, and revision surgery was not required. No case of dislocation of this particular posterior stabilized total knee system has been reported previously.
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Affiliation(s)
- H J Mills
- Wellington Public Hospital, New Zealand
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Mills HJ, Horne JG, Purdie GL. The relationship between proximal femoral anatomy and osteoarthrosis of the hip. Clin Orthop Relat Res 1993:205-8. [PMID: 8458135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Proximal femoral anatomy in the anteroposterior plane was assessed by analysis of roentgenograms and the relationship between the anatomy and the pattern of osteoarthrosis of the hip was explored. The neck-shaft angle, the height of the femoral head, and the offset of the femoral head were analyzed and the type of osteoarthrosis classified according to Cameron and McNab. There was a significantly greater neck-shaft angle and a greater head height in the upward and outward migratory group. Patients being treated with total hip arthroplasty who exhibit certain types of proximal femoral anatomy might be expected to have increased acetabular loading and thus greater acetabular and femoral head wear. These data may have significance in the design of femoral components and the choice of implants in patients being treated with hip arthroplasty.
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Affiliation(s)
- H J Mills
- Department of Surgery, Wellington School of Medicine, New Zealand
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Abstract
The potential for femoral head rotation occurring during insertion of a compression hip screw has been investigated. Rotation to up to 30 degrees has been demonstrated, and was not visible on an image intensifier. The insertion of a guide-wire parallel to a hip screw does not control rotation adequately. Small threaded pins do not cause femoral head rotation.
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Affiliation(s)
- H J Mills
- Department of Surgery, Wellington Hospital, New Zealand
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Abstract
This study is a retrospective review of nine patients who sustained isolated fractures of the lateral process of the talus. The majority were caused by inversion or a combination of inversion and dorsiflexion of the foot. Following a review of the literature and anatomical dissections the authors recommend a classification based on anterior-posterior tomography of the talus, into intra- and extra-articular fractures.
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Affiliation(s)
- H J Mills
- Wellington School of Medicine, New Zealand
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Abstract
Fractures of the proximal humerus are a common upper-extremity injury, particularly in the elderly. The literature suggests that the results of treatment of displaced fractures are generally unsatisfactory. Since Neer's articles in 1970 we found little reported in the literature on these fractures. We conclude from our review of 90 fractures that the results of treatment of displaced fractures continue to be unsatisfactory, and we believe that displaced proximal humeral fractures, along with femoral neck fractures, should be classified as unsolved fractures.
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