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August 28, 2019Open Access

Inhibition of Bruton’s tyrosine kinase reduces NF-kB and NLRP3 inflammasome activity preventing insulin resistance and microvascular disease

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Key result

Ibrutinib lowers blood glucose ~37% in mice, protecting against insulin resistance and diabetic nephropathy.

Why the study?

There are currently no therapies available that target inflammation in type-2 diabetes or microvascular disease.

Population

High fat diet-fed mice and human monocyte derived macrophages

Comparison

Ibrutinib treatment vs no treatment

Design

Preclinical experimental study

Authors

GPGareth S. D. PurvisMCMassimo CollinoHTHaidee M. A. Tavio

Discussion

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Member takes

Overview

BTK inhibition merits further metabolic research; does not support ibrutinib use in T2D or microvascular disease.

PICO

P
Population
C57BL/6J mice fed a high fat diet to induce insulin resistance and microvascular disease, treated with ibrutinib for 6 weeks.
I
Intervention / Comparator
Ibrutinib vs Vehicle (3 or 30 mg/kg; p.o.; 5 times per week)
O
Primary Outcome
Blood glucose (mmol)

Main Result

Absolute Event Rate: 8.04% vs 12.82%

Cite This Study

Purvis et al. (2019) studied Type 2 diabetes and microvascular disease. Ibrutinib vs. Vehicle was evaluated on Blood glucose (mmol). Ibrutinib treatment significantly lowered blood glucose from 12.82 mmol to 8.04-7.71 mmol in high fat diet-fed mice, protecting them from insulin resistance and diabetic nephropathy.

synapsesocial.com/papers/6aaca7e561b2bb69fb3a626chttps://doi.org/10.1101/745943
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Bruton's tyrosine kinase (BTK) inhibitors alter blood glucose and insulin in obese mice but reduce inflammation independent of BTK.2024
  2. 2Leveraging Kinase Drugs for Neurosciences: Discovery of Selective, CNS-Penetrant Reversible Bruton’s Tyrosine Kinase Inhibitors as Therapeutics for Neuroinflammation2026
  3. 3Targeting Bruton’s Tyrosine Kinase alters IgA production and modulation of the microbiota 32802025
  4. 4Bruton's Tyrosine Kinase-Going Beyond the B Cell.2026 · 1 citations
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