Obesity¹ is the main culprit（犯人，罪犯） in the worldwide avalanche²（雪崩） of type 2 diabetes³. But how excess weight drives insulin resistance, the condition that may lead to the disease, is only partly understood. Scientists at Joslin Diabetes Center now have uncovered a new way in which obesity wreaks⁴ its havoc⁵, by altering the production of proteins that affect how other proteins are spliced⁶ together. Their finding, published in Cell Metabolism⁷, may point toward novel targets for diabetes drugs. Scientists in the lab of Mary-Elizabeth Patti, M.D., began by examining the levels of proteins in the livers of obese⁸ people, and finding decreases in number for certain proteins that regulate RNA splicing⁹.

"When a gene¹⁰ is transcribed¹¹ by the cell, it generates a piece of RNA," explains Dr. Patti, who is also an Assistant Professor of Medicine at Harvard Medical School. "That piece of RNA can be split up in different ways, generating proteins that have different functions."

"In the case of these proteins whose production drops in the livers of obese people, this process changes the function of other proteins that can cause excess fat to be made in the liver," she adds. "That excess fat is known to be a major contributor to insulin resistance."

Additionally, the researchers showed that these RNA splicing proteins are diminished in samples of muscle from obese people.

The investigators¹² went on to examine a representative RNA-splicing protein called SFRS10 whose levels drop in muscle and liver both in obese people and in over-fed mice. Working in human cells and in mice, they demonstrated that SFRS10 helps to regulate a protein called LPIN1 that plays an important role in synthesizing fat. Among their results, mice in which they suppressed production of SFRS10 made more triglycerides（三酸甘油酯） , a type of fat circulating in the blood.

"More broadly, this work adds a novel insight into how obesity may induce insulin resistance and diabetes risk by changing critical functions of cells, including splicing," says Dr. Patti. "This information should stimulate¹³ the search for other genes¹⁴ for which differences in splicing may contribute to risk for type 2 diabetes. Ultimately, we hope that modifying these pathways with nutritional¹⁵ or drug therapies could limit the adverse¹⁶ consequences of obesity."