The rise in obesity and related metabolic disorders is a significant global health crisis, largely driven by lifestyle factors associated with the so-called Western diet. This diet, characterised by high levels of sugar, salt, fat and calories, combined with an increasingly sedentary lifestyle, exposes a large proportion of the world's population to environmental stressors that severely impact metabolic health. One of the most worrying consequences of this lifestyle is the disruption of glucose homeostasis - a critical process that ensures stable blood glucose levels through the coordinated action of various tissues, hormones and neural circuits.
Maintaining glucose levels within a narrow, healthy range is essential to provide energy for cells while avoiding harmful spikes or drops in blood glucose. However, in people who are obese, an important complication occurs: the loss of insulin sensitivity in metabolically active tissues such as skeletal muscle and the liver. This condition, known as insulin resistance, leads to elevated blood glucose levels, a hallmark of type 2 diabetes and a major risk factor for other serious health complications.
At the heart of this metabolic dysfunction are two intracellular organelles, the endoplasmic reticulum (ER) and mitochondria. These organelles play critical roles in cellular function, but their activities are significantly disrupted by the high-fat, high-calorie Western diet. This disruption affects intracellular signalling processes that are crucial for maintaining cellular function and metabolic balance. Historically, the roles of the ER and mitochondria in the development of metabolic diseases have been studied independently.
However, recent research has shown that these organelles are deeply interconnected, both physically and metabolically, through structures known as mitochondria-associated ER membranes (MAMs). These MAMs facilitate direct communication between the ER and mitochondria, supporting inter-organelle signalling that is essential for dynamic metabolic regulation.
The primary aim of the project is to investigate and elucidate the role of MAMs in the context of metabolic diseases such as obesity and diabetes. By understanding how miscommunication between the ER and mitochondria contributes to insulin resistance and metabolic dysfunction, the project aims to identify new molecular targets for therapeutic intervention. This research is not only crucial to advancing the scientific understanding of metabolic diseases, but also has significant potential to inform public health strategies and reduce the burden of these diseases on healthcare systems.