Understanding the cellular and molecular basis for genetic causes of obesity
The United States is currently in the midst of an obesity epidemic, a known risk factor for the development of type 2 diabetes, atherosclerotic cardiovascular disease, dyslipidemia, hypertension, and some cancers. There is considerable variation in an individual’s susceptibility to gain weight. Dr. Christin Carter-Su, Professor of Molecular and Integrative Physiology at the University of Michigan, has identified SH2B1 as a gene that protects against obesity. Her team has made considerable strides in identifying the role SH2B1 plays in obesity. Recently, her collaborator, S. Farooqi, identified mutations in SH2B1 within her cohort of morbidly obese children. These children exhibit severe early-onset childhood obesity, hyperphagia, and insulin resistance; surprisingly, many also exhibit behavioral abnormalities, including social isolation, learning delay and/or aggressive behavior. By understanding why certain mutations in SH2B1 have such harmful effects, Dr. Carter-Su can identify critical cellular actions of SH2B1 that help protect us from obesity, insulin resistance and behavioral abnormalities. Understanding gained in Dr. Carter-Su’s research can have an immediate effect on society with the potential to identify new therapeutic targets that have never been imagined before!
Dr. Carter-Su’s work strongly suggests that SH2B1 affects cellular motility and the growth and function of neurons. Her goal is to identify novel proteins and functions that are regulated by SH2B1, are critical for the establishment and maintenance of the neural circuits important for normal feeding behavior and energy balance, and can be targeted for therapeutic intervention for obesity, insulin-resistance and/or maladaptive behavior. Her research for the past 30 years has been deeply rooted in understanding biology at the molecular level. This commitment to understanding life at the most fundamental level has allowed Dr. Carter-Su, her collaborators, students, and post-doctoral fellows to make multiple paradigm-shifting discoveries. This focus will accelerate her ability to decipher clues about obesity that lie hidden in the genes of these severely obese individuals.
Current projects include:
- How Does It Work? Although both human patients with single nucleotide mutations in SH2B1 and mice that lack SH2B1 provide compelling evidence that decreased function of SH2B1 causes severe obesity, insulin resistance and maladaptive behavior, the exact mechanism by which it does so is not known. The Carter-Su team believes that determining exactly how SH2B1 functions in the context of the whole organism and in the context of neurons in the brain will reveal new therapeutic targets for weight control and insulin sensitivity. They seek funds to make and study mouse models in which the human obesity-associated mutations are introduced into SH2B1 in mice. These mice will enable studies not possible in humans to determine how the human mutations disrupt food intake and energy expenditure in those mice as well as the formation and function of neurons in the brain involved in regulating food intake and energy expenditure.
- Therapeutic Targets: The gene for SH2B1 makes multiple forms of SH2B1 that differ only in a small portion of the protein. The different forms of SH2B1 regulate distinct sets of functions in the cell. The Carter-Su lab believes that, in the brain, these differences play a critical role in the formation of the neuronal connections required for regulating body weight. Such a finding would warrant therapeutically targeting particular forms of SH2B1 or critical functions activated by a particular form of SH2B1.
Bio
Dr. Carter-Su’s love of science grew out of family camping and hiking trips in our beautiful National Parks. Everything about nature fascinated her - from mountains and grizzly bears to fossils and insects. At one time, she wanted to become a national park ranger. But she discovered the joys of biological research at a residential summer science program for high school students and there was no turning back. She was particularly captivated by her experiments studying the development of “see-through” fish from a single cell to a multicellular embryo with a beating heart to a fully-formed, swimming fish. She was further inspired to perform biomedical research when her sister was diagnosed with Type 1 diabetes as a teenager. In college, Dr. Carter-Su combined her interests in biomedical research, diabetes, and mathematics for her senior honors thesis for which she designed a mathematical model of glucose levels in the blood following an oral glucose tolerance test.
Dr. Carter-Su’s graduate school years were spent in Biophysics at the University of Rochester where she continued to pursue her interests in mathematics and biology. She became more and more interested in how the body functions at the cellular and molecular levels. Her thesis research investigated how amino acids and glucose are absorbed by the intestine. For her postdoctoral studies, she returned to the area of diabetes, and studied how insulin helps control blood glucose levels by increasing the rate at which glucose leaves the blood and enters fat cells, a key event that is impaired in patients with diabetes. This was a particularly exciting time to be working in this area of diabetes, as techniques were being developed that enabled, for the first time, the identification and study of the protein(s) in cell membranes that bind insulin and the insulin-regulated proteins that enable nutrients to enter cells.
As a young professor, Dr. Carter-Su continued to study the regulation of glucose transport in fat cells. She was also a pioneer in determining how growth hormone, the hormone most responsible for body height, functions in cells. Her lab discovered that growth hormone activates the tyrosine kinase JAK2 which in turn activates Stat transcription factors, both of which are essential for growth hormone regulation of body height and metabolism. JAKs and Stats are also critical to the function of many different hormones and cytokines. Abnormally activated JAKs and Stats cause a variety of cancers. Now much of her lab studies the newly identified target of JAK2, the protein SH2B1. SH2B1 is an intriguing and fascinating protein because individuals with mutations in SH2B1 exhibit severe obesity, insulin resistance, and often, behavioral abnormalities. Research in SH2B1 is not only important for the patients but also for the general population because small disruptions in the regulation or amount of SH2B1 or any of the proteins in pathways regulated by SH2B1 could increase the propensity for weight gain and obesity, thereby accelerating the onset of diabetes, cardiovascular disease, and some cancers.
When she is not spending time trying to figure out how SH2B1 causes obesity and insulin resistance, Dr. Carter-Su enjoys traveling to foreign countries and national parks, hiking, photography, gardening and spending time with her family and friends.
Publications
Awards
Anita H. Payne Distinguished University Professor of Physiology, 2013
University of Michigan
AAAS Fellow, 2011
American Association for the Advancement of Science
Rackham Distinguished Faculty Achievement Award, 2011
University of Michigan
Goldberg Lecture in Signal Transduction and Metabolism, 2007
Department Biochemistry, Molecular Biology and Biophysics, University of Minnesota - Twin Cities
Bodil M. Schmidt-Nielsen Distinguished Mentor and Scientist Award, 2004
The American Physiological Society
Distinguished Faculty Lectureship Award in BioMedical Research, 2002
University of Michigan Medical School
NIH Grant awarded MERIT status, 2001
Distinguished Lecturer in Medical Sciences, 2001
Department of Medicine, Mayo Clinic
Roy O. Greep Lecture Award for outstanding research in endocrinology, 2000
The Endocrine Society
Sarah Goddard Power Award, 1999
University of Michigan (presented to individuals who demonstrate scholarship, leadership and support of women faculty)
Plenary Lecture, 1996
The 8th Tokyo Symposium on Growth Hormone and Related Factors
University of Michigan Faculty Recognition Award, 1995
Eli Lilly Lecturer, 1994
The Lawson Wilkins Pediatric Endocrine Society
Charles H. Best Award for Outstanding Fellow of the Juvenile Diabetes Foundation, 1978
Patents
U.S. Patent No. 6,312,941 B1: "Compositions and Methods for Identifying Signaling Pathway Agonists and Antagonists"
C. Carter-Su and L. Rui. Date of Patent: Nov. 6, 2001.