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Why Do Diabetes and Obesity Often Co-occur? A Panoramic Analysis from Shared Genes to Metabolic Pathways(2025 Edition)

Date: November 06, 2025

Classification: Genetic Encyclopedia

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Shared Mechanisms of Diabetes and Obesity (2025 Edition)

Introduction: Decoding the Coexistence of “Sugar” and “Fat”

November 14 is World Diabetes Day. In both clinics and laboratories, one observation stands out: obesity and type 2 diabetes (T2DM) often co-occur—the “Twin Epidemics.”

We move beyond appearances to explore shared mechanisms and show how the RDDC platform and its AI bioinformatics tools support systematic analysis.

Shared “Soil”: Insulin Resistance

What Is Insulin Resistance

Insulin acts like a key opening the cellular door for glucose. Increased adiposity—especially visceral fat—releases inflammatory factors that disrupt this interaction, leading to insulin resistance and hyperglycemia.

  • Obesity is the major driver of insulin resistance
  • Insulin resistance is central to T2DM pathogenesis
  • Both are tightly linked via this pathway

Beyond Phenotypes: Shared Genetics and Pathways

If insulin resistance is the surface, shared genetic susceptibility and molecular pathways are the roots. Scientists seek hub genes and crossroads pathways regulating energy storage and utilization.

RDDC offers integrated Gene, Disease, Mutation, and Model databases, with AI tools for systematic exploration.

Using RDDC to Identify Shared Genes

Traditionally, researchers curate diabetes-related genes (e.g., Lep, PPARG) and obesity-related genes (e.g., FTO, MC4R), then compare them.

On RDDC, visit the Disease Database to search “Diabetes Mellitus, Type 2” and “Obesity,” then use tools to intersect gene sets for a shared list.

RDDC T2DM disease page screenshot
Figure 1: RDDC T2DM disease page
RDDC Obesity disease page screenshot
Figure 2: RDDC Obesity disease page
RDDC PPARG gene page
Figure 3: PPARG gene details

Validating Mechanisms with Models

Research heavily relies on mouse models such as db/db and ob/ob, which exhibit severe obesity, insulin resistance, and hyperglycemia—classic for “obesity-induced diabetes.”

Use the Model Database to find suitable models and detailed phenotypes. Commercial access example: db/db mouse.

PPARG-related mouse model example
Figure 4: PPARG-related model example

AI Tools to Illuminate Metabolic Pathways

When large gene sets are obtained, the Pathway Enrichment Tool quickly reveals glucose/lipid metabolism pathways. RDDC offers 22 cutting-edge AI tools that elevate gene lists into insights.

RDDC pathway enrichment tool screenshot
Figure 5: Pathway enrichment tool
RDDC bioinformatics tools list
Figure 6: AI bioinformatics tools list

Future Outlook: From Shared Mechanisms to Precision Therapies

If both share roots, efficient strategies may target common nodes. GLP-1 receptor agonists (e.g., semaglutide) began as glucose-lowering agents and later showed strong weight-loss effects—validating the paradigm.

Content Source and Disclaimer

This page is for research and educational reference only and does not constitute medical advice. Descriptions of databases and tools are illustrative; conclusions require rigorous experimental validation and peer review.

References

American Diabetes Association. Standards of Medical Care in Diabetes—2024. Diabetes Care. 2024;47(Suppl 1). https://diabetesjournals.org/care
Saltiel AR, Kahn CR. Insulin signalling and regulation of glucose and lipid metabolism. Nature. 2001;414:799–806. https://www.nature.com/articles/414799a
Loos RJF, Yeo GSH. The genetics of obesity: from discovery to biology. Nat Rev Genet. 2022;23:120–133. https://www.nature.com/articles/s41576-021-00418-3
Barroso I, McCarthy MI. Genetic approaches to type 2 diabetes. Nat Rev Genet. 2019;20:669–685. https://www.nature.com/articles/s41576-019-0143-8
Friedman JM. Leptin and regulation of body weight. Keio J Med. 2011;60(1):1–9. https://www.jstage.jst.go.jp/article/kjm/60/1/60_1/_article
Zhang Y et al. Positional cloning of the mouse obese gene. Nature. 1994;372:425–432. https://www.nature.com/articles/372425a0
Wilding JPH et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2021;384:989–1002. https://www.nejm.org/doi/full/10.1056/NEJMoa2032183
WHO. Global report on diabetes. 2016. https://www.who.int/publications/i/item/9789241565257
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