# Acutely Induced Insulin Resistance by Antipsychotic Medication in Healthy Volunteers: Impact of Skeletal Muscle Epigenomic and Proteomic Mechanisms

> **NIH NIH K23** · WAYNE STATE UNIVERSITY · 2020 · $53,887

## Abstract

PROJECT SUMMARY/ABSTRACT
This K23 Patient-Oriented Mentored Research Award builds on the candidate’s expertise in pharmacology and
epigenetics to provide the support necessary to complete training in responsible conduct of research and three
other needs: 1) clinical research design and execution, 2) in vivo insulin sensitivity measurement, 3) design and
execution proteomics experiments. This training will be accomplished through a combination of expert mentor-
ship, didactic (short courses and certificate program) and hands-on experiences (human insulin sensitivity meas-
urements and proteomics). The career development activities and research will be mentored by Dr. Zhengping
Yi (Primary) and Dr. Renu Kowluru, and supplemented by a physician key collaborator (Dr. Berhane Seyoum),
consultants and a yearly, external scientific advisory committee. The candidate’s transition to independence will
be aided by an R01 grant writing program, presentation of findings at national conferences and publication of
results in high-impact journals. The research plan will provide a platform for training and address a gap in the
understanding of how atypical antipsychotics cause insulin resistance. The long-term goal of the proposed work
is to establish and sustain an independent career focused on the impact of molecular factors and mechanisms
in medication outcomes. The objective is to determine the causal relationship between the observed skeletal
muscle epigenetic and protein changes in response to atypical antipsychotics, and the development of insulin
resistance using a randomized, placebo-controlled, 7-day trial of olanzapine in healthy volunteers. The central
hypothesis, based on preliminary data, is that obesity- and mental illness-independent atypical antipsychotic-
induced insulin resistance is caused by DNA hypermethylation and altered protein abundance and regulation in
the skeletal muscle. The rationale for this work is that it will establish the molecular mechanisms that underlie
atypical antipsychotic-induced insulin resistance, while providing the training and expertise for a research pro-
gram to develop precise, tractable targets for future interventions to alleviate epigenetic and/or protein-based
dysregulations. The central hypothesis will be tested by obtaining baseline and endpoint basal and insulin-stim-
ulated skeletal muscle samples from the 7-day trial in the following specific aims: 1) Identify the relevant genes
affected by the hypermethylation seen with atypical antipsychotic-induced insulin resistance and 2) Determine
the relevant protein changes underlying obesity-independent atypical antipsychotic-induced insulin resistance.
The approach is innovative, in the candidate’s opinion, because it seeks to change the status quo of assessing
molecular changes in psychiatric populations already using antipsychotics and because it seeks to assess these
changes in a tissue-specific manner using powerful epigenomic and proteomic approaches. The ...

## Key facts

- **NIH application ID:** 10220245
- **Project number:** 3K23DK118199-03S1
- **Recipient organization:** WAYNE STATE UNIVERSITY
- **Principal Investigator:** Kyle Jon Burghardt
- **Activity code:** K23 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $53,887
- **Award type:** 3
- **Project period:** 2018-08-01 → 2022-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10220245

## Citation

> US National Institutes of Health, RePORTER application 10220245, Acutely Induced Insulin Resistance by Antipsychotic Medication in Healthy Volunteers: Impact of Skeletal Muscle Epigenomic and Proteomic Mechanisms (3K23DK118199-03S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10220245. Licensed CC0.

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