Department of Life Sciences, Faculty of Science and Technology, The University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.
B N Cockburn focuses on the way pancreatic cells, which produce insulin, respond to high blood sugar levels, especially in mice with a genetic mutation affecting a glucose-sensing gene known as glucokinase. He explores the contrasting effects of prolonged high blood sugar on both normal and defective pancreatic cells. While healthy cells tend to struggle and worsen under high sugar conditions, his research shows that defective cells can adapt and improve their insulin production temporarily. This work is significant for understanding mild glucose regulation disorders and has implications for diabetes management.
Key findings
In glucokinase mutant mice exposed to high blood sugar, insulin secretion improved after 2-4 days, demonstrating an adaptive response.
Normal pancreatic cells, when exposed to prolonged high sugar, experienced reduced effectiveness in insulin secretion, highlighting potential damage.
The study explains why individuals with glucokinase mutations often have stable high blood sugar levels rather than progressing to severe diabetes.
Frequently asked questions
Does Dr. Cockburn study diabetes?
Yes, Dr. Cockburn's research focuses on diabetes, particularly how blood sugar affects insulin production in mice.
What treatments has Dr. Cockburn researched?
His research primarily involves understanding the mechanisms of insulin production rather than specific treatments.
Is Dr. Cockburn's work relevant to patients with high blood sugar?
Yes, his findings are relevant as they shed light on how certain gene mutations can influence blood sugar management in patients.
Publications in plain English
The Association of Polycystic Ovary Syndrome-Like Clinical Features and Socioeconomic Status on Health-Related Quality of Life.
2025
Women's health reports (New Rochelle, N.Y.)
Mohammed S, Sundaram V, Cockburn BN, Motilal S, Ottey S +1 more
Plain English The study looked at how characteristics of Polycystic Ovary Syndrome (PCOS) and socioeconomic status (SES) affect the quality of life for women aged 18-45 in Trinidad. It found that 7% of the 250 women exhibited signs of PCOS, with those who had menstrual dysfunction and high male hormone levels experiencing much poorer mental health and quality of life. Specifically, lower income was linked to more menstrual problems, while severe depression was associated with having both PCOS traits.
Who this helps: This research benefits women with PCOS, healthcare providers, and policymakers by highlighting the importance of addressing socioeconomic factors.
Comfort matters: evaluating preferences for Non-Invasive diabetes testing over conventional blood tests.
2025
Journal of diabetes and metabolic disorders
Dhanoo AS, Hill-Briggs F, Sreenan S, Cockburn BN
Plain English This study looked at how comfortable people are with traditional blood tests for diabetes compared to non-invasive methods, involving 232 participants. It found that 84.1% preferred non-invasive testing, especially among those without a diabetes diagnosis. Notably, children and adults who had never experienced a blood test favored non-invasive options, with joint mobility measurements being the most popular method.
Who this helps: This benefits patients, particularly those with a fear of needles or who are new to diabetes testing.
Glycated hair protein analysis as a noninvasive proxy for blood glucose monitoring: investigating the impact of sample mass and chemical hair treatments.
2025
Diabetology international
Dhanoo AS, Cockburn BN
Plain English This study looked at using glycated proteins in hair as a way to check blood sugar levels without needing a blood test. Researchers found that when using hair samples of more than 70 mg, there was a strong connection between the hair test results and traditional blood sugar measurements, with a correlation factor of about 0.65. This could be important for making diabetes monitoring easier and less invasive, although issues with hair treatments and sample processing could make it difficult to use in practice.
Who this helps: Patients with diabetes who need easier ways to monitor their blood sugar.
Correction: Sundaram et al. Effects of Intermediate Frequency (150 kHz) Electromagnetic Radiation on the Vital Organs of Female Sprague Dawley Rats.2023,, 310.
2024
Biology
Sundaram V, Mohammed S, Cockburn BN, Srinivasan MR, Venkata CRA +4 more
Grading Acanthosis Nigricans Using a Smartphone and Color Analysis: A Novel Noninvasive Method to Screen for Impaired Glucose Tolerance and Type 2 Diabetes.
2024
Diabetes spectrum : a publication of the American Diabetes Association
Plain English This study looked at a new smartphone app called ANcam that can help identify a skin condition called acanthosis nigricans (AN), which is linked to problems with blood sugar and type 2 diabetes. The researchers tested 227 people and found that an increased level of hyperpigmentation in the neck area was strongly associated with higher blood sugar levels, with an accuracy rate of 81.1% for correctly identifying those at risk. This method is important because it provides an easy and non-invasive way for anyone with a smartphone to screen for diabetes risk, especially useful for varied skin tones.
Who this helps: Patients at risk for type 2 diabetes.
Effects of Intermediate Frequency (150 kHz) Electromagnetic Radiation on the Vital Organs of Female Sprague Dawley Rats.
2023
Biology
Sundaram V, Mohammed S, Cockburn BN, Srinivasan MR, Venkata CRA +4 more
Plain English This study looked at how exposure to a specific type of electromagnetic radiation (150 kHz) affected the vital organs of female rats over two months. While most organs showed no major problems, the liver and lungs had signs of inflammation, and there were noticeable changes in blood levels, with sodium increasing and urea decreasing. Understanding these effects is important because they can inform future research on the potential health risks of electromagnetic radiation in humans.
Who this helps: This helps researchers and public health officials studying the effects of electromagnetic radiation.
A cross-sectional study to determine the prevalence of obesity and other risk factors for type 2 diabetes among school children in Trinidad, West Indies.
2014
Paediatrics and international child health
Batson YA, Teelucksingh S, Maharaj RG, Cockburn BN
Plain English This study looked at obesity and other risk factors for type 2 diabetes among school children in Trinidad, involving 2,130 kids ages 7 to 18. The researchers found that 15% of the children were obese, with primary school kids showing higher rates of obesity (22.9%) compared to secondary school students (11%). Additionally, over 43% of the children had at least one risk factor for diabetes, highlighting the urgent need for strategies to tackle obesity and related health issues in this population.
Who this helps: This helps school children and their families by addressing health risks related to diabetes.
Monitoring of International Diabetes Federation-recommended Clinical Diabetes Indicators in a Public Health Centre in Southwest Trinidad.
2014
The West Indian medical journal
Dhanoo AS, Cockburn BN, Shah N, Superville R, Hill-Briggs F
Plain English This study looked at how well diabetes patients at a public health center in Trinidad are being monitored using key health indicators recommended by the International Diabetes Federation. Among 486 patients, 76% had at least one important health measurement recorded in the last year, but only 20% had their blood sugar levels tracked properly. Most patients did not meet the recommended targets for managing their diabetes, which is important for improving overall health outcomes.
Who this helps: This information benefits doctors and healthcare providers treating diabetes patients.
Association of the KCNJ11 variant E23K with type 2 diabetes in Indo-Trinidadians.
2011
The West Indian medical journal
Boodram LG, Miyake K, Hayes MG, Bell GI, Cockburn BN
Plain English Researchers studied a gene called KCNJ11 to see how it affects the risk of Type 2 diabetes in people from Trinidad, focusing on those of South Asian Indian and African ancestry. They found that a common genetic variant, E23K, is linked to a nearly 80% higher chance of developing Type 2 diabetes in Indo-Trinidadians. This is important because understanding these genetic factors can help target prevention and treatment strategies for diabetes in specific populations.
Who this helps: This benefits patients and healthcare providers working with the Indo-Trinidadian community.
Prevalence of the metabolic syndrome in patients with diabetes mellitus.
2009
Irish journal of medical science
AlSaraj F, McDermott JH, Cawood T, McAteer S, Ali M +3 more
Plain English This study looked at how many patients with diabetes have metabolic syndrome, a condition that increases the risk of heart disease. Out of 200 patients, 61% were found to have metabolic syndrome, with a higher rate in those with type 2 diabetes (70%) compared to type 1 diabetes (22%). This is important because many patients, despite receiving treatment for diabetes and other health issues, still show signs of metabolic syndrome, indicating a need for stronger ways to manage these risks.
Who this helps: This helps patients with diabetes and their doctors in understanding and managing their cardiovascular health.
Insulin promoter factor-1 mutations and diabetes in Trinidad: identification of a novel diabetes-associated mutation (E224K) in an Indo-Trinidadian family.
2004
The Journal of clinical endocrinology and metabolism
Cockburn BN, Bermano G, Boodram LL, Teelucksingh S, Tsuchiya T +5 more
Plain English This study looked at genetic mutations related to early-onset diabetes in Trinidad, focusing on a special gene called IPF-1 in 264 people with type 2 diabetes diagnosed before age 40. Researchers found five mutations, including a new one called E224K, present in two diabetic members of an Indo-Trinidadian family but not in others without diabetes. This is important because it highlights a specific genetic change that may cause diabetes in some families, suggesting that genetic testing could help identify individuals at risk for developing this condition.
Who this helps: This helps families at risk for early-onset diabetes and their healthcare providers.
Early-onset Type II diabetes mellitus in Italian families due to mutations in the genes encoding hepatic nuclear factor 1 alpha and glucokinase.
2001
Diabetologia
Gragnoli C, Cockburn BN, Chiaramonte F, Gorini A, Marietti G +2 more
Plain English This study looked at Italian families with early-onset Type II diabetes to find out if specific gene mutations are linked to the condition. They discovered that mutations in the hepatic nuclear factor-1 alpha gene were present in 14% of the families, while mutations in the glucokinase gene were found in 7% of the families. This research is important because identifying these mutations can help doctors screen and support family members at risk of developing diabetes.
Who this helps: Patients and their families.
A case of hepatocyte nuclear factor-1 alpha diabetes/MODY3 masquerading as type 1 diabetes in a Mexican-American adolescent and responsive to a low dose of sulfonylurea.
Basal insulin hypersecretion in insulin-resistant Zucker diabetic and Zucker fatty rats: role of enhanced fuel metabolism.
1999
Metabolism: clinical and experimental
Zhou YP, Cockburn BN, Pugh W, Polonsky KS
Plain English This study looked at how certain rats, which are prone to diabetes and obesity, release insulin in their bodies. The researchers found that these rats had insulin levels that were two to four times higher than healthy rats, even in low glucose conditions. Additionally, the high insulin release was mainly due to changes in fuel metabolism, not just the regular secretion process.
Who this helps: This benefits researchers and healthcare professionals looking to understand diabetes better.
Molecular genetics of diabetes mellitus in Chinese subjects: identification of mutations in glucokinase and hepatocyte nuclear factor-1alpha genes in patients with early-onset type 2 diabetes mellitus/MODY.
1999
Diabetic medicine : a journal of the British Diabetic Association
Ng MC, Cockburn BN, Lindner TH, Yeung VT, Chow CC +8 more
Plain English This study looked at Chinese individuals diagnosed with type 2 diabetes before age 40 and had a family history of the disease. Researchers found genetic mutations in the HNF-1alpha gene in 5% of these patients and in the glucokinase gene in 3%, including several new mutations that were previously unidentified. Understanding these genetic factors is important because they could help in diagnosing and treating early-onset diabetes, allowing for better management among affected individuals.
Who this helps: This helps patients with early-onset type 2 diabetes and their families.
[Non-insulin dependent diabetes in children and adolescents].
1998
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
Njølstad PR, Søvik O, Bell GI, Cockburn BN, Følling I +1 more
Plain English This study looked at Maturity-onset Diabetes of the Young (MODY), a type of diabetes that typically starts before age 25 and can result from genetic mutations. The researchers found that at least five different genes are involved in causing MODY, with MODY3 patients facing a higher risk of eye disease. Understanding these genetic factors helps doctors provide better care and treatment options for patients with MODY.
Who this helps: This helps patients with MODY and their families by improving diagnosis and management of the condition.
Deletion and site-directed mutagenesis of the ATP-binding motif (P-loop) in the bifunctional murine ATP-sulfurylase/adenosine 5'-phosphosulfate kinase enzyme.
1998
The Journal of biological chemistry
Deyrup AT, Krishnan S, Cockburn BN, Schwartz NB
Plain English This study looked at a specific section of a protein involved in important cellular processes called the P-loop. Researchers found that altering that section changed the protein's abilities: one version (2MSK) worked just as well as the original protein, while another version (3MSK) lost most of its function. This is important because it reveals how specific parts of the protein affect its activities, potentially paving the way for better understanding of related proteins and diseases.
Who this helps: This research benefits scientists studying protein functions and drug design.
A missense mutation, Val62Ala, in the glucokinase gene in a Norwegian family with maturity-onset diabetes of the young.
1998
Acta paediatrica (Oslo, Norway : 1992)
Njølstad PR, Cockburn BN, Bell GI, Søvik O
Plain English This study looked at a family in Norway with a specific type of diabetes called maturity-onset diabetes of the young (MODY), which is caused by a genetic mutation. Researchers found a new mutation in the glucokinase gene that changes one part of the gene's code, identified as V62A, and this mutation was linked to diabetes in the family. Understanding this mutation can help improve treatment options for patients with similar diabetes conditions.
Who this helps: This helps patients with maturity-onset diabetes of the young and their doctors.
Adaptation to hyperglycemia enhances insulin secretion in glucokinase mutant mice.
1998
Diabetes
Sreenan SK, Cockburn BN, Baldwin AC, Ostrega DM, Levisetti M +5 more
Plain English Researchers studied pancreatic cells from mice with a broken glucokinase gene (a gene that helps detect blood sugar) to see if exposing them to high blood sugar would improve their ability to make insulin. They found that cells from mutant mice actually recovered function when exposed to high sugar levels—they produced more insulin and better detected blood sugar changes—while normal cells exposed to the same high sugar levels became damaged and stopped working properly.
This matters because it explains why people with glucokinase gene mutations don't develop severe diabetes: their pancreatic cells adapt to high blood sugar instead of breaking down, and it suggests that having only one working copy of this gene actually provides protection against the cell damage that normally happens when blood sugar stays too high.
Plain English This study looked at how certain enzyme activities in the pancreas change as rats age, gain weight, and develop diabetes. Researchers found that, in obese rats with diabetes (ZDF and ZF), a specific enzyme called hexokinase (HK) was significantly more active—about 1.9 times greater in ZDF and 1.7 times greater in ZF compared to healthy rats. This increase may help maintain high insulin levels but does not explain why these diabetic rats fail to respond to rising glucose levels, which is crucial for managing diabetes.
Who this helps: This research benefits doctors and researchers working to understand diabetes and develop better treatments.
Hepatic function in a family with a nonsense mutation (R154X) in the hepatocyte nuclear factor-4alpha/MODY1 gene.
1997
The Journal of clinical investigation
Lindner T, Gragnoli C, Furuta H, Cockburn BN, Petzold C +4 more
Plain English This study examined a family with a genetic mutation (R154X) in the HNF-4alpha gene, which is linked to a type of diabetes called MODY1. The researchers found that affected family members had a weakened ability to produce insulin after eating, with a specific decrease in their insulin response. Interestingly, while one type of fat in the blood (lipoprotein(a)) was significantly elevated—by 3.3 times—the overall liver function and kidney health appeared normal, indicating that this diabetes type mainly affects insulin production in the pancreas.
Who this helps: This research benefits patients with MODY1 diabetes and their doctors by improving understanding of the condition.
Maturity-onset diabetes of the young due to a mutation in the hepatocyte nuclear factor-4 alpha binding site in the promoter of the hepatocyte nuclear factor-1 alpha gene.
1997
Diabetes
Gragnoli C, Lindner T, Cockburn BN, Kaisaki PJ, Gragnoli F +2 more
Plain English This study examined a specific family in Italy and found a mutation in a gene related to a type of diabetes called maturity-onset diabetes of the young (MODY). The mutation affects how the body normally produces a protein that is crucial for controlling blood sugar. Specifically, the mutation was identified as an A to C change at a certain point in the gene's promoter region, which is important for the gene to function properly, showing that this change can lead to diabetes. This finding highlights the importance of checking both the coding and promoter regions of the HNF-1 alpha gene when diagnosing MODY.
Who this helps: This helps patients with MODY and their doctors by improving diagnosis and understanding of the disease.
Starvation reduces pyruvate dehydrogenase phosphate phosphatase activity in rat kidney.
1995
Molecular and cellular biochemistry
Cockburn BN, Coore HG
Plain English Researchers studied how starvation affects a specific enzyme activity in the kidneys of rats. They found that after 48 hours of starvation, the enzyme responsible for activating a key process in energy production, known as pyruvate dehydrogenase, showed reduced activity, needing more magnesium to function effectively. This is important because it helps explain how starvation influences kidney function and energy metabolism, which could affect treatment strategies for patients facing starvation or malnutrition.
Who this helps: This helps patients at risk of malnutrition, especially those with kidney issues.