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This entry refers to a specific experimental combination used by the University of Pennsylvania in the Genetics of Evoked Responses to Niacin and Endotoxemia (GENE) study. The protocol involves the administration of niacin (in both immediate-release and extended-release formulations) and a low-dose injection of endotoxin (lipopolysaccharide) to healthy volunteers. Niacin is a lipid-modifying agent that acts primarily through the G protein-coupled receptor HCAR2 (GPR109A) to inhibit lipolysis and induce skin flushing. Endotoxin is used as a standardized inflammatory stimulus that activates the Toll-like receptor 4 (TLR4) pathway. The study aims to identify genetic variants that influence individual variability in the physiological and inflammatory responses to these two distinct stimuli, which are relevant to cardiovascular disease and hypercholesterolemia.
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