Obesity and insulin resistance: an abridged molecular correlation.

Lipid insights Pub Date : 2013-04-01 eCollection Date: 2013-01-01 DOI:10.4137/LPI.S10805
Biswajit Mukherjee, Chowdhury M Hossain, Laboni Mondal, Paramita Paul, Miltu K Ghosh
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引用次数: 40

Abstract

A relationship between obesity and type 2 diabetes is now generally well accepted. This relationship represents several major health hazards including morbid obesity and cardiovascular complications worldwide. Diabetes mellitus is a complex metabolic disorder characterized by impaired insulin release and insulin resistance. Lipids play an important physiological role in skeletal muscle, heart, liver and pancreas. Deregulation of fatty acid metabolism is the main culprit for developing insulin resistance and type 2 diabetes. A predominant predisposing factor to developing obesity, insulin resistance and type 2 diabetes is the permanent elevation of free fatty acids in plasma followed by impaired utilization of lipids by muscle. Diabetes-induced inflammation and oxidative stress have also vital role for development of insulin resistance in diabetic patients. The present review is intended to describe the correlation between lipids, obesity and insulin resistance based on current literature, in order to elucidate involved molecular mechanisms in depth.

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肥胖和胰岛素抵抗:一个简化的分子关联。
肥胖和2型糖尿病之间的关系现在已被普遍接受。这种关系在世界范围内代表了几种主要的健康危害,包括病态肥胖和心血管并发症。糖尿病是一种以胰岛素释放障碍和胰岛素抵抗为特征的复杂代谢紊乱。脂质在骨骼肌、心脏、肝脏和胰腺中起着重要的生理作用。脂肪酸代谢失调是导致胰岛素抵抗和2型糖尿病的罪魁祸首。发生肥胖、胰岛素抵抗和2型糖尿病的主要易感因素是血浆中游离脂肪酸的永久性升高,随后是肌肉对脂质利用的受损。糖尿病诱导的炎症和氧化应激对糖尿病患者胰岛素抵抗的发展也起着至关重要的作用。本文在文献综述的基础上,对脂质、肥胖和胰岛素抵抗三者之间的关系进行综述,以期更深入地阐明其相关的分子机制。
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