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Journal of clinical metabolism & diabetes最新文献

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Hepatic PTP1B Deficiency: The Promise of a Treatment for Metabolic Syndrome? 肝脏PTP1B缺乏:代谢综合征治疗的希望?
Kendra K Bence

Metabolic syndrome and type 2 diabetes are complex disorders that are associated with obesity, aging, and genetic predisposition. The increasing prevalence of metabolic abnormalities worldwide presents a serious public health problem, with rates of obesity and diabetes reaching unprecedented levels. A common feature of these disorders is the development of insulin resistance, resulting in decreased insulin-stimulated glucose uptake, failure to suppress hepatic glucose production, and accumulation of hepatic lipid. Recent studies in mice have shown that deficiency of the non-receptor protein tyrosine phosphatase, PTP1B, in liver leads to a host of improvements in metabolic parameters, including improved hepatic insulin sensitivity, reduced liver triglycerides, lower serum and hepatic cholesterol levels, and protection against high-fat diet-induced endoplasmic reticulum (ER) stress. Based on these promising studies, PTP1B inhibitors may prove to be a valuable therapeutic tool in the fight against metabolic syndrome and its associated comorbidities. In this review, the role of PTP1B in hepatic insulin sensitivity, hepatic lipid accumulation, and ER stress are discussed.

代谢综合征和2型糖尿病是与肥胖、衰老和遗传易感性相关的复杂疾病。代谢异常在世界范围内日益普遍,造成了一个严重的公共卫生问题,肥胖和糖尿病的发病率达到了前所未有的水平。这些疾病的一个共同特征是胰岛素抵抗的发展,导致胰岛素刺激的葡萄糖摄取减少,抑制肝脏葡萄糖生成失败,肝脂质积累。最近对小鼠的研究表明,肝脏中非受体蛋白酪氨酸磷酸酶PTP1B的缺乏导致代谢参数的一系列改善,包括肝脏胰岛素敏感性的改善,肝脏甘油三酯的降低,血清和肝脏胆固醇水平的降低,以及对高脂肪饮食诱导的内质网(ER)应激的保护。基于这些有希望的研究,PTP1B抑制剂可能被证明是对抗代谢综合征及其相关合并症的有价值的治疗工具。本文就PTP1B在肝脏胰岛素敏感性、肝脂质积累和内质网应激中的作用进行综述。
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Journal of clinical metabolism & diabetes
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