2004
DOI: 10.1007/s00109-004-0532-5
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Effect of thiol antioxidant on body fat and insulin reactivity

Abstract: Insulin signaling is enhanced by moderate concentrations of reactive oxygen species (ROS) and suppressed by persistent exposure to ROS. Diabetic patients show abnormally high ROS levels and a decrease in insulin reactivity which is ameliorated by antioxidants, such as N-acetylcysteine (NAC). A similar effect of NAC has not been reported for non-diabetic subjects. We now show that the insulin receptor (IR) kinase is inhibited in cell culture by physiologic concentrations of cysteine. In two double-blind trials … Show more

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Cited by 43 publications
(63 citation statements)
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“…Even relatively small changes in absolute autophosphorylation rates may significantly alter the delicate balance between muscle and adipose tissues with respect to insulin responsiveness and fuel deposition. This conclusion is supported by a recent clinical study of non-diabetic obese subjects (48) showing that (i) obesity is associated with abnormally low plasma thiol (mainly cysteine) levels; (ii) insulin reactivity is decreased in patients supplemented with N-acetylcysteine; and (iii) glucose clearance, i.e. the bona fide indicator of the insulin reactivity of muscle cells, is increased by simultaneous treatment with creatine if the patients are treated with N-acetylcysteine but not with placebo.…”
Section: Discussionsupporting
confidence: 65%
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“…Even relatively small changes in absolute autophosphorylation rates may significantly alter the delicate balance between muscle and adipose tissues with respect to insulin responsiveness and fuel deposition. This conclusion is supported by a recent clinical study of non-diabetic obese subjects (48) showing that (i) obesity is associated with abnormally low plasma thiol (mainly cysteine) levels; (ii) insulin reactivity is decreased in patients supplemented with N-acetylcysteine; and (iii) glucose clearance, i.e. the bona fide indicator of the insulin reactivity of muscle cells, is increased by simultaneous treatment with creatine if the patients are treated with N-acetylcysteine but not with placebo.…”
Section: Discussionsupporting
confidence: 65%
“…the bona fide indicator of the insulin reactivity of muscle cells, is increased by simultaneous treatment with creatine if the patients are treated with N-acetylcysteine but not with placebo. Moreover, the mean HOMA-R index, which is defined as (fasting plasma glucose (mg/dl) ϫ fasting plasma insulin concentration (milliunits/ml)) ϫ 405 Ϫ1 and which is therefore an inverse indicator of insulin reactivity in the postabsorptive period, was found to be increased in the group with N-acetylcysteine plus placebo but decreased in the group with N-acetylcysteine plus creatine (48). N-Acetylcysteine treatment with or without creatine supplementation or treatment with a cysteine-rich protein has been shown to cause a decrease in body fat (48 -50), suggesting that the redox regulation of IRK activity may contribute to the development of obesity.…”
Section: Discussionmentioning
confidence: 97%
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“…In addition to the increased production of reactive oxygen species (ROS) in DM, the antioxidant capacity is decreased, and oxidative stress is associated with obesity and insulin resistance (4,15,21,26,47). Therefore, treatment with antioxidants or overexpression of antioxidant enzymes can, at least partially, prevent oxidative stressinduced insulin resistance (20,24,26,36).…”
mentioning
confidence: 99%
“…Incisional site become transient ischemic state and then occur reoxygenation due to vasodilatation by inflammatory reaction, the productive reactive oxygen species (ROS) give rise to many physiologic results [5].…”
Section: 대한치과마취과학회지 제14권 제3호 157-165mentioning
confidence: 99%