2011
DOI: 10.1631/jzus.b1100001
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Effects of GLUT4 expression on insulin resistance in patients with advanced liver cirrhosis

Abstract: Abstract:Decreased glucose tolerance and diabetes are frequently observed in advanced liver cirrhosis patients and may be related to insulin resistance. Glucose transporter-4 (GLUT4), one of the most important glucose transporters, plays a key role in the development of type 2 diabetes. In order to study the mechanism of insulin resistance in liver cirrhosis patients, we measured the insulin sensitivity index and determined the GLUT4 protein and mRNA contents of skeletal muscle by Western blotting and reverse … Show more

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Cited by 25 publications
(19 citation statements)
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References 26 publications
(27 reference statements)
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“…In fact, insulin resistance, that usually increase in patients with end stage liver disease [24], [25], favored the lipolysis and free fatty acids β-oxidation led to the formation of ketones [26]. This hypothesis is further supported by the direct correlation between the levels of C8-ketone, present in the breath, and serum levels of bilirubin, as well as with the Child –Pugh stage of cirrhosis.…”
Section: Discussionmentioning
confidence: 89%
“…In fact, insulin resistance, that usually increase in patients with end stage liver disease [24], [25], favored the lipolysis and free fatty acids β-oxidation led to the formation of ketones [26]. This hypothesis is further supported by the direct correlation between the levels of C8-ketone, present in the breath, and serum levels of bilirubin, as well as with the Child –Pugh stage of cirrhosis.…”
Section: Discussionmentioning
confidence: 89%
“…endogenous GAL in brain may accelerate GLUT4 vesicle exocytosis and slow its endocytosis to move more GLUT4 to plasma membranes. This results in a beneficial effect on insulin sensitivity, while malfunction of this process may lead to insulin resistance and diabetes mellitus (Shan et al, 2011). The inhibition of GLUT4 translocation is one of the most important causes of poor glucose transportation in the body.…”
Section: Discussionmentioning
confidence: 99%
“…It is preferentially expressed in skeletal muscle and adipose tissue [9]. Many studies have shown that the reduced expression of GLUT4 is associated with blood glucose accumulation, insulin resistance, and diabetes development [10,11]. Several studies have indicated that in addition to GLUT4, interleukin-6 (IL-6) has a critical role in DM as well.…”
Section: Introductionmentioning
confidence: 99%