2021
DOI: 10.1038/s41467-020-20500-w
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High-fat diet-induced upregulation of exosomal phosphatidylcholine contributes to insulin resistance

Abstract: High-fat diet (HFD) decreases insulin sensitivity. How high-fat diet causes insulin resistance is largely unknown. Here, we show that lean mice become insulin resistant after being administered exosomes isolated from the feces of obese mice fed a HFD or from patients with type II diabetes. HFD altered the lipid composition of exosomes from predominantly phosphatidylethanolamine (PE) in exosomes from lean animals (L-Exo) to phosphatidylcholine (PC) in exosomes from obese animals (H-Exo). Mechanistically, we sho… Show more

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Cited by 153 publications
(137 citation statements)
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“…Furthermore, this protective effect of BAT-derived exosomes might be related to exosomal proteins involved in mitochondria functions (Zhou et al, 2020). In the experiment conducted by Kumar et al (2021), exosomes were isolated from the feces of obese mice fed with a high-fat diet. These exosomes were given to lean mice, which then exhibited resistance to insulin.…”
Section: Milk-derived Evs and Metabolic Regulationmentioning
confidence: 99%
“…Furthermore, this protective effect of BAT-derived exosomes might be related to exosomal proteins involved in mitochondria functions (Zhou et al, 2020). In the experiment conducted by Kumar et al (2021), exosomes were isolated from the feces of obese mice fed with a high-fat diet. These exosomes were given to lean mice, which then exhibited resistance to insulin.…”
Section: Milk-derived Evs and Metabolic Regulationmentioning
confidence: 99%
“…Some of these exosomes seem to regulate insulin sensitivity through two different mechanisms: (i) indirectly by modulating inflammation, or (ii) by direct interaction with insulin-responsive organs. Both mechanisms affect insulin sensitivity through interaction with signaling and downstream molecules, such as phosphatidylinositol-3-kinase (PI3K)/Akt, IRS1, and glucose transporter 4 (GLUT-4), or by mediating the activation of inflammation [44,45]. The defective insulin signaling leads to a lower activity of endothelial nitric oxide synthase (eNOS), with a subsequent lower generation of nitric oxide (NO).…”
Section: Extracellular Vesicles and Insulin Signalingmentioning
confidence: 99%
“…Additionally, some of them are capable of binding to various proteins, including lipoproteins, or argonaute proteins, in order to form silencing complexes and alter the intracellular pathway of insulin signaling [48]. Consequently, some of these miRNAs have been described to regulate the expression of hepatic genes such as IRS1 and the peroxisome proliferator-activated receptor gamma (PPAR-γ) or interfere with important targets such as AKT-interacting protein (AKTIP) in skeletal muscle cells, among others [45,48].…”
Section: Extracellular Vesicles and Insulin Signalingmentioning
confidence: 99%
“… 221 Also, it has recently been shown that intestinal exosomes released from high‐fat diet fed mice or T2D patients can induce insulin resistance in normal mice. 222 Pancreatic β‐cells, when exposed to increased fatty acid levels both in vitro and in vivo in mice, have been shown to release exosomes packed with miR‐29, which is involved in antagonizing insulin signaling in liver. 223 Additionally, INS1E β‐cells overexpressing human islet amyloid polypeptide (hIAPP) have been shown to secrete exosomes packed with hIAPP as a detoxification process, but the released hIAPP loaded exosomes can lead to neurodegenerative diseases.…”
Section: Nsmase2 Biochemistry and Regulationmentioning
confidence: 99%