2015
DOI: 10.1159/000440905
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Mechanism of ER Stress and Inflammation for Hepatic Insulin Resistance in Obesity

Abstract: Background: Obesity is a major risk factor in the development of hepatic insulin resistance, which is characterized by an impairment of insulin ability to inhibit glucose output. Although the underlying mechanism for the link between obesity and insulin resistance in the liver is unclear, it has been widely reported and suggested that hepatic endoplasmic reticulum (ER) stress and inflammation induced by obesity lead to the development of hepatic insulin resistance and gluconeogenesis. Summary: This review addr… Show more

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Cited by 84 publications
(62 citation statements)
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“…Moreover, experimental studies link AAP exposure and endoplasmic reticulum (ER) stress-induced apoptosis in the lung and liver tissue along with brown adipose tissue dysfunction (62)(63)(64). ER stress enables the unfolded protein response (UPR) which contributes to the development of IR via inflammation, lipid accumulation, insulin biosynthesis and β-cell apoptosis (65)(66)(67)(68). Thus, the accumulative experimental and epidemiological evidence strongly suggest a biological association between AAP and IR.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, experimental studies link AAP exposure and endoplasmic reticulum (ER) stress-induced apoptosis in the lung and liver tissue along with brown adipose tissue dysfunction (62)(63)(64). ER stress enables the unfolded protein response (UPR) which contributes to the development of IR via inflammation, lipid accumulation, insulin biosynthesis and β-cell apoptosis (65)(66)(67)(68). Thus, the accumulative experimental and epidemiological evidence strongly suggest a biological association between AAP and IR.…”
Section: Discussionmentioning
confidence: 99%
“…When ER stress was induced by excessive SFAs, cholesterol, and misfolded proteins, UPR was triggered through activation of 3 pathways, controlled by IRE1a, PRK-like ER kinase (PERK), and transcription factor-6 (ATF6), to initiate an adaptive program [34]. However, if ER homeostasis is not restored by activating UPR recovery pathways, improper responses to ER stress will result in lipid disorder, inflammation, oxidative stress, and apoptosis, which may create a lipotoxic environment upon NAFLD [35][36][37]. It has been well known that chronic ER stress led to inflammation via activating the IRE1a signal pathway.…”
Section: Discussionmentioning
confidence: 99%
“…A recent study has linked ER stress to inflammatory responses elicited by steatotic hepatocytes through the release of proinflammatory extracellular vesicles (EVs) . ER stress has been implicated in obesity‐associated IR and also in inflammation in various models . The contribution of ER stress to inflammation in NASH needs further exploration.…”
Section: Steatosis and Lipotoxicitymentioning
confidence: 99%
“…(44) ER stress has been implicated in obesity-associated IR and also in inflammation in various models. (45) The contribution of ER stress to inflammation in NASH needs further exploration.…”
Section: Protective Lipid Classesmentioning
confidence: 99%