2012
DOI: 10.1016/j.apsb.2012.06.010
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Mitochondrial inhibitor as a new class of insulin sensitizer

Abstract: Insulin resistance is a major risk factor for type 2 diabetes. AMP-activated protein kinase (AMPK) is a drug target in the improvement of insulin sensitivity. Several insulin-sensitizing medicines are able to activate AMPK through inhibition of mitochondrial functions. These drugs, such as metformin and STZ, inhibit ATP synthesis in mitochondria to raise AMP/ATP ratio in the process of AMPK activation. However, chemicals that activate AMPK directly or by activating its upstream kinases have not been approved f… Show more

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Cited by 45 publications
(46 citation statements)
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“…A). To further confirm these data, we studied in C28/I2 chondrocytes the phosphorylation profile of the Adenosine 5′ monophosphate‐activated protein kinase (AMPK), a regulator of cellular energy homeostasis usually activated upon mitochondrial failure . As shown in Figure B, AEA stimulation elicited an early activation of AMPK that was sustained up to 120 min.…”
Section: Resultsmentioning
confidence: 80%
“…A). To further confirm these data, we studied in C28/I2 chondrocytes the phosphorylation profile of the Adenosine 5′ monophosphate‐activated protein kinase (AMPK), a regulator of cellular energy homeostasis usually activated upon mitochondrial failure . As shown in Figure B, AEA stimulation elicited an early activation of AMPK that was sustained up to 120 min.…”
Section: Resultsmentioning
confidence: 80%
“…This possibility is supported by the fact that most insulin sensitizing medicines are able to inhibit ATP production in mitochondria (Fig. 1) [122]. This conclusion provides a unifying mechanism for insulin resistance in obesity and aging.…”
Section: Discussionmentioning
confidence: 86%
“…131 On the other hand, increased ATP level and inhibited AMPK activity have been implicated in the energy surplus state and most of the existing insulinsensitizing medications inhibit ATP production in the mitochondria. 122,132 Effective management strategies, for instance, weight loss and exercise can improve insulin resistance. 133,134 Additionally, neural mechanisms for glycemic control exist, although they are compromised in type 1 diabetes mellitus (T1DM) and the late stage of T2DM which is termed as hypoglycemia associated autonomic failure (HAAF).…”
Section: Insulin Resistance and T2dmmentioning
confidence: 99%