2022
DOI: 10.3390/biomedicines10081899
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Regulation of Insulin Clearance by Non-Esterified Fatty Acids

Abstract: Insulin stores lipid in adipocytes and prevents lipolysis and the release of non-esterified fatty acids (NEFA). Excessive release of NEFA during sustained energy supply and increase in abdominal adiposity trigger systemic insulin resistance, including in the liver, a major site of insulin clearance. This causes a reduction in insulin clearance as a compensatory mechanism to insulin resistance in obesity. On the other hand, reduced insulin clearance in the liver can cause chronic hyperinsulinemia, followed by d… Show more

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Cited by 9 publications
(4 citation statements)
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“…Therefore, the oxidation and disposal of fatty acids result in a defect compared to their accumulation and neo-synthesis, leading to an accumulation of fats within the hepatocytes with important consequences, such as dysregulated ketogenesis [ 33 , 34 ]. In addition, fatty acids negatively affect the intracellular insulin signaling mechanism and cause hepatic insulin resistance through multiple pathways mediating the activation of protein kinase C (PKC-3), c-Jun N-terminal kinase (JNK), I-kappaB (I-κB) kinase β, and NF-κB [ 35 , 36 , 37 ].…”
Section: The Liver: Function and Diseasesmentioning
confidence: 99%
“…Therefore, the oxidation and disposal of fatty acids result in a defect compared to their accumulation and neo-synthesis, leading to an accumulation of fats within the hepatocytes with important consequences, such as dysregulated ketogenesis [ 33 , 34 ]. In addition, fatty acids negatively affect the intracellular insulin signaling mechanism and cause hepatic insulin resistance through multiple pathways mediating the activation of protein kinase C (PKC-3), c-Jun N-terminal kinase (JNK), I-kappaB (I-κB) kinase β, and NF-κB [ 35 , 36 , 37 ].…”
Section: The Liver: Function and Diseasesmentioning
confidence: 99%
“…Our results suggest that eating low-GI foods and diets reduces these inflammatory biomarkers, which may contribute to a lower risk of CVD and other complications of diabetes. The synthesis of TNF-α by adipocytes induces lipolysis and the release of non-esterified free fatty acids into circulation, which triggers insulin resistance [50,51]. In the study by Gomes et al [39], the high-GI diet led to an increase in serum levels of TNF-α and non-esterified free fatty acids, while the low-GI diet did not.…”
Section: Discussionmentioning
confidence: 99%
“…Obesity due to continuous dietary intake in excess of energy expenditure is associated with hyperplasia and hypertrophy of adipocytes in WAT [34] and causes excessive release of free fatty acids [35,36]. In the circumstance of adipose tissues, macrophages are polarized into pro-inflammatory M1 macrophages [3], which release pro-inflammatory cytokines, TNF-α and NF-κB [9].…”
Section: Obesity-induced Release Of Pro-inflammatory Cytokines and Mi...mentioning
confidence: 99%