2006
DOI: 10.1007/s00125-006-0295-3
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Signalling mechanisms linking hepatic glucose and lipid metabolism

Abstract: Fatty liver and hepatic triglyceride accumulation are strongly associated with obesity, insulin resistance and type 2 diabetes, and are subject to nutritional influences. Hepatic regulation of glucose and lipid homeostasis is influenced by a complex system of hormones, hormonally regulated signalling pathways and transcription factors. Recently, considerable progress has been made in elucidating molecular pathways and potential factors that are affected in insulin-resistant states. In this review we discuss so… Show more

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Cited by 106 publications
(94 citation statements)
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“…The definition of coordinated changes in plasma metabolites and gene expression could help test causal relationships between insulin resistance and NAFLD. Hepatic insulin-and glucose-responsive metabolic systems play a central role in the regulation of carbohydrate and lipid metabolism [22]. Interpretation of gene expression profiling data relies on mechanistic models integrating molecular markers of disease onset and progression, which derive from clinical and experimental observations.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The definition of coordinated changes in plasma metabolites and gene expression could help test causal relationships between insulin resistance and NAFLD. Hepatic insulin-and glucose-responsive metabolic systems play a central role in the regulation of carbohydrate and lipid metabolism [22]. Interpretation of gene expression profiling data relies on mechanistic models integrating molecular markers of disease onset and progression, which derive from clinical and experimental observations.…”
Section: Discussionmentioning
confidence: 99%
“…SREBF1c is a transcription factor involved in carbohydrate and lipid metabolism [8]. Its activation, which simulates lipogenic enzymes in the liver, is mediated by increased glucose and insulin concentrations [22,26]. In fat-fed 129S6 mice, hyperglycaemia and hyperinsulinaemia could directly result in the upregulation of Srebf1c transcription, which can in turn enhance the transcription of Abca1, encoding an Apo-A1 binding protein controlling cholesterol efflux [27].…”
Section: Discussionmentioning
confidence: 99%
“…Thus, AMPK is now recognized as a promising drug target for the treatment of T2DM. There is a strong correlation between AMPK/PGC-1α signaling pathway and T2DM (Weickert & Pfeiffer 2006). For instance, metformin, one of the most widely prescribed drugs for T2DM, exerts a strong antihyperglycemic effect partly though the increasing of PGC-1α expression, via its upstream kinase AMPK (Aatsinki et al 2014).…”
Section: Amp-activated Protein Kinasementioning
confidence: 99%
“…Both insulin resistance and diabetes can adversely affect the course of chronic hepatitis C (CHC), leading to enhanced steatohepatitis and liver fibrosis [30][31][32] . Insulin resistance, associated with type 2 diabetes, can promote fatty liver, and excessive hepatic accumulation of fat may promote insulin resistance and therefore contribute to the pathogenesis of the metabolic syndrome [33] . Insulin resistance is a critical component of type 2 diabetes mellitus pathogenesis.…”
Section: Resistancementioning
confidence: 99%