2021
DOI: 10.1002/jlb.2ru1220-847r
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The regulatory role of insulin in energy metabolism and leukocyte functions

Abstract: Insulin is the hormone responsible for maintaining glucose homeostasis in the body, in addition to participating in lipid metabolism, protein synthesis, and the inhibition of gluconeogenesis. These functions are well characterized in the classic organ target cells that are responsible for general energy regulation: the liver, skeletal muscle, and adipose tissue. However, these actions are not restricted to these tissues because insulin has been shown to affect most cells in the body. This review describes the … Show more

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Cited by 16 publications
(8 citation statements)
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References 160 publications
(230 reference statements)
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“…In leukocytes, insulin influences glucose uptake and metabolism, as well as the regulation of some of their immune functions. 35 Our data are consistent with previous findings that showed increased Th1 cells at the systemic level in obese children 32 and in morbidly obese adults, Th1 cells correlated with the degree of insulin resistance. 36 In a community-based Multi-Ethnic Study of Atherosclerosis (MESA), a high proportion of memory CD4+ cells and low proportion of naive CD4+ cells in circulating blood were associated with the prevalence of T2DM.…”
Section: Discussionsupporting
confidence: 93%
See 1 more Smart Citation
“…In leukocytes, insulin influences glucose uptake and metabolism, as well as the regulation of some of their immune functions. 35 Our data are consistent with previous findings that showed increased Th1 cells at the systemic level in obese children 32 and in morbidly obese adults, Th1 cells correlated with the degree of insulin resistance. 36 In a community-based Multi-Ethnic Study of Atherosclerosis (MESA), a high proportion of memory CD4+ cells and low proportion of naive CD4+ cells in circulating blood were associated with the prevalence of T2DM.…”
Section: Discussionsupporting
confidence: 93%
“…The activation and metabolic turnover of T cells is accompanied by the positive regulation of the insulin receptor, which allows a greater proliferation capacity, cytokine production and survival, and as a result, a correct activation of these cells. 35,39 Furthermore, T lymphocytes from obese individuals with insulin resistance stimulated in vitro with supraphysiological insulin concentrations showed no increase in AKT phosphorylation or decrease in the Th1/Th2 ratio, nor was there any effect on Th cell differentiation as in lymphocytes from lean controls, since insulin under normal conditions can promote the differentiation of Th cells towards an anti- inflammatory Th2 phenotype. This indicates that lymphocytes from obese individuals have an altered response to insulin.…”
Section: Discussionmentioning
confidence: 92%
“…The role of insulin signaling in different subsets of leukocytes which may or may not express the insulin receptors (IR), is now beginning to emerge. It was demonstrated that indeed insulin elicits intracellular signaling in human leukocytes, however it is unclear as to what is the functional relevance of this signaling, despite it being disrupted in diabetic patients [42, 43]. Others have shown that insulin primes activated neutrophils toward phagocytosis [1].…”
Section: Resultsmentioning
confidence: 99%
“…Insulin is a 5.8 kDa protein which plays an important role in regulating metabolism and enhancement of cell growth [78,79]. The oral use of insulin is still challenging owing to easy degradation in the gastro-intestinal tract.…”
Section: Insulin Deliverymentioning
confidence: 99%