“…TRIB3 was considered as a nutrient sensor and influenced energy metabolism by regulating intracellular signaling pathways, including AKT signaling cascade, MAPK pathways, and signaling pathways associated with β-cell apoptosis under heightened nutrient influx, insulin resistance, and elevated blood glucose levels [41][42][43]. TRIB3 has reported to act as a pivotal regulator of crucial cellular processes through its interactions with transcription factors such as CCAAT-enhancer-binding protein homologous protein (CHOP), peroxisome proliferator-activated receptor alpha (PPARα), and activating transcription factor 4 (ATF4), including glucose and lipid metabolism, adipocyte differentiation, autophagy, proteasomal degradation and apoptosis [12,40,44]. Recent report showed that compared to healthy subjects, TRIB3 level was significantly increased in plasma of diabetic patients, and high TRIB3 level was associated with fasting blood glucose and insulin resistance [45].…”