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Mitochondrial Dysfunction, Insulin Resistance, and Potential Genetic Implications Potential Role of Alterations in Mitochondrial Function in the Pathogenesis of Insulin Resistance and Type 2 Diabetes

期刊

ENDOCRINOLOGY
卷 161, 期 4, 页码 -

出版社

ENDOCRINE SOC
DOI: 10.1210/endocr/bqaa017

关键词

mitochondrial dysfunction; lipid accumulation; insulin resistance; type 2 diabetes; prediabetes

资金

  1. Stanford University School of Medicine Dean's Postdoctoral Fellowship
  2. American Dietetic Association (ADA) [1-19-JDF-108]
  3. United States Public Health Service, National Institutes of Health (NIH)/National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) [R01DK107437, R01DK106236, P30DK116074, 1R01DK116750, R01 DK113984, R01 DK116774, R01 DK114793, R01 DK119968, P30 DK045735]

向作者/读者索取更多资源

Insulin resistance (IR) is fundamental to the development of type 2 diabetes (T2D) and is present in most prediabetic (preDM) individuals. Insulin resistance has both heritable and environmental determinants centered on energy storage and metabolism. Recent insights from human genetic studies, coupled with comprehensive in vivo and ex vivo metabolic studies in humans and rodents, have highlighted the critical role of reduced mitochondrial function as a predisposing condition for ectopic lipid deposition and IR. These studies support the hypothesis that reduced mitochondria! function, particularly in insulin-responsive tissues such as skeletal muscle, white adipose tissue, and the liver, is inextricably linked to tissue and whole body IR through the effects on cellular energy balance. Here we discuss these findings as well as address potential mechanisms that serve as the nexus between mitochondrial malfunction and IR.

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