The regulation of ApoB metabolism by insulin.

The regulation of ApoB metabolism by insulin.
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DOI:
10.1016/j.tem.2013.04.001
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发表时间:
2013-08
影响因子:
10.9
通讯作者:
Biddinger, Sudha B.
Biddinger, Sudha B.
中科院分区:
医学1区
文献类型:
--
作者:
Haas, Mary E.;Attie, Alan D.;Biddinger, Sudha B.

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糖尿病患者死亡的主要原因是心血管疾病。含有载脂蛋白 B (ApoB) 的脂蛋白颗粒由肝脏分泌和清除,对于动脉粥样硬化的发展至关重要。胰岛素在 ApoB 的调节中起着关键作用。胰岛素通过促进肝细胞中 ApoB 降解来减少 ApoB 分泌。与此同时,胰岛素通过低密度脂蛋白受体 (LDLR)、LDLR 相关蛋白 1 (LRP1) 和硫酸乙酰肝素蛋白聚糖 (HSPG) 促进肝脏中循环 ApoB 颗粒的清除。因此,2 型糖尿病 (T2D) 的胰岛素抵抗状态与 ApoB 分泌增加和清除减少相关。在这里,我们回顾了胰岛素控制正常和糖尿病肝脏中 ApoB 分泌和摄取的机制。
The leading cause of death in diabetic patients is cardiovascular disease. Apolipoprotein B (ApoB)-containing lipoprotein particles, which are secreted and cleared by the liver, are essential for the development of atherosclerosis. Insulin plays a key role in the regulation of ApoB. Insulin decreases ApoB secretion by promoting ApoB degradation in the hepatocyte. In parallel, insulin promotes clearance of circulating ApoB particles in the liver via the low density lipoprotein receptor (LDLR), LDLR-related protein 1 (LRP1), and heparan sulfate proteoglycans (HSPGs). Consequently, the insulin resistant state of Type 2 diabetes (T2D) is associated with increased secretion and decreased clearance of ApoB. Here, we review the mechanisms by which insulin controls the secretion and uptake of ApoB in normal and diabetic livers.
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