The role of hepatic lipids in hepatic insulin resistance and type 2 diabetes.
The role of hepatic lipids in hepatic insulin resistance and type 2 diabetes.
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DOI:
10.1038/nature13478
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发表时间:
2014-06-05
期刊:
影响因子:
64.8
通讯作者:
Shulman, Gerald I.
中科院分区:
文献类型:
--
作者:
Perry, Rachel J.;Samuel, Varman T.;Petersen, Kitt F.;Shulman, Gerald I.
Non-alcoholic fatty liver disease and its downstream sequelae, hepatic insulin resistance and type 2 diabetes, are rapidly growing epidemics, which lead to increased morbidity and mortality rates, and soaring health-care costs. Developing interventions requires a comprehensive understanding of the mechanisms by which excess hepatic lipid develops and causes hepatic insulin resistance and type 2 diabetes. Proposed mechanisms implicate various lipid species, inflammatory signalling and other cellular modifications. Studies in mice and humans have elucidated a key role for hepatic diacylglycerol activation of protein kinase Cε in triggering hepatic insulin resistance. Therapeutic approaches based on this mechanism could alleviate the related epidemics of non-alcoholic fatty liver disease and type 2 diabetes.
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期刊:
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通讯作者:
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