Redox regulation of insulin sensitivity due to enhanced fatty acid utilization in the mitochondria

Obesity enhances the risk for the development of type 2 diabetes and cardiovascular disease. Loss in insulin sensitivity and diminished ability of muscle to take up and use glucose are characteristics of type 2 diabetes. Paradoxically, regulatory mechanisms that promote utilization of fatty acids ap...

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Veröffentlicht in:American journal of physiology. Heart and circulatory physiology 2013-09, Vol.305 (5), p.H634-H643
Hauptverfasser: Rindler, Paul M, Crewe, Clair L, Fernandes, Jolyn, Kinter, Michael, Szweda, Luke I
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container_issue 5
container_start_page H634
container_title American journal of physiology. Heart and circulatory physiology
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creator Rindler, Paul M
Crewe, Clair L
Fernandes, Jolyn
Kinter, Michael
Szweda, Luke I
description Obesity enhances the risk for the development of type 2 diabetes and cardiovascular disease. Loss in insulin sensitivity and diminished ability of muscle to take up and use glucose are characteristics of type 2 diabetes. Paradoxically, regulatory mechanisms that promote utilization of fatty acids appear to initiate diet-induced insulin insensitivity. In this review, we discuss recent findings implicating increased mitochondrial production of the prooxidant H2O2 due to enhanced utilization of fatty acids, as a signal to diminish reliance on glucose and its metabolites for energy. In the short term, the ability to preferentially use fatty acids may be beneficial, promoting a metabolic shift that ensures use of available fat by skeletal muscle and heart while preventing intracellular glucose accumulation and toxicity. However, with prolonged consumption of high dietary fat and ensuing obesity, the near exclusive dependence on fatty acid oxidation for production of energy by the mitochondria drives insulin resistance, diabetes, and cardiovascular disease.
doi_str_mv 10.1152/ajpheart.00799.2012
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subjects Animals
Cardiovascular disease
Cardiovascular Diseases - epidemiology
Diabetes
Diabetes Mellitus - epidemiology
Energy Metabolism - physiology
Fatty acids
Fatty Acids - metabolism
Glucose - metabolism
Humans
Insulin resistance
Insulin Resistance - physiology
Mitochondria
Mitochondria, Muscle - metabolism
Obesity
Obesity - complications
Obesity - metabolism
Oxidation
Oxidation-Reduction
Risk assessment
Risk Factors
title Redox regulation of insulin sensitivity due to enhanced fatty acid utilization in the mitochondria
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