Cellular Mechanisms for Insulin Resistance in Normal Pregnancy and Gestational Diabetes

Infusion of TNF-α results in increased insulin resistance in rat and human skeletal muscle cells incubated in culture (21), although TNF-α neutralization over a period of 4 weeks had no effect on insulin sensitivity in obese type 2 diabetic subjects (22). The role of excess lipid turnover and cytoki...

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Veröffentlicht in:Diabetes care 2007-07, Vol.30 (Supplement_2), p.S112-S119
Hauptverfasser: Barbour, Linda A, McCurdy, Carrie E, Hernandez, Teri L, Kirwan, John P, Catalano, Patrick M, Friedman, Jacob E
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container_end_page S119
container_issue Supplement_2
container_start_page S112
container_title Diabetes care
container_volume 30
creator Barbour, Linda A
McCurdy, Carrie E
Hernandez, Teri L
Kirwan, John P
Catalano, Patrick M
Friedman, Jacob E
description Infusion of TNF-α results in increased insulin resistance in rat and human skeletal muscle cells incubated in culture (21), although TNF-α neutralization over a period of 4 weeks had no effect on insulin sensitivity in obese type 2 diabetic subjects (22). The role of excess lipid turnover and cytokine production from adipose tissue, especially in obese patients, could potentially be very important in the overall insulin resistance and excess substrate supply that drives maternal-fetal energy transfer and increased neonatal adiposity.
doi_str_mv 10.2337/dc07-s202
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Biological and medical sciences
Diabetes
Diabetes, Gestational - physiopathology
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Female
Glucose - metabolism
Hormones - secretion
Humans
Hyperglycemia
Insulin
Insulin Resistance
Medical sciences
Metabolic diseases
Miscellaneous
Muscle, Skeletal - metabolism
Placenta - physiology
Pregnancy
Pregnancy - physiology
Proteins
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reference Values
Rodents
Womens health
title Cellular Mechanisms for Insulin Resistance in Normal Pregnancy and Gestational Diabetes
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