Viewpoints on the Way to the Consensus Session: Where does insulin resistance start? The adipose tissue

FA overflow from adipocytes to skeletal muscle and other tissues may result in free radical formation during oxidative phosphorylation, the intramyocellular accumulation of triglyceride, and the production of toxic lipid metabolites (fatty-acyl CoAs, diacylglycerol, and ceramides) and metabolic inte...

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Bibliographic Details
Published inDiabetes care Vol. 32; no. 11; pp. S168 - S173
Main Author Iozzo, Patricia
Format Journal Article
LanguageEnglish
Published United States American Diabetes Association 01.11.2009
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Summary:FA overflow from adipocytes to skeletal muscle and other tissues may result in free radical formation during oxidative phosphorylation, the intramyocellular accumulation of triglyceride, and the production of toxic lipid metabolites (fatty-acyl CoAs, diacylglycerol, and ceramides) and metabolic intermediates, which reflect oxidative damage (4), both of which can interfere with the insulin signaling cascade. [...] fat-specific insulin resistance appears to be an early and irreversible defect that can explain the causal relationship between adipocyte dysfunction, extra-adipose tissue (i.e. , muscle and liver), and insulin resistance.
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ISSN:0149-5992
1935-5548
1935-5548
DOI:10.2337/dc09-S304