Roles of diacylglycerols and ceramides in hepatic insulin resistance
Open accessAbstract
Although ample evidence links hepatic lipid accumulation with hepatic insulin resistance, the mechanistic basis of this association is incompletely understood and controversial. Diacylglycerols (DAGs) and ceramides have emerged as the two best-studied putative mediators of lipid-induced hepatic insulin resistance. Both lipids were first associated with insulin resistance in skeletal muscle and were subsequently hypothesized to mediate insulin resistance in the liver. However, the putative roles for DAGs and ceramides in hepatic insulin resistance have proved more complex than originally imagined, with various genetic and pharmacologic manipulations yielding a vast and occasionally contradictory trove of data to sort. In this review we examine the state of this field, turning a critical eye toward both DAGs and ceramides as putative mediators of lipid-induced hepatic insulin resistance.
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Ceramides are recognised as key mediators of hepatic IR.
“Ceramides are recognised as key mediators of hepatic IR.7,104,116”
From Lipid metabolism in MASLD and MASH: From mechanism to the clinic (2024) · cites this paper as [116]
Insulin resistance may promote ectopic fat deposition in the liver and muscle.
“Subsequently, it may promote ectopic fat deposition in the liver and muscle.98 99”
From Dietary sugar consumption and health: umbrella review (2023) · cites this paper as [99]
Various studies in mice and rats demonstrated a strong relationship between muscle DAG content and muscle insulin resistance.
“various studies in mice and rats having demonstrated a strong relationship between muscle DAG content and muscle insulin resistance (Petersen and Shulman, 2017, 2018).”
From Myosteatosis in the Context of Skeletal Muscle Function Deficit: An Interdisciplinary Workshop at the National Institute on Aging (2020) · cites this paper as Petersen and Shulman, 2017
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Self-citationTORC2 Regulates Hepatic Insulin Signaling via a Mammalian Phosphatidic Acid Phosphatase, LIPIN1
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Self-citationSGLT-2 Inhibitors in NAFLD: Expanding Their Role beyond Diabetes and Cardioprotection
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Self-citationLipid Metabolism in Metabolic-Associated Steatotic Liver Disease (MASLD)
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- Authors
- Petersen, M. C., & Shulman, G. I.
- Affiliations
- Yale University (US)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Shulman, Gerald I.
- Venue
- Trends in Pharmacological Sciences
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 38
- Issue
- 7
- Pages
- 649-665
- ISSN
- 0165-6147 (ISSN-L)
- PMC
- PMC5499157
- OpenAlex
- W2619938137
- Cited by
- 373
- References
- 129
- Citations by year
- 2026: 27 · 2025: 37 · 2024: 49 · 2023: 45 · 2022: 34 · 2021: 50 · 2020: 49 · 2019: 43 · 2018: 30 · 2017: 8 · 2013: 1
- FWCI
- 3.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Trends in Pharmacological Sciences (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Howard Hughes Medical Institute
- National Institutes of Health (UL1TR001863)
- National Institute of General Medical Sciences (T32GM007205)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK040936, F30DK104596, P30DK045735)
- National Center for Advancing Translational Sciences
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sphingolipid Metabolism and Signaling
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Keywords
- diacylglycerol, ceramide, hepatic insulin resistance, hepatic lipid accumulation, lipid-induced insulin resistance, liver, insulin signaling, sphingolipids
- MeSH terms
- Animals, Ceramides, Diglycerides, Humans, Insulin Resistance, Non-alcoholic Fatty Liver Disease
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