The Role of Mitochondria in the Pathophysiology of Skeletal Muscle Insulin Resistance
Open accessAbstract
Multiple organs contribute to the development of peripheral insulin resistance, with the major contributors being skeletal muscle, liver, and adipose tissue. Because insulin resistance usually precedes the development of type 2 diabetes mellitus (T2DM) by many years, understanding the pathophysiology of insulin resistance should enable development of therapeutic strategies to prevent disease progression. Some subjects with mitochondrial genomic variants/defects and a subset of lean individuals with hereditary predisposition to T2DM exhibit skeletal muscle mitochondrial dysfunction early in the course of insulin resistance. In contrast, in the majority of subjects with T2DM the plurality of evidence implicates skeletal muscle mitochondrial dysfunction as a consequence of perturbations associated with T2DM, and these mitochondrial deficits then contribute to subsequent disease progression. We review the affirmative and contrarian data regarding skeletal muscle mitochondrial biology in the pathogenesis of insulin resistance and explore potential therapeutic options to intrinsically modulate mitochondria as a strategy to combat insulin resistance. Furthermore, an overview of restricted molecular manipulations of skeletal muscle metabolic and mitochondrial biology offers insight into the mitochondrial role in metabolic substrate partitioning and in promoting innate adaptive and maladaptive responses that collectively regulate peripheral insulin sensitivity. We conclude that skeletal muscle mitochondrial dysfunction is not generally a major initiator of the pathophysiology of insulin resistance, although its dysfunction is integral to this pathophysiology and it remains an intriguing target to reverse/delay the progressive perturbations synonymous with T2DM.
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Lower fatty acid oxidation plus higher cytosolic free fatty acids ultimately produce conditions including type 2 diabetes, muscle dysfunction, and insulin resistance.
“Consequently, an observed decrease in fatty acid oxidation and an increase in cytosolic levels of free fatty acids ultimately lead to pathologies such as type 2 diabetes mellitus (T2DM), muscle dysfunction and insulin resistance125.”
From Mitochondrial and metabolic dysfunction in ageing and age-related diseases (2022) · cites this paper as [125]
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RETRACTED: Mitochondrial pathophysiology and type 2 diabetes mellitus
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Umbilical Cord-Mesenchymal Stem Cell-Conditioned Medium Improves Insulin Resistance in C2C12 Cell
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Mitochondrial DNA Copy Number: Linking Diabetes and Cancer
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Profiling of human myotubes reveals an intrinsic proteomic signature associated with type 2 diabetes
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Differences in the Triglyceride to HDL-Cholesterol Ratio between Palestinian and Israeli Adults
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The Mitochondrial Proteomic Signatures of Human Skeletal Muscle Linked to Insulin Resistance
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- Authors
- Pagel-Langenickel, I., Bao, J., Pang, L., & Sack, M. N.
- Affiliations
- Translational Medicine Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland 20892-1454
- National Institutes of Health (US)
- ORCID
- Sack, Michael N.
- Venue
- Endocrine Reviews
- Publisher
- The Endocrine Society
- Published
- 2009-10-27
- Volume
- 31
- Issue
- 1
- Pages
- 25-51
- ISSN
- 0163-769X (ISSN-L)
- 1945-7189
- PMC
- PMC2852205
- OpenAlex
- W2161339546
- Cited by
- 154
- References
- 333
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 6 · 2023: 6 · 2022: 5 · 2021: 3 · 2020: 13 · 2019: 7 · 2018: 8 · 2017: 8 · 2016: 11 · 2015: 7 · 2014: 15 · 2013: 17 · 2012: 11
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Endocrine Reviews (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Keywords
- skeletal muscle insulin resistance, mitochondrial dysfunction, type 2 diabetes, peripheral insulin resistance, mitochondrial DNA variants, mitochondrial-targeted therapy, insulin sensitivity, skeletal muscle metabolism
- MeSH terms
- Animals, Diabetes Mellitus, Type 2, Humans, Insulin Resistance, Mitochondria, Muscle, Organ Specificity, Prediabetic State, Muscle, Skeletal, Metabolic Syndrome, Mitochondrial Diseases
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