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Insulin Resistance in Type 2 Diabetes - Role of the Adipokines
Abstract
The role of adipocytes as protein secreting cells has been known for almost 15 years. Most of these proteins have known biological activity and are called adipokines. However, only a few of the adipokines have been shown to regulate insulin sensitivity. The latter effects are direct or indirect. The adipokines regulating insulin sensitivity are tumor necrosis factor alpha, adiponectin, interleukin-6, resistin and leptin. This review examines the mechanism how these adipokines influence insulin sensitivity, how the adipocyte production of the adipokines is regulated and if genetic variance in the genes encoding for adipokines is important for the development of type 2 diabetes mellitus. Keywords: adipose tissue, endothelial cells, tumor necrosis factor alpha, glucose metabolism, gi protein, lipolytic, interleukin, glucocorticoids, inflammatory genes, single nucleotide polymorphisms
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From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [291]
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Corpeleijn, E., Feskens, E. J. M., Jansen, E. H. J. M., Mensink, M., Saris, W. H. M., & Blaak, E. E. (2007) · Diabetes Care · doi:10.2337/dc07-0457 · Cited by 33
“Introduction Adipokines produced by adipose tissue, such as adiponectin, resistin and leptin, may link obesity to insulin resistance, impaired glucose metabolism and type 2 diabetes mellitus (1).”
BackgroundKaddai, V., Gonzalez, T., Bolla, M., MARCHAND‐BRUSTEL, Y. L., & Cormont, M. (2008) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00622.2007 · Cited by 32
“[1,2,4]oxadiazolo[4,3-α]quinoxalin-1-one (ODQ), the cGMP-dependent protein kinase 1a”
Type 2 diabetes and metabolic syndrome – adipokine levels and effect of drugs
Farooq, R., Amin, S., Bhat, M. H., Malik, R. A., Wani, H. A., & Majid, S. (2016) · Gynecological Endocrinology · doi:10.1080/09513590.2016.1207165 · Cited by 31
“be capable of synthesizing and secreting adipokines [4].”
BackgroundHypoadiponectinemia and its Association with Liver Fibrosis in Morbidly Obese Patients
Nazal, L., Riquelme, A. J., Solı́s, N., Pizarro, M., Escalona, A., Burotto, M., Méndez, J. I., Saint-Jean, C., Concha, M. J., Giovanni, S., et al. (2010) · Obesity Surgery · doi:10.1007/s11695-009-0051-0 · Cited by 30
“The role of cytokines [both adipokines, i.e., fat-secreted proteins such as leptin or adiponectin and fat- or liverderived cytokines such as tumor necrosis factor alpha (TNF-α) and interleukin 6 (IL-6)] in this process seems to be relevant as these factors are able to influence insulin sensitivity [ 15 , 16] and have…”
BackgroundFarimani, A. R., Hariri, M., Azimi–Nezhad, M., Borji, A., Zarei, S., & Hooshmand, E. (2018) · Acta Diabetologica · doi:10.1007/s00592-018-1110-6 · Cited by 34
Rieth, N., Jollin, L., Panse, B. L., Lecoq, A.-M., Arlettaz, A., de Ceaurriz, J., & Collomp, K. (2008) · European Journal of Applied Physiology · doi:10.1007/s00421-008-0904-6 · Cited by 31
“, adiponectin and tumor necrosis factor ( F- ), which are bioactive signaling proteins produced mainly by adipose tissue, and controlled, under normal conditions, by fat mass, diet and gender (Arner 2005).”
BackgroundAdiponectin and Leptin in African Americans
Considine, R. V., Premkumar, A., Reynolds, J. C., Sebring, N. G., Ricks, M., & Sumner, A. E. (2008) · Obesity · doi:10.1038/oby.2007.80 · Cited by 29
“Leptin increases insulin sensitivity by reducing food intake and the fat content of insu lin responsive tissues in rodents (3,28).”
BackgroundPeng, J., Jia, Y., Hu, T., Du, J., Wang, Y., Cheng, B., & Li, K. (2019) · Molecular Nutrition & Food Research · doi:10.1002/mnfr.201900082 · Cited by 27
Wang, Y., Dong, Y. W., & Yao, M. (2009) · Clinical and Experimental Pharmacology and Physiology · doi:10.1111/j.1440-1681.2009.05164.x · Cited by 28
“Recent studies have revealed that adipocytes can secrete adipokines, such as adiponectin and resistin, which regulate the development of insulin resistance, a pathogenic hallmark of T2DM.(8,9) Adiponectin, an adipocyte-derived, 30 kDa multimeric protein, is one of the most abundant plasma proteins.”
BackgroundInfluentialMicroRNA Transcriptomes Relate Intermuscular Adipose Tissue to Metabolic Risk
Ma, J., Yu, S., Wang, F., Bai, L., Xiao, J. Y., Jiang, Y., Chen, L., Wang, J., Jiang, A., Li, M., et al. (2013) · International Journal of Molecular Sciences · doi:10.3390/ijms14048611 · Cited by 27
Circulating Zinc-α2-glycoprotein levels and Insulin Resistance in Polycystic Ovary Syndrome
Lai, Y., Chen, J., Li, L., Jingxia, Y., He, J., Yang, M., Jia, Y., Liu, D., Liu, H., Liao, Y., et al. (2016) · Scientific Reports · doi:10.1038/srep25934 · Cited by 26
Hung, W., Yu, T., Hsu, C., Lu, L.-F., Chung, F., Tsai, I., Lu, Y., Houng, J., Lee, Y., & Wang, C.-P. (2015) · Clinical and investigative medicine · doi:10.25011/cim.v38i3.22705 · Cited by 25
“Cytokines such as leptin, adiponectin, resistin, tumor necrosis factor (TNF)-α and interleukin (IL)-6 play an important role in the pathogenesis of major adverse cardiovascular events (MACEs) [4-6].”
BackgroundHsieh, C., He, C.-T., Lee, C.-H., Wu, L., & Hung, Y. (2007) · Metabolism · doi:10.1016/j.metabol.2007.03.018 · Cited by 25
“The concentrations of all of the above adipocytokines and CRP are positively correlated to insulin resistance, type 2 diabetes mellitus, and the presence of chronic inflammation except for adiponectin level, which is negatively correlated [3,11,12].”
BackgroundHetta, . F., Eldeen, M. E. E., Mohamed, G. A., Gaber, M. A., ElBadre, H. M., Ahmed, E. A., Abd-ellatief, R. B., El-Baky, R. M. A., Elkady, A., Nafee, A. M. A., et al. (2018) · PubMed · Cited by 24
The importance of treating cardiometabolic risk factors in patients with type 2 diabetes
Barnett, A. H. (2008) · Diabetes and Vascular Disease Research · doi:10.3132/dvdr.2008.002 · Cited by 24
“Under normal conditions, adipokines are controlled by numerous factors, such as fat mass, diet and gender.(11) In abdominally obese individuals, however, levels of adipokines appear to be dysregulated.”
BackgroundCurrenti, W., Losavio, F., Quiete, S., Alanazi, A. M., Messina, G., Polito, R., Ciolli, F., Zappalà, R. S., Galvano, F., & Cincione, R. I. (2023) · Nutrients · doi:10.3390/nu16010095 · Cited by 23
“The reduction in adipose tissue decreases the release of proinflammatory adipokines, such as tumor necrosis factor-alpha (TNF-α ) and interleukin-6 (IL-6), which contribute to a low-grade systemic inflammation and insulin resistance [61].”
Gültürk, S., Çetin, A., & Erdal, S. (2008) · Saudi Medical Journal · doi:10.15537/1658-3175.4353 · Cited by 23
Hexarelin Signaling to PPARγ in Metabolic Diseases
Demers, A., Rodrigue‐Way, A., & Tremblay, A. (2008) · PPAR Research · doi:10.1155/2008/364784 · Cited by 23
“Adipokines, such as adiponectin and leptin which exhibit insulin-sensitizing effects, or resistin, tumor necrosis factor α(TNFα), and interleukin-6 (IL-6) which act as insulin resistance factors, all share autocrine, paracrine, or endocrine activity that regulates insulin sensitivity, therefore, establishing a role fo…”
BackgroundJeon, E. J., Hong, S. Y., & Lee, J. H. (2017) · Diabetes & Metabolism Journal · doi:10.4093/dmj.2017.41.6.457 · Cited by 22
“In addition, adiponectin, leptin, and resistin are all known to be produced within the intrauterine environment such as the placenta [24-26].”
BackgroundWon, Y. L., Ko, Y., Heo, K., et al. (2011) · Safety and Health at Work · doi:10.5491/shaw.2011.2.4.365 · Cited by 21
“In this study, IL-6 was not significantly high; however, others have reported that it increases IR by increasing free fatty acid levels in blood [30] and partly induces IR by stimulating the degradation of body fat, interrupting glucose metabolism, and decreasing the adiponectin [31].”
Background
Metadata
- Authors
- Arner, P.
- Affiliations
- Karolinska Institutet (SE)
- Corresponding author
- Arner, P.
- ORCID
- Arner, P.
- Venue
- Current Molecular Medicine
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2005-05-01
- Volume
- 5
- Issue
- 3
- Pages
- 333-339
- ISSN
- 1566-5240 (ISSN-L)
- OpenAlex
- W2006828160
- Cited by
- 201
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 5 · 2021: 6 · 2020: 2 · 2019: 11 · 2018: 6 · 2017: 3 · 2016: 6 · 2015: 8 · 2014: 9 · 2013: 12 · 2012: 14
- FWCI
- 16.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Molecular Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Keywords
- insulin resistance, type 2 diabetes, adipokines, adipocytes, TNF-α, adiponectin, interleukin-6, resistin, leptin, adipose tissue, insulin sensitivity, genetic polymorphism, glucose metabolism, inflammation
- MeSH terms
- Adipose Tissue, Animals, Diabetes Mellitus, Type 2, Hormones, Ectopic, Humans, Inflammation, Insulin, Insulin Resistance, Models, Biological, Tumor Necrosis Factor-alpha, Genetic Variation, Interleukin-6, Cytokines, Adipocytes, Leptin, Intercellular Signaling Peptides and Proteins, Adiponectin, Resistin, Nicotinamide Phosphoribosyltransferase
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