Disordered metabolism in diabetes: Have we underemphasized the fat component?
作者:
J. Denis McGarry,
期刊:
Journal of Cellular Biochemistry
(WILEY Available online 1994)
卷期:
Volume 55,
issue S1994A
页码: 29-38
ISSN:0730-2312
年代: 1994
DOI:10.1002/jcb.240550005
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: diabetes;hyperinsulinemia;insulin resistance;lipogenesis;fat metabolism;amylin;hepatic triglyceride synthesis;muscle fat accumulation
数据来源: WILEY
摘要:
AbstractDespite intensive investigation, a clear understanding of the metabolic disturbances in diabetes mellitus and their temporal relationship to each other during disease development has still not emerged. With emphasis on non‐insulin‐dependent diabetes (NIDDM), three possibilities are explored here: (1) that the insulin resistance characteristic of obesity/NIDDM syndromes is the result rather than the cause of hyperinsulinemia, as is widely held, (2) that the linkage between hyperactivity of the pancreatic β‐cell and peripheral insulin resistance is vested in excessive delivery of lipid substrate from liver to the muscle bed, and (3) that conceivably hyperamylinemia works in concert with hyperinsulinemia in promoting overproduction of very‐low‐density lipoproteins by the liver, and thus in the etiology of muscle insulin resistance. © 1994 Wile
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