Insulin Resistance: A Proinflammatory State Mediated by Lipid-Induced Signaling Dysfunction and Involved in Atherosclerotic Plaque Instability
The dysregulation of the insulin-glucose axis represents the crucial event in insulin resistance syndrome. Insulin resistance increases atherogenesis and atherosclerotic plaque instability by inducing proinflammatory activities on vascular and immune cells. This condition characterizes several disea...
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Wiley
2008-01-01
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Series: | Mediators of Inflammation |
Online Access: | http://dx.doi.org/10.1155/2008/767623 |
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author | Fabrizio Montecucco Sabine Steffens François Mach |
author_facet | Fabrizio Montecucco Sabine Steffens François Mach |
author_sort | Fabrizio Montecucco |
collection | DOAJ |
description | The dysregulation of the insulin-glucose axis represents the crucial event in insulin resistance syndrome. Insulin resistance increases atherogenesis and atherosclerotic plaque instability by inducing proinflammatory activities on vascular and immune cells. This condition characterizes several diseases, such as type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), obesity, hypertension, dyslipidemia, and other endocrinopathies, but also cancer. Recent studies suggest that the pathophysiology of insulin resistance is closely related to interferences with insulin-mediated intracellular signaling on skeletal muscle cells, hepatocytes, and adipocytes. Strong evidence supports the role of free fatty acids (FFAs) in promoting insulin resistance. The FFA-induced activation of protein kinase C (PKC) delta, inhibitor kappaB kinase (IKK), or c-Jun N-terminal kinase (JNK) modulates insulin-triggered intracellular pathway (classically known as PI3-K-dependent). Therefore, reduction of FFA levels represents a selective target for modulating insulin resistance. |
format | Article |
id | doaj-art-6df1c02b325e44a6999b4057951eb0d0 |
institution | Kabale University |
issn | 0962-9351 1466-1861 |
language | English |
publishDate | 2008-01-01 |
publisher | Wiley |
record_format | Article |
series | Mediators of Inflammation |
spelling | doaj-art-6df1c02b325e44a6999b4057951eb0d02025-02-03T06:13:48ZengWileyMediators of Inflammation0962-93511466-18612008-01-01200810.1155/2008/767623767623Insulin Resistance: A Proinflammatory State Mediated by Lipid-Induced Signaling Dysfunction and Involved in Atherosclerotic Plaque InstabilityFabrizio Montecucco0Sabine Steffens1François Mach2Division of Cardiology, Foundation for Medical Researches, University Hospital, 1211 Geneva, SwitzerlandDivision of Cardiology, Foundation for Medical Researches, University Hospital, 1211 Geneva, SwitzerlandDivision of Cardiology, Foundation for Medical Researches, University Hospital, 1211 Geneva, SwitzerlandThe dysregulation of the insulin-glucose axis represents the crucial event in insulin resistance syndrome. Insulin resistance increases atherogenesis and atherosclerotic plaque instability by inducing proinflammatory activities on vascular and immune cells. This condition characterizes several diseases, such as type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), obesity, hypertension, dyslipidemia, and other endocrinopathies, but also cancer. Recent studies suggest that the pathophysiology of insulin resistance is closely related to interferences with insulin-mediated intracellular signaling on skeletal muscle cells, hepatocytes, and adipocytes. Strong evidence supports the role of free fatty acids (FFAs) in promoting insulin resistance. The FFA-induced activation of protein kinase C (PKC) delta, inhibitor kappaB kinase (IKK), or c-Jun N-terminal kinase (JNK) modulates insulin-triggered intracellular pathway (classically known as PI3-K-dependent). Therefore, reduction of FFA levels represents a selective target for modulating insulin resistance.http://dx.doi.org/10.1155/2008/767623 |
spellingShingle | Fabrizio Montecucco Sabine Steffens François Mach Insulin Resistance: A Proinflammatory State Mediated by Lipid-Induced Signaling Dysfunction and Involved in Atherosclerotic Plaque Instability Mediators of Inflammation |
title | Insulin Resistance: A Proinflammatory State Mediated by Lipid-Induced Signaling Dysfunction and Involved in Atherosclerotic Plaque Instability |
title_full | Insulin Resistance: A Proinflammatory State Mediated by Lipid-Induced Signaling Dysfunction and Involved in Atherosclerotic Plaque Instability |
title_fullStr | Insulin Resistance: A Proinflammatory State Mediated by Lipid-Induced Signaling Dysfunction and Involved in Atherosclerotic Plaque Instability |
title_full_unstemmed | Insulin Resistance: A Proinflammatory State Mediated by Lipid-Induced Signaling Dysfunction and Involved in Atherosclerotic Plaque Instability |
title_short | Insulin Resistance: A Proinflammatory State Mediated by Lipid-Induced Signaling Dysfunction and Involved in Atherosclerotic Plaque Instability |
title_sort | insulin resistance a proinflammatory state mediated by lipid induced signaling dysfunction and involved in atherosclerotic plaque instability |
url | http://dx.doi.org/10.1155/2008/767623 |
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