The interactions between inflammation and insulin resistance: molecular mechanisms in insulin-producing and insulin-dependent tissues

Autor: A. D. Yudaeva, I. S. Stafeev, S. S. Michurina, M. Yu. Menshikov, M. V. Shestakova, Y. V. Parfyonova
Jazyk: English<br />Russian
Rok vydání: 2023
Předmět:
Zdroj: Сахарный диабет, Vol 26, Iss 1, Pp 75-81 (2023)
Druh dokumentu: article
ISSN: 2072-0351
2072-0378
DOI: 10.14341/DM12981
Popis: In the modern world the prevalence of obesity and type 2 diabetes mellitus (T2DM) significantly increases. In this light the risks of obesity-associated complications also grow up. The crucial linkage between obesity and its metabolic and cardiovascular complications is inflammatory process. The mechanism of this linkage is similar in pancreas and insulin-dependent tissues both on cells, cell-to-cell communication and signaling pathway levels: the catalysts are different lipids (cholesterol, free fatty acids, triglycerides), which are able to activate Toll-like receptors of innate immunity and inflammation. Nextly, IKK- and JNK-dependent cascades activate the secretion of inflammatory cytokines TNFa, IL-1b, IL-6 and others, which act by paracrine and autocrine manner and support inflammation both in local and systemic levels. Thus, insulin-producing and insulin-dependent tissues, which are involved in T2DM pathogenesis, through the inflammatory process integrate in pathogenic and self-maintaining cycle, which leads to the suppression of insulin secretion, pancreatic β-cell failure and the development of insulin-dependent tissues insulin resistance.
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