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Sander Kersten, Josiane Seydoux, Jeffrey M. Peters, Frank J. Gonzalez, Béatrice Desvergne, Walter Wahli
Published in Volume 103, Issue 11
J Clin Invest. 1999; 103(11):1489–1498 doi:10.1172/JCI6223
Abstract | Full text | PDF
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Figure 8

Hepatic fatty acid oxidation is crucial during fasting to ensure an adequate supply of substrates that can be metabolized by other tissues. During fasting, lipolysis of stored triglycerides (TG) in adipose tissue is strongly activated under the influence of changes in hormonal status. The fatty acids (FA) released are delivered to the liver, where they are either re-esterified and secreted (not shown) or oxidized in the mitochondria. Partial oxidation of fatty acids yields acetyl-CoA, which condenses with itself to form ketone bodies. The ketone bodies are subsequently used as an important substrate for energy production by the brain, muscles, and kidney. Oxidation of fatty acids in the liver is also tightly coupled to glucose synthesis. The glucose produced by the liver serves as an important fuel for the brain. The important role of PPARα in these processes is illustrated. Although the figure is drawn with human tissues shown, important differences in lipid metabolism exist between mice and humans, including the function of PPARα. Thus, the validity of this figure with regard to human metabolism remains to be demonstrated.