[PDF][PDF] Nuclear receptors reverse McGarry's vicious cycle to insulin resistance

DD Moore - Cell metabolism, 2012 - cell.com
Cell metabolism, 2012cell.com
Several pathways and pathologies have been suggested as connections between obesity
and diabetes, including inflammation of adipose and other tissues, toxic lipids, endoplasmic
reticulum stress, and fatty liver. One specific proposal is that insulin resistance induces a
vicious cycle in which hyperinsulinemia increases hepatic lipogenesis and exacerbates fatty
liver, in turn further increasing insulin resistance. Here I suggest that reversing this cycle via
suppression of the lipogenic transcription factor SREBP-1c is a common thread that …
Several pathways and pathologies have been suggested as connections between obesity and diabetes, including inflammation of adipose and other tissues, toxic lipids, endoplasmic reticulum stress, and fatty liver. One specific proposal is that insulin resistance induces a vicious cycle in which hyperinsulinemia increases hepatic lipogenesis and exacerbates fatty liver, in turn further increasing insulin resistance. Here I suggest that reversing this cycle via suppression of the lipogenic transcription factor SREBP-1c is a common thread that connects the antidiabetic effects of a surprising number of nuclear hormone receptors, including CAR, LRH-1, TRβ, ERα, and FXR/SHP.
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