Departamento de Bioquímica, Facultad de Medicina Mexicali, Universidad Autónoma de Baja California, Mexicali 21000, Mexico.
Nutrients. 2018 Mar 22;10(4):393. doi: 10.3390/nu10040393.
Fatty acids are involved in several metabolic processes, including the development of metabolic and cardiovascular diseases. In recent years a disease that has received escalated interest is type 2 diabetes (T2D). Many contributing factors including a high-caloric diet rich in dietary saturated fats have been broadly characterized as triggers of T2D. Insulin resistance resulting from a high saturated fat diet leads to alterations in lipid cellular intake and accumulation which generate lipotoxic conditions, a key phenomenon in the metabolism of β-cells. Alternatively, unsaturated fatty acids have been described to show opposite effects in pancreatic β-cells. The purpose of this work is to perform a critical analysis of the complex role of saturated and unsaturated fatty acids in β-cell metabolism. We discuss the diverse effects main dietary fatty acids have upon pancreatic β-cell metabolism as a key factor to maintain homeostasis by focusing in the cellular and molecular mechanisms involved in the development and progression of T2D. For instance, modifications in protein homeostasis as well as the intracellular management of lipid metabolism which are associated with inflammatory pathways. These conditions initiate critical metabolic rearrangements, that in turn have repercussions on insulin β-cell metabolism. This review allows an integral and broad understanding of different functions of fatty acids inside β-cells, being important metabolites for novel therapeutic targets in T2D treatment.
脂肪酸参与多种代谢过程,包括代谢和心血管疾病的发展。近年来,一种受到广泛关注的疾病是 2 型糖尿病(T2D)。许多致病因素,包括富含膳食饱和脂肪的高热量饮食,被广泛认为是 T2D 的诱因。高饱和脂肪饮食导致的胰岛素抵抗导致脂质细胞摄取和积累的改变,从而产生脂毒性,这是 β 细胞代谢的一个关键现象。相比之下,不饱和脂肪酸已被描述为对胰腺β细胞具有相反的作用。本研究的目的是对饱和和不饱和脂肪酸在β细胞代谢中的复杂作用进行批判性分析。我们讨论了主要膳食脂肪酸对胰腺β细胞代谢的多种影响,作为维持体内平衡的关键因素,重点关注与 T2D 发展和进展相关的细胞和分子机制。例如,蛋白质平衡的改变以及与炎症途径相关的脂代谢的细胞内管理。这些情况引发了关键的代谢重排,进而对胰岛素β细胞代谢产生影响。本综述允许对脂肪酸在β细胞内的不同功能进行全面和广泛的理解,作为 T2D 治疗中新型治疗靶点的重要代谢物。