Department of Physiology, University of Toronto, Toronto, ON M5S 1A8, Canada.
Department of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
Cells. 2020 Mar 13;9(3):706. doi: 10.3390/cells9030706.
Obesity has been described as a global epidemic and is a low-grade chronic inflammatory disease that arises as a consequence of energy imbalance. Obesity increases the risk of type 2 diabetes (T2D), by mechanisms that are not entirely clarified. Elevated circulating pro-inflammatory cytokines and free fatty acids (FFA) during obesity cause insulin resistance and ß-cell dysfunction, the two main features of T2D, which are both aggravated with the progressive development of hyperglycemia. The inflammatory kinase c-jun N-terminal kinase (JNK) responds to various cellular stress signals activated by cytokines, free fatty acids and hyperglycemia, and is a key mediator in the transition between obesity and T2D. Specifically, JNK mediates both insulin resistance and ß-cell dysfunction, and is therefore a potential target for T2D therapy.
肥胖已被描述为一种全球性的流行病,是一种低水平的慢性炎症性疾病,是由于能量失衡而产生的。肥胖增加了 2 型糖尿病(T2D)的风险,但其中的机制尚未完全阐明。肥胖时循环中升高的促炎细胞因子和游离脂肪酸(FFA)导致胰岛素抵抗和β细胞功能障碍,这是 T2D 的两个主要特征,随着高血糖的逐渐发展而加重。炎性激酶 c-jun N 末端激酶(JNK)对细胞因子、游离脂肪酸和高血糖激活的各种细胞应激信号做出反应,是肥胖向 T2D 转变的关键介质。具体而言,JNK 介导胰岛素抵抗和β细胞功能障碍,因此是 T2D 治疗的潜在靶点。