Zhao Jia, Wu YaYun, Rong XiangLu, Zheng CuiWen, Guo Jiao
Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, Guangdong Pharmaceutical University, Guangdong, People's Republic of China.
Guangdong TCM Key Laboratory for the Prevention and Treatment of Metabolic Diseases, Guangdong, People's Republic of China.
Diabetes Metab Syndr Obes. 2020 May 11;13:1575-1585. doi: 10.2147/DMSO.S250699. eCollection 2020.
As an important energy reservoir, adipose tissue maintains lipid balance and regulates energy metabolism. When the body requires energy, adipocytes provide fatty acids to peripheral tissues through lipolysis. Insulin plays an important role in regulating normal fatty acid levels by inhibiting lipolysis. When the morphology of adipose tissue is abnormal, its microenvironment changes and the lipid metabolic balance is disrupted, which seriously impairs insulin sensitivity. As the most sensitive organ to respond to insulin, lipolysis levels in adipose tissue are affected by impaired insulin function, which results in serious metabolic diseases. However, the specific underlying mechanisms of this process have not yet been fully elucidated, and further study is required. The purpose of this review is to discuss the effects of adipose tissue on the anti-lipolysis process triggered by insulin under different conditions. In particular, the functional changes of this process respond to inconsonantly morphological changes of adipose tissue.
作为重要的能量储存库,脂肪组织维持脂质平衡并调节能量代谢。当身体需要能量时,脂肪细胞通过脂解作用向周围组织提供脂肪酸。胰岛素通过抑制脂解作用在调节正常脂肪酸水平方面发挥重要作用。当脂肪组织的形态异常时,其微环境发生变化,脂质代谢平衡被打破,这严重损害胰岛素敏感性。作为对胰岛素反应最敏感的器官,脂肪组织中的脂解水平受胰岛素功能受损的影响,从而导致严重的代谢性疾病。然而,这一过程的具体潜在机制尚未完全阐明,需要进一步研究。本综述的目的是讨论脂肪组织在不同条件下对胰岛素触发的抗脂解过程的影响。特别是,这一过程的功能变化与脂肪组织形态的不一致变化相对应。