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胰岛素抵抗的分子机制的当前研究。

Current Studies on Molecular Mechanisms of Insulin Resistance.

机构信息

Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, China.

The First Department of Gastrointestinal Surgery, Hainan General Hospital, Haikou, Hainan 570228, China.

出版信息

J Diabetes Res. 2022 Dec 23;2022:1863429. doi: 10.1155/2022/1863429. eCollection 2022.

Abstract

Diabetes is a metabolic disease that raises the risk of microvascular and neurological disorders. Insensitivity to insulin is a characteristic of type II diabetes, which accounts for 85-90 percent of all diabetic patients. The fundamental molecular factor of insulin resistance may be impaired cell signal transduction mediated by the insulin receptor (IR). Several cell-signaling proteins, including IR, insulin receptor substrate (IRS), and phosphatidylinositol 3-kinase (PI3K), have been recognized as being important in the impaired insulin signaling pathway since they are associated with a large number of proteins that are strictly regulated and interact with other signaling pathways. Many studies have found a correlation between IR alternative splicing, IRS gene polymorphism, the complicated regulatory function of IRS serine/threonine phosphorylation, and the negative regulatory role of p85 in insulin resistance and diabetes mellitus. This review brings up-to-date knowledge of the roles of signaling proteins in insulin resistance in order to aid in the discovery of prospective targets for insulin resistance treatment.

摘要

糖尿病是一种代谢性疾病,会增加微血管和神经系统疾病的风险。胰岛素不敏感是 2 型糖尿病的特征,占所有糖尿病患者的 85-90%。胰岛素抵抗的基本分子因素可能是胰岛素受体(IR)介导的细胞信号转导受损。许多细胞信号蛋白,包括 IR、胰岛素受体底物(IRS)和磷脂酰肌醇 3-激酶(PI3K),已被认为在受损的胰岛素信号通路中很重要,因为它们与大量严格调控并与其他信号通路相互作用的蛋白质有关。许多研究发现,IR 可变剪接、IRS 基因多态性、IRS 丝氨酸/苏氨酸磷酸化的复杂调节功能以及 p85 在胰岛素抵抗和糖尿病中的负调节作用之间存在相关性。本综述介绍了信号蛋白在胰岛素抵抗中的作用的最新知识,以期有助于发现胰岛素抵抗治疗的潜在靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24d2/9803571/f42d803cc555/JDR2022-1863429.001.jpg

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