Keles Umur, Kalem-Yapar Nisan Ece, Hultén Hanna, Zhao Li Na, Kaldis Philipp
Department of Clinical Sciences, Lund University, Clinical Research Centre (CRC), Malmö, Sweden.
Lund University Diabetes Centre (LUDC), Lund University, Clinical Research Centre (CRC), Malmö, Sweden.
Mol Cell Biol. 2025;45(2):47-58. doi: 10.1080/10985549.2024.2438814. Epub 2024 Dec 27.
Complex metabolic diseases due to overnutrition such as obesity, type 2 diabetes, and fatty liver disease are a major burden on the healthcare system worldwide. Current research primarily focuses on disease endpoints and trying to understand underlying mechanisms at relatively late stages of the diseases, when irreversible damage is already done. However, complex interactions between physiological systems during disease development create a problem regarding how to build cause-and-effect relationships. Therefore, it is essential to understand the early pathophysiological effects of overnutrition, which can help us understand the origin of the disease and to design better treatment strategies. Here, we focus on early metabolic events in response to high-fat diets (HFD) in rodents. Interestingly, insulin resistance, fatty liver, and obesity-promoting systemic inflammatory responses are evident within a week when mice are given consecutive HFD meals. However, as shown in human studies, these effects are usually not visible after a single meal. Overall, these results suggest that sustained HFD-intake within days can create a hyperlipidemic environment, globally remodeling metabolism in all affected organs and resembling some of the important disease features.
由营养过剩引起的复杂代谢性疾病,如肥胖症、2型糖尿病和脂肪肝疾病,是全球医疗系统的主要负担。目前的研究主要集中在疾病终点,并试图在疾病相对较晚阶段理解潜在机制,此时不可逆损伤已经造成。然而,疾病发展过程中生理系统之间的复杂相互作用带来了如何建立因果关系的问题。因此,了解营养过剩的早期病理生理效应至关重要,这有助于我们理解疾病的起源并设计更好的治疗策略。在此,我们关注啮齿动物对高脂饮食(HFD)的早期代谢事件。有趣的是,当小鼠连续食用HFD餐时,一周内胰岛素抵抗、脂肪肝和促进肥胖的全身炎症反应就很明显。然而,如人体研究所示,这些效应在单餐后通常不明显。总体而言,这些结果表明,数天内持续摄入HFD可创造高脂血症环境,全面重塑所有受影响器官的新陈代谢,并类似于一些重要的疾病特征。