摘要
肥胖症是一种代谢性多因素疾病,由遗传学,表观遗传学以及高能量食物摄入和静注等因素支撑。肥胖往往与其他代谢性疾病如2型糖尿病(T2DM)相关,并加剧。 T2DM的标志是胰腺β细胞胰岛素分泌失败,将血糖处置调节为外周组织,如骨骼肌,称为胰岛素抵抗,以及胰腺α细胞功能的失调。已经提出胰岛素抵抗部分地是由包含(adipo)细胞因子和脂肪酸的脂肪组织释放的几个分子引起的胰岛素信号转导受损的结果。然而,并不是所有的脂肪酸都会对胰岛素敏感性产生负面影响。事实上,已经表明棕榈油酸(16:1n-7)具有激素样特性并且改善了在肥胖和T2DM中受损的一些代谢参数。此外,体外方法显示顺式16:1n-7可以影响胰腺β细胞存活,胰岛素分泌和骨骼肌胰岛素反应和脂肪细胞代谢。使用动物模型的体内实验表明,摄入顺式16:1n-7或其来源(例如澳洲坚果油)可部分防止由高脂肪/碳水化合物饮食引起的代谢改变。一般来说,人类研究发现血浆磷脂中高反式16:1n-7比例与胰岛素敏感性改善或T2DM发病率呈正相关。然而,血浆cis-16:1n-7数据仍然存在争议。在这个简短的回顾中,我们讨论了16:1n-7对肥胖和T2DM影响的主要研究及其临床应用潜力。
关键词: 糖尿病,葡萄糖体内平衡,胰岛素敏感性,棕榈油酸,肥胖,ω-7。
图形摘要
Current Drug Targets
Title:Implications of Palmitoleic Acid (Palmitoleate) On Glucose Homeostasis, Insulin Resistance and Diabetes
Volume: 18 Issue: 6
关键词: 糖尿病,葡萄糖体内平衡,胰岛素敏感性,棕榈油酸,肥胖,ω-7。
摘要: Obesity is a metabolic, multifactorial disease that is underpinned by factors such as genetics, epigenetics, as well as high-energy food intake and sedentarism. Obesity is often associated with, and exacerbated by, other metabolic disorders such as type 2 diabetes mellitus (T2DM). A hallmark of T2DM is failure of insulin secretion from pancreatic β-cell to regulate blood glucose disposal into peripheral tissues, such as skeletal muscle, termed insulin resistance, as well as deregulation of pancreatic α-cell function. It has been proposed that insulin resistance is, in part, a consequence of impaired signal transduction of insulin caused by several molecules released from adipose tissue that include (adipo)cytokines and fatty acids. However, not all fatty acids exert a negative impact on insulin sensitivity. In fact, it has been suggested that palmitoleic acid (16:1n-7) has hormone-like properties and improves some metabolic parameters that are impaired in obesity and T2DM. Moreover, in vitro approaches reveal that cis-16:1n-7 can influence pancreatic β-cell survival, insulin secretion, and skeletal muscle insulin response and adipocyte metabolism. In vivo experiments using animal models show that the ingestion of cis-16:1n-7 or sources of it (e.g., macadamia oil) can partially prevent the metabolic alterations caused by high-fat/carbohydrate diets. In general, studies in humans found positive associations between higher trans-16:1n-7 proportion in plasma phospholipids and improved insulin sensitivity or decreased the onset of T2DM. However, plasma cis-16:1n-7 data are still controversial. In this brief review, we discuss the main studies on 16:1n-7 effects on obesity and T2DM and their potential for clinical application.
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Cite this article as:
Implications of Palmitoleic Acid (Palmitoleate) On Glucose Homeostasis, Insulin Resistance and Diabetes, Current Drug Targets 2017; 18 (6) . https://dx.doi.org/10.2174/1389450117666151209120345
DOI https://dx.doi.org/10.2174/1389450117666151209120345 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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