Molecular Events Linking Oxidative Stress and Inflammation to Insulin Resistance andβ-Cell Dysfunction

Oxidative Medicine and Cellular Longevity - Tập 2015 - Trang 1-15 - 2015
Kevin N. Keane1, Vínicius Fernandes Cruzat2,1, Rodrigo Carlessi3,1, Paulo Ivo Homem de Bittencourt4, Philip Newsholme1
1School of Biomedical Sciences, Curtin Health Innovation Research Institute, Biosciences, Curtin University, 6102 Perth, WA, Australia
2Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil
3Post-Graduate Program in Medical Sciences: Endocrinology, Federal University of Rio Grande do Sul, 90035-003 Porto Alegre, RS, Brazil
4Department of Physiology, Institute of Basic Health Sciences, Federal University of Rio Grande do Sul, 90050-170 Porto Alegre, RS, Brazil

Tóm tắt

The prevalence of diabetes mellitus (DM) is increasing worldwide, a consequence of the alarming rise in obesity and metabolic syndrome (MetS). Oxidative stress and inflammation are key physiological and pathological events linking obesity, insulin resistance, and the progression of type 2 DM (T2DM). Unresolved inflammation alongside a “glucolipotoxic” environment of the pancreatic islets, in insulin resistant pathologies, enhances the infiltration of immune cells which through secretory activity cause dysfunction of insulin-secretingβ-cells and ultimately cell death. Recent molecular investigations have revealed that mechanisms responsible for insulin resistance associated with T2DM are detected in conditions such as obesity and MetS, including impaired insulin receptor (IR) signalling in insulin responsive tissues, oxidative stress, and endoplasmic reticulum (ER) stress. The aim of the present review is to describe the evidence linking oxidative stress and inflammation with impairment of insulin secretion and action, which result in the progression of T2DM and other conditions associated with metabolic dysregulation.

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