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Erschienen in: Diabetologia 12/2003

01.12.2003 | Review

Regulation of adipocytokines and insulin resistance

verfasst von: M. Fasshauer, Dr. R. Paschke

Erschienen in: Diabetologia | Ausgabe 12/2003

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Abstract

It has long been known that obesity and insulin resistance are linked. Recently, it has been shown that adipocytes secrete several proteins including tumour necrosis factor-α, interleukin-6, resistin, and adiponectin. Since several of these so-called adipocytokines influence insulin sensitivity and glucose metabolism profoundly, they might provide a molecular link between increased adiposity and impaired insulin sensitivity. Thiazolidinediones which decrease insulin resistance and are used in the treatment of Type 2 diabetes seem to mediate part of their insulin-sensitising effects via modulation of adipocytokine expression. Furthermore, hormones such as β-adrenergic agonists, insulin, glucocorticoids, and growth hormone might impair insulin sensitivity at least in part via up-regulation or down-regulation of adipocytokine synthesis. We summarise the current knowledge on how major adipocyte-secreted proteins are regulated by hormones and drugs influencing insulin sensitivity and discuss its implications for insulin resistance and obesity.
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Metadaten
Titel
Regulation of adipocytokines and insulin resistance
verfasst von
M. Fasshauer
Dr. R. Paschke
Publikationsdatum
01.12.2003
Verlag
Springer-Verlag
Erschienen in
Diabetologia / Ausgabe 12/2003
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-003-1228-z

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