Related Experiment Video
Updated: Jul 10, 2026

09:48
Differentiated Mouse Adipocytes in Primary Culture: A Model of Insulin Resistance
Published on: February 17, 2023
[Insulin resistance in chronic hepatitits C]
Edison Roberto Parise1, Ana Cláudia de Oliveira
1Universidade Federal de São Paulo, SP. parise@gastro.epm.br
Arquivos De Gastroenterologia
|October 27, 2007
Summary
Insulin resistance is linked to chronic hepatitis C (HCV) progression and reduced treatment success. Addressing insulin resistance may improve outcomes for HCV patients.
Area of Science:
- Hepatology
- Endocrinology
- Virology
Background:
- Insulin resistance is increasingly recognized in chronic hepatitis C (HCV).
- HCV infection is associated with metabolic dysfunction, including insulin resistance.
Purpose of the Study:
- To review the significance of insulin resistance in chronic hepatitis C development.
- To examine insulin resistance's impact on antiviral treatment response in HCV patients.
Main Methods:
- Bibliographic review of published literature.
- Analysis of data from MEDLINE and author-contributed information.
Main Results:
- Insulin resistance correlates with higher prevalence of type 2 diabetes and hepatic steatosis in HCV patients.
- HCV-associated insulin resistance can accelerate liver disease progression and reduce sustained virologic response to pegylated interferon and ribavirin.
- Tumor necrosis factor produced by the HCV core is a key mechanism, impairing insulin signaling and leading to hyperinsulinemia.
Conclusions:
- Diagnosing and treating insulin resistance in HCV patients can prevent complications and disease progression.
- Improving insulin sensitivity may enhance sustained virologic response rates to standard antiviral therapy.
Related Concept Videos
Type II Diabetes II: Pathophysiology
PathophysiologyType 2 diabetes mellitus (T2DM ) is a chronic metabolic disorder characterized by insulin resistance and progressive pancreatic β-cell dysfunction, leading to impaired glucose homeostasis. It results from interactions among genetic predisposition, environmental factors, and metabolic stressors, such as overnutrition and a sedentary lifestyle.Insulin Resistance and Glucose DysregulationEarly T2DM involves insulin resistance in skeletal muscle, adipose tissue, and the liver.
Hepatitis
Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver. The...
Chronic Pancreatitis II: Pathophysiology
Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow
Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug binding...
Chronic Pancreatitis I: Introduction
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...
Chronic Pancreatitis I: Introduction
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
