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Related Concept Videos

Type II Diabetes II: Pathophysiology01:24

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.
Type I Diabetes II: Pathophysiology01:26

Type I Diabetes II: Pathophysiology

Type 1 diabetes mellitus arises from an immune-mediated destruction of pancreatic β-cells, resulting in an absolute deficiency of insulin. This process develops in genetically susceptible individuals when autoimmunity, environmental exposures, and immunologic dysregulation converge to trigger a targeted attack on the insulin-producing cells of the pancreas. The β-cells are located within the islets of Langerhans and are essential for regulating blood glucose by facilitating cellular uptake of...
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Insulin: The Receptor and Signaling Pathways

Insulin action is mediated through a receptor tyrosine kinase, akin to the IGF-1 receptor. The number of receptors per cell varies significantly, from 40 on erythrocytes to 300,000 on adipocytes and hepatocytes. The insulin receptor consists of linked α/β subunit dimers, forming a heterotetramer glycoprotein with two extracellular α subunits and two β subunits spanning the membrane. The α subunits inhibit the inherent tyrosine kinase activity of the β subunits, but this inhibition is released...
Type II Diabetes I: Introduction01:26

Type II Diabetes I: Introduction

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
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Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in the...

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Differentiated Mouse Adipocytes in Primary Culture: A Model of Insulin Resistance
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Selective versus total insulin resistance: a pathogenic paradox.

Michael S Brown1, Joseph L Goldstein

  • 1Department of Molecular Genetics, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA. mike.brown@utsouthwestern.edu <mike.brown@utsouthwestern.edu>

Cell Metabolism
|February 6, 2008
PubMed
Summary

Mice with type 2 diabetes develop selective hepatic insulin resistance, causing hyperglycemia and hypertriglyceridemia. Total hepatic insulin resistance, however, results in hyperglycemia without hypertriglyceridemia, indicating a less severe condition.

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Area of Science:

  • Metabolic diseases
  • Endocrinology
  • Molecular biology

Background:

  • Type 2 diabetes is characterized by selective hepatic insulin resistance, where insulin cannot suppress glucose production but still promotes fat synthesis.
  • This selective resistance leads to detrimental hyperglycemia and hypertriglyceridemia in diabetic mice.

Discussion:

  • Biddinger et al. (2008) investigated the effects of total hepatic insulin resistance in mice.
  • Their findings reveal that complete insulin resistance in the liver paradoxically results in a less severe metabolic state than selective resistance.

Key Insights:

  • Mice with total hepatic insulin resistance display hyperglycemia but not hypertriglyceridemia.
  • This suggests that the ability of insulin to regulate lipogenesis is crucial for the development of hypertriglyceridemia in the context of insulin resistance.

Outlook:

  • Further research into the distinct molecular mechanisms governing hepatic gluconeogenesis and lipogenesis is warranted.
  • Understanding these pathways could lead to more targeted therapies for type 2 diabetes and related metabolic disorders.