[Molecular mechanisms and correlations of insulin resistance, obesity, and type 2 diabetes mellitus]
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Updated: Jun 24, 2026

Differentiated Mouse Adipocytes in Primary Culture: A Model of Insulin Resistance
Published on: February 17, 2023
1Fovárosi Onkormányzat Szent János Kórház és Eszak-budai Egyesített Intézményei II. Belgyógyászati Osztály Budapest. gabor.winkler@mail.janoskorhaz.hu
Abstract:
Adipose tissue cells express and secrete numerous proteins influencing the signal transduction pathways of insulin receptor by auto-, para- and endocrine manner. Several cytokines, tumor necrosis factor-alpha and its soluble receptor forms, sTNFR1 and sTNFR2, resistin, retinol-binding protein 4, plasminogen activator inhibitor, lipocain 1 inhibit the signalization of insulin receptor causing insulin resistance in target tissues, mainly in adipose, liver and muscle, brain, endothelial as well as in pancreatic beta-cells. However, many other proteins produced by the fat tissue, such as adiponectin, visfatin, vaspin, apelin, omentin and chemerin enhance the signal transmission of the receptor. Recently discovered common mechanisms leading to insulin and cytokine resistance in obesity and type 2 diabetes mellitus, e.g. protein family of suppressor of cytokine signaling (SOCS) are also discussed.
Insights
Adipose tissue secretes proteins that either impair or improve insulin signaling, contributing to insulin resistance. Understanding these adipokines is key for metabolic disease research.
Area of Science:
- Endocrinology and Metabolism
- Molecular Biology
- Cell Biology
Context:
- Adipose tissue is a dynamic endocrine organ.
- Adipose tissue secretes numerous proteins (adipokines) that influence systemic metabolism.
- Insulin resistance is a hallmark of obesity and type 2 diabetes mellitus.
Purpose:
- To review the dual role of adipose tissue-derived proteins in insulin receptor signaling.
- To discuss the mechanisms underlying insulin resistance.
- To highlight proteins that promote or inhibit insulin signal transduction.
Summary:
- Adipose tissue cells secrete proteins that modulate insulin receptor signaling via auto-, para-, and endocrine pathways.
- Certain adipokines, including tumor necrosis factor-alpha, resistin, and retinol-binding protein 4, inhibit insulin signaling, contributing to insulin resistance in various tissues.
- Conversely, adiponectin, visfatin, and chemerin enhance insulin receptor signaling, while mechanisms like suppressor of cytokine signaling (SOCS) proteins are implicated in both insulin and cytokine resistance.
Impact:
- Provides a comprehensive overview of adipokine function in insulin resistance.
- Identifies key molecular players in metabolic dysfunction.
- Informs potential therapeutic strategies for obesity and type 2 diabetes mellitus.
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