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Updated: May 31, 2026

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Published on: November 16, 2011
Heat shock response regulates insulin sensitivity and glucose homeostasis: pathophysiological impact and therapeutic
Tatsuya Kondo1, Saori Koga, Rina Matsuyama
1Department of Metabolic Medicine, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Abstract:
A large and increasing number of people in all over the world suffer from obesity, metabolic syndrome (MS) and type 2 diabetes mellitus (T2DM). Attenuation of the heat shock response (HSR), which was originally identified as a cellular defense mechanism, is one of the key factors involved in the deterioration of metabolic abnormalities. On the other hand, activating the HSR increases heat shock protein 72 (HSP72) expression and improves insulin resistance and glucose homeostasis in rodents and humans, possibly by inhibiting the activation of stress kinases such as c-jun terminal kinase (JNK) and inhibitor of kappa B kinase β (IKKβ). These approaches may also reduce inflammatory cytokine production and prevent the onset of atherogenic complications. This review focuses on the physiological effects of HSR in regulating insulin sensitivity and hyperglycemia, and the potential to target the HSR system for the treatment of MS and T2DM, as well as other cellular stress-related diseases.
Insights
Activating the heat shock response (HSR) boosts heat shock protein 72 (HSP72) to improve metabolic health. This approach may offer new treatments for obesity, metabolic syndrome, and type 2 diabetes.
Area of Science:
- Cellular Biology
- Metabolic Physiology
- Endocrinology
Background:
- Obesity, metabolic syndrome (MS), and type 2 diabetes mellitus (T2DM) are global health challenges.
- Impaired heat shock response (HSR) contributes to metabolic dysfunction.
- HSR is a cellular defense mechanism crucial for maintaining homeostasis.
Purpose of the Study:
- To review the physiological role of HSR in insulin sensitivity and glucose metabolism.
- To explore the therapeutic potential of targeting HSR for metabolic diseases.
- To discuss HSR's impact on cellular stress and related conditions.
Main Methods:
- Literature review of studies on HSR, insulin resistance, and metabolic disorders.
- Analysis of mechanisms involving heat shock protein 72 (HSP72) and stress kinases (JNK, IKKβ).
- Examination of HSR's effects on inflammatory cytokine production and atherogenesis.
Main Results:
- Activation of HSR increases HSP72 expression, enhancing insulin sensitivity and glucose homeostasis.
- HSR activation inhibits stress kinases like JNK and IKKβ, mitigating metabolic abnormalities.
- Targeting HSR may reduce inflammation and prevent cardiovascular complications associated with MS and T2DM.
Conclusions:
- HSR plays a critical role in regulating metabolic health and combating insulin resistance.
- Modulating HSR presents a promising therapeutic strategy for MS, T2DM, and other stress-related diseases.
- Further research into HSR activation could lead to novel treatments for metabolic disorders.
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