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Relationship Between Oxidative Stress, ER Stress, and Inflammation in Type 2 Diabetes: The Battle Continues
Estefania Burgos-Morón1, Zaida Abad-Jiménez1, Aranzazu Martínez de Marañón1
1Service of Endocrinology, University Hospital Doctor Peset - Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46017 Valencia, Spain.
Abstract:
Type 2 diabetes (T2D) is a metabolic disorder characterized by hyperglycemia and insulin resistance in which oxidative stress is thought to be a primary cause. Considering that mitochondria are the main source of ROS, we have set out to provide a general overview on how oxidative stress is generated and related to T2D. Enhanced generation of reactive oxygen species (ROS) and oxidative stress occurs in mitochondria as a consequence of an overload of glucose and oxidative phosphorylation. Endoplasmic reticulum (ER) stress plays an important role in oxidative stress, as it is also a source of ROS. The tight interconnection between both organelles through mitochondrial-associated membranes (MAMs) means that the ROS generated in mitochondria promote ER stress. Therefore, a state of stress and mitochondrial dysfunction are consequences of this vicious cycle. The implication of mitochondria in insulin release and the exposure of pancreatic β-cells to hyperglycemia make them especially susceptible to oxidative stress and mitochondrial dysfunction. In fact, crosstalk between both mechanisms is related with alterations in glucose homeostasis and can lead to the diabetes-associated insulin-resistance status. In the present review, we discuss the current knowledge of the relationship between oxidative stress, mitochondria, ER stress, inflammation, and lipotoxicity in T2D.
Insights
Oxidative stress, driven by mitochondria and endoplasmic reticulum stress, is a key factor in type 2 diabetes (T2D) development. This review explores the link between these stresses and T2D pathogenesis.
Area of Science:
- Biochemistry
- Cell Biology
- Endocrinology
Background:
- Type 2 diabetes (T2D) involves hyperglycemia and insulin resistance, with oxidative stress implicated as a primary cause.
- Mitochondria are identified as the main source of reactive oxygen species (ROS), contributing significantly to oxidative stress in T2D.
- Endoplasmic reticulum (ER) stress also generates ROS and is interconnected with mitochondrial dysfunction.
Purpose of the Study:
- To provide a comprehensive overview of oxidative stress generation in T2D.
- To elucidate the relationship between mitochondria, ER stress, and T2D.
- To discuss the interplay of oxidative stress, inflammation, and lipotoxicity in T2D pathogenesis.
Main Methods:
- Literature review of current research on oxidative stress and T2D.
- Analysis of the role of mitochondria and ER in ROS production.
- Examination of the connection between mitochondrial-ER crosstalk and T2D.
Main Results:
- Mitochondrial overload from glucose and oxidative phosphorylation enhances ROS generation.
- Mitochondrial-derived ROS exacerbate ER stress, creating a vicious cycle of cellular dysfunction.
- Pancreatic beta-cells are particularly vulnerable to oxidative stress due to their role in insulin release and exposure to hyperglycemia.
Conclusions:
- Oxidative stress, mitochondrial dysfunction, and ER stress are closely linked in T2D.
- The crosstalk between these cellular stresses contributes to insulin resistance and impaired glucose homeostasis.
- Understanding these relationships is crucial for developing effective T2D therapies.
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