胰岛素耐药性:在未折叠的蛋白质反应,糖尿病和癌症之间融合的中心节点
K M Abdullah1, Gunjan Sharma1, Baby Anjum2
1Department of Cell and Molecular Biology, University of Mississippi Medical Center, Jackson, MS, 39216, USA; Cancer Center and Research Institute, University of Mississippi Medical Center, Jackson, MS, 39216, USA.
Molecular aspects of medicine
|February 14, 2026
概括
肥胖导致胰岛素抵抗 (IR) 和2型糖尿病 (T2D),增加癌症风险. 展开蛋白质反应 (UPR) 和线粒体相关膜 (MAMs) 的失调将这些条件联系在一起,提供治疗点.
科学领域:
- 代谢性疾病是一种代谢性疾病.
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 现代生活方式促进肥胖,导致胰岛素抵抗 (IR) 和2型糖尿病 (T2D).
- IR及其代谢后果与癌症风险增加和不良结果有关.
- 细胞内膜网膜 (ER) 的压力和线粒体功能障碍与IR病原发生有关.
研究的目的:
- 探索ER压力,展开蛋白质响应 (UPR) 失调,线粒体相关膜 (MAM) 完整性以及IR,T2D和癌症的发展之间的机制联系.
- 确定针对这些相互连接的途径的潜在治疗策略.
主要方法:
- 对将IR,T2D和癌症联系起来的分子媒介的审查.
- 对ER和线粒体内有机细胞水平中断的分析.
- 通过MAMs,研究ER-线粒体交叉的作用.
主要成果:
- UPR失调有助于脂质积累,炎症,胰岛素生物合成受损和β细胞亡.
- 改变的MAM完整性会破坏信号传递,线粒体代谢和ER-线粒体交叉,恶化IR.
- 异常的胰岛素/IGF信号传递,氧化应激,炎症和代谢重编程均介于癌症的进展.
结论:
- UPR失调和MAM扰动形成了连接IR,T2D和癌症的机械联系.
- 针对ER压力,恢复MAM完整性和调节UPR信号可能会改善胰岛素敏感性并降低代谢疾病和癌症风险.
相关概念视频
The Unfolded Protein Response
6.5K
The ER is the hub of protein synthesis in a cell. It has robust systems to quality control protein folding and also for degradation of terminally misfolded proteins. Under normal conditions, a small proportion of misfolded proteins that cannot be salvaged need to be transported to the cytoplasm by the ER-associated degradation or ERAD pathways. However, if the ERAD cannot handle the misfolded proteins, the cell activates the unfolded protein response or UPR to adjust the protein folding...
6.5K
Regulation of the Unfolded Protein Response
3.1K
Inositol-requiring kinase one or IRE1 is the most conserved eukaryotic unfolded protein response (UPR) receptor. It is a type I transmembrane protein kinase receptor with a distinctive site-specific RNase activity. As the binding mechanics of the misfolded proteins with the N-terminal domain of IRE-1 are unclear, three binding models — direct, indirect, and allosteric -- are proposed for receptor activation. Nevertheless, it is known that once a misfolded protein associates with IRE1, it...
3.1K
Convergent Evolution
33.1K
Evolution shapes the features of organisms over time, ensuring that they are suited for the environments in which they live. Sometimes, selection pressure leads to the rise of similar but unrelated adaptations in organisms with no recent common ancestors, a process known as convergent evolution.
33.1K
Psychoneuroimmunology: Diabetes and Cancer
511
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
511
Treatment Resistant Cancers
3.8K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.8K
The Central Dogma
140.1K
Overview
140.1K


