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Pathophysiology of type 2 diabetes and the impact of altered metabolic interorgan crosstalk

Sanches, Jose Marcos LU ; Zhao, Li Na ; Salehi, Albert LU orcid ; Wollheim, Claes B LU and Kaldis, Philipp LU orcid (2023) In The FEBS Journal 290(3). p.620-648
Abstract

Diabetes is a complex and multifactorial disease that affects millions of people worldwide, reducing the quality of life significantly, and results in grave consequences for our health care system. In type 2 diabetes (T2D), the lack of β-cell compensatory mechanisms overcoming peripherally developed insulin resistance is a paramount factor leading to disturbed blood glucose levels and lipid metabolism. Impaired β-cell functions and insulin resistance have been studied extensively resulting in a good understanding of these pathways but much less is known about interorgan crosstalk, which we define as signaling between tissues by secreted factors. Besides hormones and organokines, dysregulated blood glucose and long-lasting hyperglycemia... (More)

Diabetes is a complex and multifactorial disease that affects millions of people worldwide, reducing the quality of life significantly, and results in grave consequences for our health care system. In type 2 diabetes (T2D), the lack of β-cell compensatory mechanisms overcoming peripherally developed insulin resistance is a paramount factor leading to disturbed blood glucose levels and lipid metabolism. Impaired β-cell functions and insulin resistance have been studied extensively resulting in a good understanding of these pathways but much less is known about interorgan crosstalk, which we define as signaling between tissues by secreted factors. Besides hormones and organokines, dysregulated blood glucose and long-lasting hyperglycemia in T2D is associated with changes in metabolism with metabolites from different tissues contributing to the development of this disease. Recent data suggest that metabolites, such as lipids including free fatty acids and amino acids, play important roles in the interorgan crosstalk during the development of T2D. In general, metabolic remodeling affects physiological homeostasis and impacts the development of T2D. Hence, we highlight the importance of metabolic interorgan crosstalk in this review to gain enhanced knowledge of the pathophysiology of T2D, which may lead to new therapeutic approaches to treat this disease.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
The FEBS Journal
volume
290
issue
3
pages
620 - 648
publisher
Wiley-Blackwell
external identifiers
  • pmid:34847289
  • scopus:85120795508
ISSN
1742-464X
DOI
10.1111/febs.16306
language
English
LU publication?
yes
additional info
© 2021 The Authors. The FEBS Journal published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies.
id
feddb766-36a5-4628-bd51-ddd26aa7d728
date added to LUP
2022-01-10 09:18:46
date last changed
2024-06-15 23:44:12
@article{feddb766-36a5-4628-bd51-ddd26aa7d728,
  abstract     = {{<p>Diabetes is a complex and multifactorial disease that affects millions of people worldwide, reducing the quality of life significantly, and results in grave consequences for our health care system. In type 2 diabetes (T2D), the lack of β-cell compensatory mechanisms overcoming peripherally developed insulin resistance is a paramount factor leading to disturbed blood glucose levels and lipid metabolism. Impaired β-cell functions and insulin resistance have been studied extensively resulting in a good understanding of these pathways but much less is known about interorgan crosstalk, which we define as signaling between tissues by secreted factors. Besides hormones and organokines, dysregulated blood glucose and long-lasting hyperglycemia in T2D is associated with changes in metabolism with metabolites from different tissues contributing to the development of this disease. Recent data suggest that metabolites, such as lipids including free fatty acids and amino acids, play important roles in the interorgan crosstalk during the development of T2D. In general, metabolic remodeling affects physiological homeostasis and impacts the development of T2D. Hence, we highlight the importance of metabolic interorgan crosstalk in this review to gain enhanced knowledge of the pathophysiology of T2D, which may lead to new therapeutic approaches to treat this disease.</p>}},
  author       = {{Sanches, Jose Marcos and Zhao, Li Na and Salehi, Albert and Wollheim, Claes B and Kaldis, Philipp}},
  issn         = {{1742-464X}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{620--648}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{The FEBS Journal}},
  title        = {{Pathophysiology of type 2 diabetes and the impact of altered metabolic interorgan crosstalk}},
  url          = {{http://dx.doi.org/10.1111/febs.16306}},
  doi          = {{10.1111/febs.16306}},
  volume       = {{290}},
  year         = {{2023}},
}