2018
DOI: 10.3389/fendo.2018.00384
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Fatty Acid-Induced Lipotoxicity in Pancreatic Beta-Cells During Development of Type 2 Diabetes

Abstract: Type 2 diabetes is caused by chronic insulin resistance and progressive decline in beta-cell function. Optimal beta-cell function and mass is essential for glucose homeostasis and beta-cell impairment leads to the development of diabetes. Elevated levels of circulating fatty acids (FAs) and disturbances in lipid metabolism regulation are associated with obesity, and they are major factors influencing the increase in the incidence of type 2 diabetes. Chronic free FA (FFA) treatment induces insulin resistance an… Show more

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Cited by 236 publications
(200 citation statements)
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“…Under physiological conditions, beta-cells can use NEFA as fuel; however, prolonged exposure to elevated levels of NEFA reduces insulin secretion by two different mechanisms, direct insulin transcriptional downregulation and beta-cell death [19][20][21]. This mechanism is not exclusive to beta-cells; it has also been observed diabetic cardiomyopathy and DN [22,23].…”
Section: Subcutaneous Abdominal Fatty Deposits and High Plasma Nefa Lmentioning
confidence: 99%
“…Under physiological conditions, beta-cells can use NEFA as fuel; however, prolonged exposure to elevated levels of NEFA reduces insulin secretion by two different mechanisms, direct insulin transcriptional downregulation and beta-cell death [19][20][21]. This mechanism is not exclusive to beta-cells; it has also been observed diabetic cardiomyopathy and DN [22,23].…”
Section: Subcutaneous Abdominal Fatty Deposits and High Plasma Nefa Lmentioning
confidence: 99%
“…Obesity is another example of a metabolic disorder associated with several co-morbidities, with an increasing prevalence every year [21]. Excessive lipid accumulation could be one of the causative factors for type II diabetes, as the accumulation of lipid in the pancreas causes dysfunction of insulin-producing pancreatic β-cells [22]. Recently, inhibitors of pancreatic lipase have attracted interest due to their ability to delay lipid digestion, and hence could act as promising anti-obesity drugs [23].…”
Section: Introductionmentioning
confidence: 99%
“…The markers of UPR include ER proteins PERK, IRE1α and ARF6, all of which are elevated in T2D. The activation of JNK is downstream of IRE1α to promote apoptosis [149]. IRE1α, when active, associates with TNFR-associated factor 2 (TRAF2), an adaptor protein, to activate the MAP3K ASK1, and ultimately JNK [144,[150][151][152][153].…”
Section: Activation Of Innate Immunity Receptorsmentioning
confidence: 99%
“…This is likely because the main JNK activators during saturated FFA exposure are ER stress, ceramides and innate immunity receptors, which are induced/stimulated mainly or exclusively by saturated fat. In β-cells, the ER is important in ensuring that insulin folds properly [149]. Thus, β-cells are especially sensitive to ER stress, and JNK stimulation by ER stress accounts for palmitate-induced IRS-1 serine phosphorylation [167], reduced insulin gene transcription [167], and apoptosis [144].…”
Section: β-Cell Lipotoxicitymentioning
confidence: 99%