2015
DOI: 10.3390/nu7115475
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The Subtle Balance between Lipolysis and Lipogenesis: A Critical Point in Metabolic Homeostasis

Abstract: Excessive accumulation of lipids can lead to lipotoxicity, cell dysfunction and alteration in metabolic pathways, both in adipose tissue and peripheral organs, like liver, heart, pancreas and muscle. This is now a recognized risk factor for the development of metabolic disorders, such as obesity, diabetes, fatty liver disease (NAFLD), cardiovascular diseases (CVD) and hepatocellular carcinoma (HCC). The causes for lipotoxicity are not only a high fat diet but also excessive lipolysis, adipogenesis and adipose … Show more

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Cited by 420 publications
(358 citation statements)
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References 154 publications
(219 reference statements)
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“…They studied the effect of 8 weeks of excess energy and lipid intake on adipocyte size and expansion in young healthy men: lean subjects with smaller adipocytes responded with a rapidly and not protective adipocyte remodelling, and despite expansion of subcutaneous fat they developed insulin resistance and released more inflammatory markers while subjects with larger subcutaneous adipocytes had less insulin resistance and visceral fat accumulation, maybe due to reduced expandability of these cells [31]. It is likely that other factors are involved, possibly a genetic predisposition to type 2 diabetes or in general to ectopic fat deposition [3], [35], [37], [38].…”
Section: When Adipocytes Become Dysfunctionalmentioning
confidence: 99%
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“…They studied the effect of 8 weeks of excess energy and lipid intake on adipocyte size and expansion in young healthy men: lean subjects with smaller adipocytes responded with a rapidly and not protective adipocyte remodelling, and despite expansion of subcutaneous fat they developed insulin resistance and released more inflammatory markers while subjects with larger subcutaneous adipocytes had less insulin resistance and visceral fat accumulation, maybe due to reduced expandability of these cells [31]. It is likely that other factors are involved, possibly a genetic predisposition to type 2 diabetes or in general to ectopic fat deposition [3], [35], [37], [38].…”
Section: When Adipocytes Become Dysfunctionalmentioning
confidence: 99%
“…FFAs derive from adipose tissue (from TG hydrolysis, Figure 2), hepatic de novo lipogenesis (DNL), or spillover from plasma TG [3]. Excess FFAs accumulate in organs like liver, muscle and pancreas, determining lipotoxicity and impaired insulin signalling [3].…”
Section: Excess Lipolysis Causes Muscle Insulin Resistance and β Cellmentioning
confidence: 99%
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“…Through the tricarboxylic acid cycle (TCA), pyruvate is converted to acetyl-CoA and exported to cytosol to be used as a precursor for lipid synthesis. Indeed, acetyl-CoA carboxylase (ACC) converts acetyl-CoA into malonyl-CoA, which finally activates synthesis of triglycerides, using the fatty acid synthase enzyme (FAS) [18]. In the case of high-fat diet, fatty acids are also stored as triglycerides.…”
Section: Introductionmentioning
confidence: 99%