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SHR Neuro Cancer Cardio Lipid Metab Microb

Wagner, M; Moore, DD.
Endoplasmic reticulum stress and glucose homeostasis.
Curr Opin Clin Nutr Metab Care. 2011; 14(4):367-373 Doi: 10.1097/MCO.0b013e32834778d4
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Leading authors Med Uni Graz
Wagner Martin
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Abstract:
Balancing glucose homeostasis is crucial to maintain appropriate energy and metabolic state. Chronic hyperglycemia with insulin resistance and development of type II diabetes mellitus is a growing health and health-economic threat. The unfolded protein response (UPR) is a mechanism by which the endoplasmic reticulum copes with diverse physiological and pathophysiological stress stimuli. Unresolved and chronic endoplasmic reticulum stress are important features in the development of diabetes mellitus. Understanding how the UPR impacts glucose balance and what disrupts this balance is critical for development of future therapies. In pancreatic β-cells, evidence is growing that the single branches of the UPR work in concert to supply insulin in response to acute glucose availability. Chronic glucose stimulation disrupts these primarily adaptive changes into an overwhelming UPR, which leads to reduced insulin supply and β-cell mass due to apoptosis. In hepatocytes, the UPR interacts with key transcription factors to physiologically regulate glucose and lipid homeostasis. Prolonged endoplasmic reticulum stress disrupts these feedback loops and results in ongoing gluconeogenesis and steatosis. Unraveling the molecular networks underlying the adaptive and contra-adaptive roles of the UPR in glucose metabolism will identify novel therapeutic approaches in the battle against diabetes mellitus.
Find related publications in this database (using NLM MeSH Indexing)
Animals -
Apoptosis -
Diabetes Mellitus, Type 2 - metabolism
Diabetes Mellitus, Type 2 - physiopathology
Endoplasmic Reticulum - metabolism
Glucose - metabolism
Homeostasis -
Humans -
Insulin - metabolism
Insulin Resistance -
Insulin-Secreting Cells - metabolism
Liver - metabolism
Stress, Physiological -
Unfolded Protein Response -

Find related publications in this database (Keywords)
diabetes
insulin resistance
nonalcoholic fatty liver disease
transcription factors
unfolded protein response
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