Intracellular Lipid Accumulation in Liver and Muscle and the Insulin Resistance Syndrome

被引:134
作者
Lara-Castro, Cristina [1 ]
Garvey, W. Timothy [1 ,2 ]
机构
[1] Univ Alabama Birmingham, Dept Nutr Sci, Birmingham, AL 35294 USA
[2] Birmingham Vet Affairs Med Ctr, Birmingham, AL 35233 USA
基金
美国国家卫生研究院;
关键词
Insulin resistance; Muscle fat; Intramyocellular fat; Hepatic steatosis; Inflammation;
D O I
10.1016/j.ecl.2008.09.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This article emphasizes intrahepatocellular and intramyocellular lipid accumulation as components of the insulin resistance syndrome. It examines the mechanisms responsible for the interrelationships among ectopic fat deposition, insulin resistance, and associated metabolic traits. These relationships are complex and vary according to diet, exercise, weight loss, and racial identity. Overall, there is a high degree of association of both intrahepatocellular and intramyocellular lipids with insulin resistance and associated cardiometabolic risk factors. It concludes that further research is necessary to determine the orchestrated roles of adipose and nonadipose tissue compartments in the regulation of insulin sensitivity, and mechanisms explaining racial differences in the insulin resistance syndrome-trait cluster.
引用
收藏
页码:841 / +
页数:17
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