Pathogenesis of Lipid Disorders in Insulin Resistance: a Brief Review

被引:143
作者
Bjornstad, Petter [1 ,2 ]
Eckel, Robert H. [3 ,4 ]
机构
[1] Univ Colorado, Sch Med, Dept Pediat, Div Endocrinol, 13123 East 16th Ave,Box B26, Aurora, CO 80045 USA
[2] Univ Colorado, Sch Med, Dept Med, Div Renal Dis & Hypertens, Aurora, CO 80045 USA
[3] Univ Colorado, Sch Med, Dept Med, Div Endocrinol, Aurora, CO 80045 USA
[4] Univ Colorado, Sch Med, Div Cardiol, Aurora, CO 80045 USA
关键词
Insulin resistance; Dyslipidemia; Hypertriglyceridemia; CORONARY-ARTERY CALCIFICATION; TYPE-1; DIABETES-MELLITUS; SUBFRACTION CHOLESTEROL DISTRIBUTION; DENSITY-LIPOPROTEIN CHOLESTEROL; CARDIOVASCULAR-DISEASE RISK; ACTIVATED PROTEIN-KINASE; TODAY CLINICAL-TRIAL; FATTY LIVER-DISEASE; GLYCEMIC CONTROL; ATHEROSCLEROTIC PLAQUES;
D O I
10.1007/s11892-018-1101-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of reviewInsulin resistance (IR) is recognized to play an important role in the pathogenesis of dyslipidemia. This review summarizes the complex interplay between IR and dyslipidemia in people with and without diabetes.Recent findingsIR impacts the metabolism of triglycerides, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and very low-density lipoprotein cholesterol (VLDL-C) by several mechanisms. Trials with insulin sensitizing therapies, including biguanides and thiazolidinediones, have provided inconsistent results on lipid lowering in people with and without diabetes. In this review, we focus on the pathophysiological interplay between IR and dyslipidemia and recapitulate lipid and lipoprotein data from insulin-sensitizing trials.SummaryFurther research elucidating the reciprocal relationship between IR and dyslipidemia is needed to better target these important risk factors for cardiovascular disease.
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页数:8
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