PMID- 16898568 OWN - NLM STAT- MEDLINE DCOM- 20060825 LR - 20191110 IS - 1534-4827 (Print) IS - 1534-4827 (Linking) VI - 6 IP - 3 DP - 2006 Jun TI - Fatty acid-induced inflammation and insulin resistance in skeletal muscle and liver. PG - 177-81 AB - Plasma free fatty acid (FFA) levels are elevated in obesity. FFA, by causing insulin resistance in muscle, liver, and endothelial cells, contributes to the development of type 2 diabetes mellitus (T2DM), hypertension, dyslipidemia, and nonalcoholic fatty liver disease (NAFLD). The mechanism through which FFA induces insulin resistance involves intramyocellular and intrahepatocellular accumulation of triglycerides and diacylglycerol, activation of several serine/threonine kinases, reduction in tyrosine phosphorylation of the insulin receptor substrate (IRS)-1/2, and impairment of the IRS/phosphatidylinositol 3-kinase pathway of insulin signaling. FFA also produces low-grade inflammation in skeletal muscle and liver through activation of nuclear factor-kappaB, resulting in release of several proinflammatory and proatherogenic cytokines. Thus, elevated FFA levels (due to obesity or to high-fat feeding) cause insulin resistance in skeletal muscle and liver, which contributes to the development of T2DM, and produce low-grade inflammation, which contributes to the development of atherosclerotic vascular diseases and NAFLD. FAU - Boden, Guenther AU - Boden G AD - Division of Endocrinology/Diabetes/Metabolism, Temple University School of Medicine, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140, USA. bodengh@tuhs.temple.edu LA - eng GR - R01-DK58895/DK/NIDDK NIH HHS/United States GR - R01-HL-733267/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Curr Diab Rep JT - Current diabetes reports JID - 101093791 RN - 0 (Fatty Acids, Nonesterified) SB - IM MH - Diabetes Mellitus, Type 2/physiopathology MH - Fatty Acids, Nonesterified/blood/*physiology MH - Humans MH - Inflammation/*etiology MH - Insulin Resistance/*physiology MH - Liver/*physiology MH - Muscle, Skeletal/*physiology MH - Obesity/complications RF - 40 EDAT- 2006/08/11 09:00 MHDA- 2006/08/26 09:00 CRDT- 2006/08/11 09:00 PHST- 2006/08/11 09:00 [pubmed] PHST- 2006/08/26 09:00 [medline] PHST- 2006/08/11 09:00 [entrez] AID - 10.1007/s11892-006-0031-x [doi] PST - ppublish SO - Curr Diab Rep. 2006 Jun;6(3):177-81. doi: 10.1007/s11892-006-0031-x.