PMID- 31466350 OWN - NLM STAT- MEDLINE DCOM- 20200210 LR - 20211006 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 11 IP - 9 DP - 2019 Aug 28 TI - Changes in Plasma Free Fatty Acids Associated with Type-2 Diabetes. LID - 10.3390/nu11092022 [doi] LID - 2022 AB - Type 2 diabetes mellitus (T2DM) is associated with increased total plasma free fatty acid (FFA) concentrations and an elevated risk of cardiovascular disease. The exact mechanisms by which the plasma FFA profile of subjects with T2DM changes is unclear, but it is thought that dietary fats and changes to lipid metabolism are likely to contribute. Therefore, establishing the changes in concentrations of specific FFAs in an individual's plasma is important. Each type of FFA has different effects on physiological processes, including the regulation of lipolysis and lipogenesis in adipose tissue, inflammation, endocrine signalling and the composition and properties of cellular membranes. Alterations in such processes due to altered plasma FFA concentrations/profiles can potentially result in the development of insulin resistance and coagulatory defects. Finally, fibrates and statins, lipid-regulating drugs prescribed to subjects with T2DM, are also thought to exert part of their beneficial effects by impacting on plasma FFA concentrations. Thus, it is also interesting to consider their effects on the concentration of FFAs in plasma. Collectively, we review how FFAs are altered in T2DM and explore the likely downstream physiological and pathological implications of such changes. FAU - I S Sobczak, Amelie AU - I S Sobczak A AD - School of Medicine, University of St Andrews, St Andrews KY16 9TF, UK. FAU - A Blindauer, Claudia AU - A Blindauer C AD - Department of Chemistry, University of Warwick, Coventry CV4 7EQ, UK. c.blindauer@warwick.ac.uk. FAU - J Stewart, Alan AU - J Stewart A AUID- ORCID: 0000-0003-4580-1840 AD - School of Medicine, University of St Andrews, St Andrews KY16 9TF, UK. ajs21@st-andrews.ac.uk. LA - eng GR - FS/15/42/31556/BHF_/British Heart Foundation/United Kingdom GR - PG/15/9/31270/BHF_/British Heart Foundation/United Kingdom GR - FS/15/42/3155/BHF_/British Heart Foundation/United Kingdom GR - RPG-2017-214/Leverhulme Trust/ PT - Journal Article PT - Review DEP - 20190828 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Biomarkers) RN - 0 (Fatty Acids, Nonesterified) RN - 0 (Fibric Acids) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) SB - IM MH - Animals MH - Biomarkers/blood MH - Diabetes Mellitus, Type 2/*blood/drug therapy/epidemiology/physiopathology MH - Dyslipidemias/*blood/drug therapy/epidemiology/physiopathology MH - Fatty Acids, Nonesterified/*blood MH - Fibric Acids/therapeutic use MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use MH - *Lipid Metabolism/drug effects MH - Treatment Outcome PMC - PMC6770316 OTO - NOTNLM OT - cardiovascular disease OT - fibrates OT - free fatty acids OT - lipidomics OT - metabolism OT - statins OT - type-2 diabetes mellitus COIS- The authors declare no conflict of interest. EDAT- 2019/08/31 06:00 MHDA- 2020/02/11 06:00 PMCR- 2019/09/01 CRDT- 2019/08/31 06:00 PHST- 2019/08/02 00:00 [received] PHST- 2019/08/22 00:00 [revised] PHST- 2019/08/24 00:00 [accepted] PHST- 2019/08/31 06:00 [entrez] PHST- 2019/08/31 06:00 [pubmed] PHST- 2020/02/11 06:00 [medline] PHST- 2019/09/01 00:00 [pmc-release] AID - nu11092022 [pii] AID - nutrients-11-02022 [pii] AID - 10.3390/nu11092022 [doi] PST - epublish SO - Nutrients. 2019 Aug 28;11(9):2022. doi: 10.3390/nu11092022.