PMID- 32125563 OWN - NLM STAT- MEDLINE DCOM- 20210927 LR - 20210927 IS - 1573-2606 (Electronic) IS - 1389-9155 (Linking) VI - 21 IP - 4 DP - 2020 Dec TI - Current perspectives of oleic acid: Regulation of molecular pathways in mitochondrial and endothelial functioning against insulin resistance and diabetes. PG - 631-643 LID - 10.1007/s11154-020-09549-6 [doi] AB - Insulin resistance (IR) and type 2 diabetes mellitus (T2DM) is a leading cause of deaths due to metabolic disorders in recent years. Molecular mechanisms involved in the initiation and development of IR and T2DM are multiples. The major factors include mitochondrial dysfunction which may cause incomplete fatty acid oxidation (FAO). Oleic acid upregulates the expression of genes causing FAO by deacetylation of PGC1alpha by PKA-dependent activation of SIRT1-PGC1alpha complex. Another potent factor for the development of IR and T2DM is endothelial dysfunction as damaged endothelium causes increased release of inflammatory mediators such as TNF-alpha, IL-6, IL-1beta, sVCAM, sICAM, E-selectin and other proinflammatory cytokines. While, on the other hand, oleic acid has the ability to regulate E-selectin, and sICAM expression. Rest of the risk factors may include inflammation, beta-cell dysfunction, oxidative stress, hormonal imbalance, apoptosis, and enzyme dysregulation. Here, we have highlighted how oleic acid regulates underlying causatives factors and hence, keeps surpassing effect in prevention and treatment of IR and T2DM. However, the percentage contribution of these factors in combating IR and ultimately averting T2DM is still debatable. Thus, because of its exceptional protective effect, it can be considered as an improved therapeutic agent in prophylaxis and/or treatment of IR and T2DM. FAU - Rehman, Kanwal AU - Rehman K AUID- ORCID: 0000-0001-7873-6681 AD - Department of Pharmacy, University of Agriculture, Faisalabad, Pakistan. kanwal.akash@uaf.edu.pk. FAU - Haider, Kamran AU - Haider K AD - Department of Pharmacy, University of Agriculture, Faisalabad, Pakistan. FAU - Jabeen, Komal AU - Jabeen K AD - Department of Pharmacy, University of Agriculture, Faisalabad, Pakistan. AD - Institute of Physiology and Pharmacology, University of Agriculture, Faisalabad, Pakistan. FAU - Akash, Muhammad Sajid Hamid AU - Akash MSH AD - Department of Pharmaceutical Chemistry, Government College University, Faisalabad, Pakistan. sajidakash@gcuf.edu.pk. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Germany TA - Rev Endocr Metab Disord JT - Reviews in endocrine & metabolic disorders JID - 100940588 RN - 2UMI9U37CP (Oleic Acid) SB - IM MH - *Diabetes Mellitus, Type 2/drug therapy/immunology/metabolism/physiopathology MH - *Endothelium, Vascular/drug effects/immunology/metabolism/physiopathology MH - Humans MH - *Insulin Resistance MH - *Mitochondria/drug effects/metabolism MH - Oleic Acid/*pharmacology/*physiology OTO - NOTNLM OT - Inflammatory responses OT - Insulin resistance OT - Mitochondrial dysfunction OT - Oleic acid EDAT- 2020/03/04 06:00 MHDA- 2021/09/28 06:00 CRDT- 2020/03/04 06:00 PHST- 2020/03/04 06:00 [pubmed] PHST- 2021/09/28 06:00 [medline] PHST- 2020/03/04 06:00 [entrez] AID - 10.1007/s11154-020-09549-6 [pii] AID - 10.1007/s11154-020-09549-6 [doi] PST - ppublish SO - Rev Endocr Metab Disord. 2020 Dec;21(4):631-643. doi: 10.1007/s11154-020-09549-6.