PMID- 36699697 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231106 IS - 2296-889X (Print) IS - 2296-889X (Electronic) IS - 2296-889X (Linking) VI - 9 DP - 2022 TI - Extracellular vesicles regulate the transmission of insulin resistance and redefine noncommunicable diseases. PG - 1024786 LID - 10.3389/fmolb.2022.1024786 [doi] LID - 1024786 AB - Noncommunicable diseases (NCDs), such as diabetes and related neurological disorders, are considered to not be directly transmissible from one person to another. However, NCDs may be transmissible in vivo through extracellular vesicles (EVs). A long-term high-fat diet (HFD) can induce a series of health issues like hyperlipidemia, type 2 diabetes mellitus (T2DM), and diabetic peripheral neuropathy (DPN) due to insulin resistance. Multiple molecular signaling changes can stimulate insulin resistance, especially blocking insulin signaling by increased insulin resistance inducer (phosphorylation of negative regulatory sites of insulin receptor substrate (IRS) proteins) and decreased tyrosine phosphorylation of insulin receptor substrate (phosphorylation of positive regulatory sites of IRS), thus leading to reduced phosphorylation of AKT enzymes. Current efforts to treat T2DM and prevent its complications mainly focus on improving insulin sensitivity, enhancing insulin secretion, or supplementing exogenous insulin based on a common assumption that insulin resistance is noncommunicable. However, insulin resistance is transmissible within multiple tissues or organs throughout the body. Exploring the regulatory roles of EVs in developing insulin resistance may provide novel and effective preventive and therapeutic strategies. CI - Copyright (c) 2023 Li, Li, Liu and Zha. FAU - Li, Biao AU - Li B AD - Department of Nutrition and Food Hygiene, Guangdong Provincial Key Laboratory of Tropical Disease Research, National Medical Products Administration Key Laboratory of Cosmetic Safety Evaluation, School of Public Health, Southern Medical University, Guangzhou, Guangdong, China. FAU - Li, Wan AU - Li W AD - School of Physical Education, Hubei Minzu University, Enshi, China. FAU - Liu, Tiancai AU - Liu T AD - Key Laboratory of Antibody Engineering of Guangdong Higher Education Institutes, School of Laboratory Medicine and Biotechnology, Southern Medical University, Guangzhou, Guangdong, China. FAU - Zha, Longying AU - Zha L AD - Department of Nutrition and Food Hygiene, Guangdong Provincial Key Laboratory of Tropical Disease Research, National Medical Products Administration Key Laboratory of Cosmetic Safety Evaluation, School of Public Health, Southern Medical University, Guangzhou, Guangdong, China. LA - eng PT - Journal Article PT - Review DEP - 20230109 PL - Switzerland TA - Front Mol Biosci JT - Frontiers in molecular biosciences JID - 101653173 PMC - PMC9868246 OTO - NOTNLM OT - T2DM OT - diabetes OT - extracellular vesicle OT - insulin receptor substrate OT - insulin resistance COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/01/27 06:00 MHDA- 2023/01/27 06:01 PMCR- 2022/01/01 CRDT- 2023/01/26 02:48 PHST- 2022/08/22 00:00 [received] PHST- 2022/12/19 00:00 [accepted] PHST- 2023/01/26 02:48 [entrez] PHST- 2023/01/27 06:00 [pubmed] PHST- 2023/01/27 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 1024786 [pii] AID - 10.3389/fmolb.2022.1024786 [doi] PST - epublish SO - Front Mol Biosci. 2023 Jan 9;9:1024786. doi: 10.3389/fmolb.2022.1024786. eCollection 2022.