Insulin resistance and type 2 diabetes are associated with hepatitis C virus infection. A wealth of clinical and experimental data suggests that the virus is directly interfering with the insulin signalling in hepatocytes. In the case of at least one viral genotype (the type 3a), insulin resistance seems to be directly mediated by the downregulation of the peroxisome proliferator-activated receptor gamma. Whether and how this interaction may be manipulated pharmacologically, in order to improve the responsiveness to antivirals of insulin resistant chronic hepatitis C, patients remain to be fully explored. Copyright (C) 2009 Francesco Negro.
机构:
Natl Jewish Med & Res Ctr, Dept Pediat, Cell Biol Program, Denver, CO 80231 USANatl Jewish Med & Res Ctr, Dept Pediat, Cell Biol Program, Denver, CO 80231 USA
机构:
Natl Jewish Med & Res Ctr, Dept Pediat, Cell Biol Program, Denver, CO 80231 USANatl Jewish Med & Res Ctr, Dept Pediat, Cell Biol Program, Denver, CO 80231 USA