Gluttony, sloth and the metabolic syndrome: a roadmap to lipotoxicity

被引:296
作者
Unger, Roger H. [1 ,2 ]
Scherer, Philipp E. [1 ]
机构
[1] Univ Texas SW Med Ctr Dallas, Dept Internal Med, Touchstone Ctr Diabet Res, Dallas, TX 75390 USA
[2] Vet Affairs Med Ctr, Dallas, TX 75216 USA
关键词
INSULIN-RESISTANCE; TRIGLYCERIDE CONTENT; DIABETES-MELLITUS; BETA-CELLS; FAT; OBESITY; LIPOAPOPTOSIS; HUMANS; HEART; MODEL;
D O I
10.1016/j.tem.2010.01.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Once considered divine retribution for sins, comorbidities of obesity (metabolic syndrome) are today attributed to obesity-induced metabolic defects. Here, we propose that obesity and hyperleptinemia protect lipid-intolerant nonadipose organs against lipotoxic lipid spillover during sustained caloric surplus. Metabolic syndrome is ascribed to lipotoxicity caused by age-related resistance to antilipotoxic protection by leptin.
引用
收藏
页码:345 / 352
页数:8
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