Insulin clearance in obesity

Geltrude Mingrone, Antonino Scarfone, Me Valera Mora, M Calvani, Av Greco

Risultato della ricerca: Contributo in rivistaArticolo in rivista

100 Citazioni (Scopus)

Abstract

Insulin uptake and degradation is a complex and not yet completely understood process involving not only insulin sensitive tissues. The most important degradative system is insulin degrading enzyme which is a highly conserved metalloendopeptidase requiring Zn(++) for its proteolytic action, although protein disulfide isomerase and cathepsin D are also involved in insulin metabolism. The liver and the kidney are the principal sites for insulin clearance. In obese subjects with hyperinsulinemia and high levels of free fatty acids, insulin hepatic clearance is impaired, while the glomerular filtration rate, renal plasma flow and albumin excretion are increased, suggesting a state of renal vasodilatation leading to an abnormally transmitted arterial pressure to the glomerular capillaries through a dilated afferent arteriole. Insulin can be cleared also by muscle, adipocytes, gastrointestinal cells, fibroblasts, monocytes and lymphocytes which contain insulin receptors and internalization and regulation mechanism for insulin metabolism.
Lingua originaleEnglish
pagine (da-a)487-493
Numero di pagine7
RivistaJournal of the American College of Nutrition
Volume22
Stato di pubblicazionePubblicato - 2003

Keywords

  • Adipose Tissue
  • Animals
  • Blood Pressure
  • Cathepsin D
  • Diabetes Mellitus
  • Diabetes Mellitus, Type 2
  • Humans
  • Incidence
  • Insulin
  • Insulin Resistance
  • Insulysin
  • Kidney
  • Liver
  • Obesity
  • Protein Disulfide-Isomerases
  • Renal Plasma Flow
  • Vasodilation

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