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Версія від 18:33, 30 квітня 2017, створена Drawer9parade (обговореннявнесок) (Створена сторінка: Appendix A.?Supplementary data The following is the supplementary data related to this article: Click here to view.(298K, pdf)""Current evidence [http://www.sel...)

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Appendix A.?Supplementary data The following is the supplementary data related to this article: Click here to view.(298K, pdf)""Current evidence www.selleckchem.com/products/AZD2281(Olaparib).html indicates that chronic low-grade inflammation in adipose tissue (AT) may be a contributing mechanism in obesity-induced insulin resistance and type 2 diabetes [1�C10]. Many groups have observed increased pro-inflammatory cytokine and chemokine production as well as elevated macrophage and other immune cell content in the AT of obese rodents and humans [11�C13]. The pro-inflammatory state of AT in obesity is considered a key event driving local and systemic metabolic dysfunction [2,4,12,14]. Consistent with this notion, deletion or silencing of pro-inflammatory genes has been demonstrated to enhance insulin action in AT and improve whole-body glucose homeostasis in obese animal models [12,15]. Evidence has also been presented that AT inflammation can be a beneficial aspect of adipose remodeling and responsiveness to obesity [16�C19], suggesting that AT inflammation may have multiple roles. Nonetheless, at later stages of obesity, a predominant deleterious effect of AT inflammation on adipose insulin sensitivity and systemic glucose tolerance seems apparent [20]. Impaired adipocyte responsiveness to insulin in obesity is thought to secondarily affect whole body metabolism by limiting adipose tissue's ability to store lipid and sequester fatty acids away from peripheral tissues. It is also proposed that adipocyte de novo lipogenesis (DNL), which generates fatty acids from glucose, produces endogenous lipid ligands such as hydroxy fatty acid esters [21] and palmitoleate [22] that enhance local and systemic glucose metabolism [21�C23]. These results suggest that the insulin-sensitive AT DNL pathway may play a critical role in maintaining tightly controlled whole body glucose homeostasis and high insulin sensitivity [21,22]. However, the activity of the DNL pathway and the genes associated with DNL are strongly repressed in obese, insulin-resistant AT of both humans and rodents [23�C31]. The chronically elevated AT inflammatory state observed in obesity may be a key factor in this inhibition of AT-DNL. Consistent with this concept, cytokine-mediated suppression of PPAR��, SREBP1c and its lipogenic gene targets, such as GLUT4 and fatty acid synthase (Fasn), has been demonstrated in AT in?vivo, as well as in cultured adipocytes in?vitro [32�C37]. Thus, AT inflammation may contribute to the suppression of glucose tolerance and systemic insulin sensitivity through its downregulation of insulin action and DNL in adipocytes. In spite of the many studies that document the expansion of macrophages and other immune cell types within AT in obesity, the initiating factors in this process are not identified.