Obesity, Insulin Resistance, and Type 2 Diabetes: Associations and Therapeutic Implications

Yohannes Tsegyie Wondmkun Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Yohannes Tsegyie Wondmkun Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health S...

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Main Author: Wondmkun YT
Format: Article
Language:English
Published: Dove Medical Press 2020-10-01
Series:Diabetes, Metabolic Syndrome and Obesity
Subjects:
Online Access:https://www.dovepress.com/obesity-insulin-resistance-and-type-2-diabetes-associations-and-therap-peer-reviewed-article-DMSO
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author Wondmkun YT
author_facet Wondmkun YT
author_sort Wondmkun YT
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description Yohannes Tsegyie Wondmkun Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Yohannes Tsegyie Wondmkun Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health SciencesAddis Ababa University, P.O. Box 1176, Addis Ababa, EthiopiaEmail yonitse2015@gmail.comAbstract: Obesity is a triggering factor for diabetes associated with insulin resistance. In individuals who are obese, higher amounts of non-esterified fatty acids, glycerol, hormones, and pro-inflammatory cytokines that could participate in the development of insulin resistance are released by adipose tissue. Besides, endoplasmic reticulum stress, adipose tissue hypoxia, oxidative stress, lipodystrophy, and genetic background have a role in insulin resistance. However, no effective drug therapy was developed for type 2 diabetes mellitus targeting these physiological factors. This is might be due to a lack of agreement on the comprehensive mechanism of insulin resistance. Therefore, this review assesses the cellular components of each physiologic and pathophysiologic factors that are involved in obesity associated insulin resistance, and may encourage further drug development in this field.Keywords: obesity, insulin, insulin resistance, type 2 diabetes mellitus
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spelling doaj.art-b4a6202929514210bc2a00f9afdc63dc2023-02-02T08:31:22ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072020-10-01Volume 133611361657940Obesity, Insulin Resistance, and Type 2 Diabetes: Associations and Therapeutic ImplicationsWondmkun YTYohannes Tsegyie Wondmkun Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Yohannes Tsegyie Wondmkun Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health SciencesAddis Ababa University, P.O. Box 1176, Addis Ababa, EthiopiaEmail yonitse2015@gmail.comAbstract: Obesity is a triggering factor for diabetes associated with insulin resistance. In individuals who are obese, higher amounts of non-esterified fatty acids, glycerol, hormones, and pro-inflammatory cytokines that could participate in the development of insulin resistance are released by adipose tissue. Besides, endoplasmic reticulum stress, adipose tissue hypoxia, oxidative stress, lipodystrophy, and genetic background have a role in insulin resistance. However, no effective drug therapy was developed for type 2 diabetes mellitus targeting these physiological factors. This is might be due to a lack of agreement on the comprehensive mechanism of insulin resistance. Therefore, this review assesses the cellular components of each physiologic and pathophysiologic factors that are involved in obesity associated insulin resistance, and may encourage further drug development in this field.Keywords: obesity, insulin, insulin resistance, type 2 diabetes mellitushttps://www.dovepress.com/obesity-insulin-resistance-and-type-2-diabetes-associations-and-therap-peer-reviewed-article-DMSOobesityinsulininsulin resistancetype 2 diabetes mellitus
spellingShingle Wondmkun YT
Obesity, Insulin Resistance, and Type 2 Diabetes: Associations and Therapeutic Implications
Diabetes, Metabolic Syndrome and Obesity
obesity
insulin
insulin resistance
type 2 diabetes mellitus
title Obesity, Insulin Resistance, and Type 2 Diabetes: Associations and Therapeutic Implications
title_full Obesity, Insulin Resistance, and Type 2 Diabetes: Associations and Therapeutic Implications
title_fullStr Obesity, Insulin Resistance, and Type 2 Diabetes: Associations and Therapeutic Implications
title_full_unstemmed Obesity, Insulin Resistance, and Type 2 Diabetes: Associations and Therapeutic Implications
title_short Obesity, Insulin Resistance, and Type 2 Diabetes: Associations and Therapeutic Implications
title_sort obesity insulin resistance and type 2 diabetes associations and therapeutic implications
topic obesity
insulin
insulin resistance
type 2 diabetes mellitus
url https://www.dovepress.com/obesity-insulin-resistance-and-type-2-diabetes-associations-and-therap-peer-reviewed-article-DMSO
work_keys_str_mv AT wondmkunyt obesityinsulinresistanceandtype2diabetesassociationsandtherapeuticimplications