Tumor necrosis factor alpha: a key component of the obesity-diabetes link.

Abstract:

:Recent data have suggested a key role for tumor necrosis factor (TNF)-alpha in the insulin resistance of obesity and non-insulin-dependent diabetes mellitus (NIDDM). TNF-alpha expression is elevated in the adipose tissue of multiple experimental models of obesity. Neutralization of TNF-alpha in one of these models improves insulin sensitivity by increasing the activity of the insulin receptor tyrosine kinase, specifically in muscle and fat tissues. On a cellular level, TNF-alpha is a potent inhibitor of the insulin-stimulated tyrosine phosphorylations on the beta-chain of the insulin receptor and insulin receptor substrate-1, suggesting a defect at or near the tyrosine kinase activity of the insulin receptor. Given the clear link between obesity, insulin resistance, and diabetes, these results strongly suggest that TNF-alpha may play a crucial role in the systemic insulin resistance of NIDDM. This may allow for new treatments of disorders involving resistance to insulin.

journal_name

Diabetes

journal_title

Diabetes

authors

Hotamisligil GS,Spiegelman BM

doi

10.2337/diab.43.11.1271

subject

Has Abstract

pub_date

1994-11-01 00:00:00

pages

1271-8

issue

11

eissn

0012-1797

issn

1939-327X

journal_volume

43

pub_type

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