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Annals of the New York Academy of Sciences
Article . 2017 . Peer-reviewed
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Insulin regulation of gluconeogenesis

Authors: Maximilian, Hatting; Clint D J, Tavares; Kfir, Sharabi; Amy K, Rines; Pere, Puigserver;

Insulin regulation of gluconeogenesis

Abstract

AbstractThe coordinated regulation between cellular glucose uptake and endogenous glucose production is indispensable for the maintenance of constant blood glucose concentrations. The liver contributes significantly to this process by altering the levels of hepatic glucose release, through controlling the processes of de novo glucose production (gluconeogenesis) and glycogen breakdown (glycogenolysis). Various nutritional and hormonal stimuli signal to alter hepatic gluconeogenic flux, and suppression of this metabolic pathway during the postprandial state can, to a significant extent, be attributed to insulin. Here, we review some of the molecular mechanisms through which insulin modulates hepatic gluconeogenesis, thus controlling glucose production by the liver to ultimately maintain normoglycemia. Various signaling pathways governed by insulin converge at the level of transcriptional regulation of the key hepatic gluconeogenic genes PCK1 and G6PC, highlighting this as one of the focal mechanisms through which gluconeogenesis is modulated. In individuals with compromised insulin signaling, such as insulin resistance in type 2 diabetes, insulin fails to suppress hepatic gluconeogenesis, even in the fed state; hence, an insight into these insulin‐moderated pathways is critical for therapeutic purposes.

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Keywords

Blood Glucose, Transcription, Genetic, Gluconeogenesis, Glycogenolysis, Diabetes Mellitus, Type 2, Gene Expression Regulation, Liver, Models, Animal, Animals, Homeostasis, Humans, Hypoglycemic Agents, Insulin, Obesity, Insulin Resistance, Protein Kinases, Signal Transduction

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    479
    popularity
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    influence
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
479
Top 0.1%
Top 1%
Top 1%
bronze