Lipid metabolism

脂质代谢
  • 文章类型: Journal Article
    多发性硬化症(MS)是一种脱髓鞘和神经退行性疾病,由于自身免疫性慢性炎症反应,然而,目前尚未完全了解病因。众所周知,身体活动在提高生活质量方面起着至关重要的作用,尤其是在神经病理学条件下。该研究旨在探讨高强度间歇训练(HIIT)在骨骼和脂质代谢标志物中的可能益处,MS患者的神经运动能力。招募了130名参与者;16名MS受试者符合纳入标准,并纳入数据分析。患者被随机分为两组:对照组(CG)(34.88±4.45年),不进行任何身体活动,运动组(EG)(36.20±7.80年),执行HIIT方案。训练计划是由运动学家远程进行的。每周进行3次,共8周。在研究开始(T0)和结束(T1)身体功能测试时,骨骼重塑标记,和脂质标志物分析。训练8周后,壁深蹲(T0=27.18±4.21;T1=41.68±5.38,p≤0.01)和TimeUpandGotest(s)(T0=7.65±0.43;T1=6.34±0.38p≤0.01)性能得到改善;脂质标志物分析显示,总胆固醇(mg/dl)(T0=187.22±15.73;T1=173.44±108,p Multiple sclerosis (MS) is a demyelinating and neurodegenerative disease due to an autoimmune chronic inflammatory response, yet the etiology is currently not completely understood. It is already known that physical activity plays an essential role in improving quality of life, especially in neuropathological conditions. The study was aimed to investigate the possible benefits of high-intensity interval training (HIIT) in bone and lipid metabolism markers, and neuromotor abilities in MS patients. 130 participants were recruited; 16 subjects with MS met the inclusion criteria and were included in the data analysis. The patients were randomly assigned to two groups: a Control group (CG) (34.88 ± 4.45 yrs) that didn\'t perform any physical activity and the Exercise group (EG) (36.20 ± 7.80 yrs) that performed HIIT protocol. The training program was conducted remotely by a kinesiologist. It was performed three times a week for 8 weeks. At the beginning (T0) and the end of the study (T1) physical function tests, bone remodelling markers, and lipid markers analyses were performed. After 8 weeks of training the wall squat (s) (T0 = 27.18  ±  4.21; T1 = 41.68 ± 5.38, p ≤ 0.01) and Time Up and Go test (s) (T0 = 7.65 ± 0.43; T1 = 6.34 ± 0.38 p ≤ 0.01) performances improved; lipid markers analysis showed a decrease in Total (mg/dl) (T0 = 187.22 ± 15.73; T1 = 173.44 ± 13.03, p ≤ 0.05) and LDL (mg/dl) (T0 = 108 ± 21.08; T1 = 95.02 ± 17.99, p < 0.05) cholesterol levels. Additionally, the levels of osteocalcin (µg/L), a marker of bone formation increased (T0 = 20.88 ± 4.22; T1 = 23.66 ± 6.24, p < 0.05), 25-OH Vitamin D (µg/L) improved after 8 weeks (T0 = 21.11 ± 7.11; T1 = 27.66 ± 7.59, p < 0.05). HIIT had an effect on lower limb strength and gait control, improved bone formation, and lipid management, in MS patients.
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  • 文章类型: Journal Article
    尽管在过去的几十年中,它被广泛用作各种行业的稳定剂,长期暴露于PFOA对健康的影响尚不清楚.我们通过口服管饲法给予PFOA(0、12.5、50和200μg/天/小鼠,八组)给雄性和雌性小鼠六个月。体重增加随着剂量的减少而伴随着肝脏重量的增加,PFOA改变肝损伤相关血液生化指标并诱发病理损伤,包括肝细胞肥大,胆管纤维化,和小叶中央肝细胞空泡化。高尔基体的丧失,层状体状结构的形成,在PFOA处理的小鼠的肝脏中观察到脂质积累。在给药的最后十天,我们还同居了五对雄性和雌性小鼠,在出生后28天内给PFOA注射大坝,并研究了对生殖和发育的影响。在最高剂量下,幼崽的存活率和存活小鼠的性别比显着下降。PFOA组织浓度随剂量在亲代小鼠的肝脏和幼鼠的血液和大脑中增加。一起来看,我们认为PFOA主要影响肝脏和生殖系统,脂质代谢和高尔基体结构稳定性的紊乱可能与PFOA诱导的毒性有关。
    Despite its widespread use as a stabilizer across various industries over the past several decades, the health effects of chronic exposure to PFOA are still unclear. We administered PFOA by oral gavage (0, 12.5, 50, and 200 μg/day/mouse, eight groups) to male and female mice for six months. Body weight gain decreased with dose accompanied by increased liver weight, and PFOA altered liver damage-related-blood biochemical indicators and induced pathological lesions, including hepatocellular hypertrophy, cholangiofibrosis, and centrilobular hepatocellular vacuolation. Loss of the Golgi apparatus, formation of lamellar body-like structures, and lipid accumulation were observed in the liver of PFOA-treated mice. We also cohabited five pairs of male and female mice for the last ten days of administration, dosed PFOA to dam up to 28 days after birth, and investigated effects on reproduction and development. The survival rate of pups and the sex ratio of surviving mice decreased significantly at the highest dose. PFOA tissue concentration increased with the dose in the parent mice\'s liver and the pups\' blood and brain. Taken together, we suggest that PFOA primarily affects the liver and reproduction system and that disturbance in lipid metabolism and Golgi\'s structural stability may be involved in PFOA-induced toxicity.
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  • 文章类型: Journal Article
    肠道疾病是儿童囊性纤维化(CF)的最早表现之一,与生长和营养缺陷密切相关。两者都与未来的死亡率直接相关。患者积极接受胰酶替代疗法和高脂肪饮食以避免脂肪吸收不良,但这并不能逆转生长和营养缺陷。我们假设乳糜微粒产生的缺陷可以解释为什么CF体重和营养对临床治疗如此耐药。我们使用金标准肠道脂质吸收和代谢方法,包括小鼠肠系膜淋巴插管,体内乳糜微粒分泌动力学,透射电子显微镜,小肠类器官,和乳糜微粒代谢试验来检验这一假设。在囊性纤维化跨膜传导调节因子(CFTR-/-小鼠)中表达G542X突变的小鼠中,我们发现,有缺陷的FFA通过上皮进入肠上皮细胞驱动乳糜微粒形成缺陷。此外,G542X小鼠分泌小,缺乏甘油三酯的乳糜微粒进入淋巴和血液。这些有缺陷的乳糜微粒在肠外组织中的清除速度比WT乳糜微粒快10倍。这种导致功能失调的乳糜微粒的FFA吸收缺陷不能用脂肪泻或胰腺功能不全来解释,并且在用胶束脂质治疗的原发性小肠类器官中得以维持。这些研究表明,建议大多数CF患者遵循的超高脂饮食可能会使CF小肠的吸收能力过重,从而使脂肪泻和吸收不良恶化。
    Intestinal disease is one of the earliest manifestations of cystic fibrosis (CF) in children and is closely tied to deficits in growth and nutrition, both of which are directly linked to future mortality. Patients are treated aggressively with pancreatic enzyme replacement therapy and a high-fat diet to circumvent fat malabsorption, but this does not reverse growth and nutritional defects. We hypothesized that defects in chylomicron production could explain why CF body weights and nutrition are so resistant to clinical treatments. We used gold standard intestinal lipid absorption and metabolism approaches, including mouse mesenteric lymph cannulation, in vivo chylomicron secretion kinetics, transmission electron microscopy, small intestinal organoids, and chylomicron metabolism assays to test this hypothesis. In mice expressing the G542X mutation in cystic fibrosis transmembrane conductance regulator (CFTR-/- mice), we find that defective FFA trafficking across the epithelium into enterocytes drives a chylomicron formation defect. Furthermore, G542X mice secrete small, triglyceride-poor chylomicrons into the lymph and blood. These defective chylomicrons are cleared into extraintestinal tissues at ∼10-fold faster than WT chylomicrons. This defect in FFA absorption resulting in dysfunctional chylomicrons cannot be explained by steatorrhea or pancreatic insufficiency and is maintained in primary small intestinal organoids treated with micellar lipids. These studies suggest that the ultrahigh-fat diet that most people with CF are counselled to follow may instead make steatorrhea and malabsorption defects worse by overloading the absorptive capacity of the CF small intestine.
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  • 文章类型: Journal Article
    2型糖尿病(T2D)是一种以高血糖和血脂异常为特征的慢性代谢紊乱。白蚁真菌梳子是白蚁巢的组成部分,这是一种全球性的害虫。白蚁真菌梳多糖(TFCP)已被确定具有抗氧化剂,抗衰老,和免疫增强特性。然而,它们的物理化学特征和它们在对抗糖尿病中的作用以前没有报道。在目前的研究中,分离TFCP并进行结构表征。TFCP的产率确定为2.76%,发现它由不同分子量的多糖组成。TFCP的降血糖和降血脂作用,以及它们潜在的作用机制,在T2D小鼠模型中进行了研究。结果表明,口服TFCP可以缓解空腹血糖水平,胰岛素抵抗,高脂血症,和T2D小鼠胰岛功能障碍。在机制方面,TFCP在抑制糖异生的同时增强肝脏糖原生成和糖酵解。此外,TFCP抑制肝脏从头脂肪生成并促进脂肪酸氧化。此外,TFCP改变了T2D小鼠肠道微生物群的组成,增加有益细菌的丰度,例如Allobaculum和Faecalibaculum,同时降低Mailhella和醋酸纤维素等病原体的水平。总的来说,这些发现提示TFCP可能通过调节肝脏糖脂代谢和肠道菌群的组成而发挥抗糖尿病作用.这些发现表明TFCP可以用作预防和治疗T2D的有希望的功能成分。
    Type 2 diabetes (T2D) is a chronic metabolic disorder characterized by hyperglycemia and dyslipidemia. The termite fungus comb is an integral component of nests of termites, which are a global pest. Termite fungus comb polysaccharides (TFCPs) have been identified to possess antioxidant, anti-aging, and immune-enhancing properties. However, their physicochemical characteristics and their role in fighting diabetes have not been previously reported. In the current study, TFCPs were isolated and structurally characterized. The yield of TFCPs was determined to be 2.76%, and it was found to be composed of a diverse array of polysaccharides with varying molecular weights. The hypoglycemic and hypolipidemic effects of TFCPs, as well as their potential mechanisms of action, were investigated in a T2D mouse model. The results demonstrated that oral administration of TFCPs could alleviate fasting blood glucose levels, insulin resistance, hyperlipidemia, and the dysfunction of pancreatic islets in T2D mice. In terms of mechanisms, the TFCPs enhanced hepatic glycogenesis and glycolysis while inhibiting gluconeogenesis. Additionally, the TFCPs suppressed hepatic de novo lipogenesis and promoted fatty acid oxidation. Furthermore, the TFCPs altered the composition of the gut microbiota in the T2D mice, increasing the abundance of beneficial bacteria such as Allobaculum and Faecalibaculum, while reducing the levels of pathogens like Mailhella and Acetatifactor. Overall, these findings suggest that TFCPs may exert anti-diabetic effects by regulating hepatic glucose and lipid metabolism and the composition of the gut microbiota. These findings suggest that TFCPs can be used as a promising functional ingredient for the prevention and treatment of T2D.
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  • 文章类型: Journal Article
    跟腱病(TP)是肌肉骨骼系统的第三大常见疾病,发生在三个阶段。目前没有证据表明这种医疗状况可以有效治疗。在这项研究中,微创技术在经皮电解(EPI)和EPI与饮食中包含的四种营养因素的组合的调节作用,羟基酪醇(HT),山楂酸(MA),甘氨酸,和天冬氨酸(AA),在TP不同阶段的诱发肌腱病的Wistar大鼠中检查了肝脏中介代谢。获得的结果表明,诱发的肌腱病会改变大鼠的肝脏中间代谢。关于碳水化合物代谢,单独使用EPI治疗后,观察到TP后期促炎酶活性降低.在使用营养因子与EPI的联合治疗中,HT+EPI和AA+EPI对减轻TP晚期炎症的作用最大。在脂质代谢方面,HT+EPI和AA+EPI组脂肪生成减少。在蛋白质代谢中,HT+EPI组更有效地降低了TP诱导的炎症作用。EPI联合营养因子治疗可能有助于调节TP疾病的中介代谢,减少炎症过程。
    Achilles tendinopathy (TP) is characterized as the third most common disease of the musculoskeletal system, and occurs in three phases. There is currently no evidence of effective treatment for this medical condition. In this study, the modulatory effects of the minimally invasive technique intratissue percutaneous electrolysis (EPI) and combinations of EPI with four nutritional factors included in the diet, hydroxytyrosol (HT), maslinic acid (MA), glycine, and aspartate (AA), on hepatic intermediary metabolism was examined in Wistar rats with induced tendinopathy at various stages of TP. Results obtained showed that induced tendinopathy produced alterations in the liver intermediary metabolisms of the rats. Regarding carbohydrate metabolism, a reduction in the activity of pro-inflammatory enzymes in the later stages of TP was observed following treatment with EPI alone. Among the combined treatments using nutritional factors with EPI, HT+EPI and AA+EPI had the greatest effect on reducing inflammation in the late stages of TP. In terms of lipid metabolism, the HT+EPI and AA+EPI groups showed a decrease in lipogenesis. In protein metabolism, the HT+EPI group more effectively reduced the inflammatory effects of induced TP. Treatment with EPI combined with nutritional factors might help regulate intermediary metabolism in TP disease and reduce the inflammation process.
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  • 文章类型: Journal Article
    非酒精性脂肪性肝病(NAFLD)的发病率,或代谢功能障碍相关的脂肪肝疾病(MAFLD),在成人和儿童中正在增加。不幸的是,有效的药物治疗仍然不可用。含patatin类磷脂酶结构域的蛋白质(PNPLA3I148M)中的单核苷酸多态性(SNP)在疾病进展的所有阶段与疾病具有最重要的遗传关联。确定PNPLA3诱导的NAFLD的潜在治疗方法的障碍是缺乏概括PNPLA3I148M介导的脂质积累开始的人细胞平台。从PNPLA3-/-和PNPLA3I148M/M诱导的多能干细胞(iPSC)产生肝细胞样细胞。通过用BODIPY493/503染色测量脂质水平,发现在PNPLA3变体iPSC衍生的肝细胞中增加。小分子筛选鉴定了靶向Src/PI3K/Akt信号传导并且可以根除这些细胞中的脂质积累的多种化合物。我们发现,目前在临床试验中针对相同途径的癌症治疗药物也减少了PNPLA3变异细胞中的脂质积累。
    The incidence of nonalcoholic fatty liver disease (NAFLD), or metabolic dysfunction-associated fatty liver disease (MAFLD), is increasing in adults and children. Unfortunately, effective pharmacological treatments remain unavailable. Single nucleotide polymorphisms (SNPs) in the patatin-like phospholipase domain-containing protein (PNPLA3 I148M) have the most significant genetic association with the disease at all stages of its progression. A roadblock to identifying potential treatments for PNPLA3-induced NAFLD is the lack of a human cell platform that recapitulates the PNPLA3 I148M-mediated onset of lipid accumulation. Hepatocyte-like cells were generated from PNPLA3-/- and PNPLA3I148M/M-induced pluripotent stem cells (iPSCs). Lipid levels were measured by staining with BODIPY 493/503 and were found to increase in PNPLA3 variant iPSC-derived hepatocytes. A small-molecule screen identified multiple compounds that target Src/PI3K/Akt signaling and could eradicate lipid accumulation in these cells. We found that drugs currently in clinical trials for cancer treatment that target the same pathways also reduced lipid accumulation in PNPLA3 variant cells.
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  • 文章类型: Journal Article
    植物脂质是必需的细胞成分,具有许多结构,storage,信令,和防御功能。在植物-病原体相互作用期间,脂质在先前存在的被动防御机制和病原体诱导的局部和全身水平的免疫反应中起作用。它们与植物免疫网络的各种成分相互作用,并且可以积极和消极地调节植物防御。在生物胁迫下,脂质信号主要与不饱和脂肪酸衍生的含氧天然产物有关,被称为氧化脂素;其中,茉莉酸作为植物防御坏死病原体的特定介质引起了极大的兴趣。尽管许多研究已经记录了氧化脂素和其他脂质来源的物种在植物免疫中的贡献,它们在植物-病原体相互作用中的特定作用以及它们在信号网络中的参与需要进一步阐明。这篇综述介绍了与植物-病原体相互作用有关的脂质和脂质衍生信号分子的最相关和最新研究。目的是更深入地了解支撑脂质介导的植物免疫系统调节的机制。
    Plant lipids are essential cell constituents with many structural, storage, signaling, and defensive functions. During plant-pathogen interactions, lipids play parts in both the preexisting passive defense mechanisms and the pathogen-induced immune responses at the local and systemic levels. They interact with various components of the plant immune network and can modulate plant defense both positively and negatively. Under biotic stress, lipid signaling is mostly associated with oxygenated natural products derived from unsaturated fatty acids, known as oxylipins; among these, jasmonic acid has been of great interest as a specific mediator of plant defense against necrotrophic pathogens. Although numerous studies have documented the contribution of oxylipins and other lipid-derived species in plant immunity, their specific roles in plant-pathogen interactions and their involvement in the signaling network require further elucidation. This review presents the most relevant and recent studies on lipids and lipid-derived signaling molecules involved in plant-pathogen interactions, with the aim of providing a deeper insight into the mechanisms underpinning lipid-mediated regulation of the plant immune system.
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  • 文章类型: Journal Article
    脂肪酸氧化的脂质介质已被证明与Krabbe病(KD)的严重程度有关,与半乳糖基神经酰胺酶(GALC)基因突变有关的疾病。本研究旨在使用Twitcher(Tw)动物作为KD的自然模型,研究补充n-3多不饱和脂肪酸(PUFA)对KD性状和脂肪酸代谢的影响。野生型(Wt),杂合(Ht),和受影响的Tw动物在10至35天的生命中用36mgn-3PUFA/kg体重/天口服治疗。PUFA过氧化的最终产物(8-异前列腺素),参与炎性渗出物消退的脂质介质(消退素D1),并分析小鼠脑中n-3PUFA的总量。在两只老鼠中,补充n-3PUFA可延迟疾病症状的表现(p<0.0001),在麸皮中,8-异前列腺素含量降低(p<0.0001),消退素D1水平增加(p<0.005),n-3PUFA总量增加(p<0.05)。此外,全脑n-3PUFA水平与疾病严重程度相关(r=-0.562,p=0.0001),分辨率D1(r=0.712,p<0.0001),和8-异前列腺素脑水平(r=-0.690,p<0.0001)。第一次在KD的自然模型中,显示n-3PUFA的脑水平决定疾病的严重程度,并参与脑PUFA的过氧化作用以及促分辨脂质介质的产生。还显示,饮食中补充n-3PUFA会导致疾病的表型呈现减慢和脂质介质产生的恢复。
    Lipid mediators from fatty acid oxidation have been shown to be associated with the severity of Krabbe disease (KD), a disorder linked to mutations in the galactosylceramidase (GALC) gene. This study aims to investigate the effects of n-3 polyunsaturated fatty acid (PUFA) supplementation on KD traits and fatty acid metabolism using Twitcher (Tw) animals as a natural model for KD. Wild-type (Wt), heterozygous (Ht), and affected Tw animals were treated orally with 36 mg n-3 PUFAs/kg body weight/day from 10 to 35 days of life. The end product of PUFA peroxidation (8-isoprostane), the lipid mediator involved in the resolution of inflammatory exudates (resolvin D1), and the total amount of n-3 PUFAs were analyzed in the brains of mice. In Tw mice, supplementation with n-3 PUFAs delayed the manifestation of disease symptoms (p < 0.0001), and in the bran, decreased 8-isoprostane amounts (p < 0.0001), increased resolvin D1 levels (p < 0.005) and increased quantity of total n-3 PUFAs (p < 0.05). Furthermore, total brain n-3 PUFA levels were associated with disease severity (r = -0.562, p = 0.0001), resolvin D1 (r = 0.712, p < 0.0001), and 8-isoprostane brain levels (r = -0.690, p < 0.0001). For the first time in a natural model of KD, brain levels of n-3 PUFAs are shown to determine disease severity and to be involved in the peroxidation of brain PUFAs as well as in the production of pro-resolving lipid mediators. It is also shown that dietary supplementation with n-3 PUFAs leads to a slowing of the phenotypic presentation of the disease and restoration of lipid mediator production.
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  • 文章类型: Journal Article
    甲状腺癌(TC)是全球发病率不断上升的肿瘤。其病因是复杂的,基于因素的多层相互作用。其中,脂质代谢紊乱已成为一个重要的研究领域。癌细胞通过代谢重新编程来促进它们的快速生长,扩散,和生存。这种重编程与脂质水平的显着变化有关,主要是脂肪酸(FA),因为它们在维持细胞结构中起着关键作用,促进信号通路,并提供能量。这些与脂质相关的变化有助于癌细胞满足持续生长和分裂的增加的需求,同时适应肿瘤微环境。在这次审查中,我们检查不同阶段的脂质代谢,包括合成,运输,和氧化,在TC的背景下,肥胖和激素对TC发育的影响。最近的科学努力揭示了甲状腺癌特有的脂质稳态紊乱,为早期发现和有针对性的治疗干预开辟了潜在的途径。了解FA代谢中涉及的复杂代谢途径可以提供对预防癌症进展和减轻其对周围组织的影响的潜在干预措施的见解。
    Thyroid cancer (TC) is a neoplasm with an increasing incidence worldwide. Its etiology is complex and based on a multi-layered interplay of factors. Among these, disorders of lipid metabolism have emerged as an important area of investigation. Cancer cells are metabolically reprogrammed to promote their rapid growth, proliferation, and survival. This reprogramming is associated with significant changes at the level of lipids, mainly fatty acids (FA), as they play a critical role in maintaining cell structure, facilitating signaling pathways, and providing energy. These lipid-related changes help cancer cells meet the increased demands of continued growth and division while adapting to the tumor microenvironment. In this review, we examine lipid metabolism at different stages, including synthesis, transport, and oxidation, in the context of TC and the effects of obesity and hormones on TC development. Recent scientific efforts have revealed disturbances in lipid homeostasis that are specific to thyroid cancer, opening up potential avenues for early detection and targeted therapeutic interventions. Understanding the intricate metabolic pathways involved in FA metabolism may provide insights into potential interventions to prevent cancer progression and mitigate its effects on surrounding tissues.
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  • 文章类型: Journal Article
    生酮饮食(KD)的特点是碳水化合物最少,中等蛋白质,和高脂肪摄入,导致酮症.它以其减肥效率而闻名,代谢健康改善,和各种治疗干预措施。KD增强葡萄糖和脂质代谢,降低甘油三酯和总胆固醇,同时增加高密度脂蛋白水平和缓解血脂异常。它显著影响脂肪组织激素,全身代谢的关键贡献者。棕色脂肪组织,对于产热和脂质燃烧至关重要,由于饮食因素,遇到修改的UCP1水平,包括KD.UCP1通过在ATP合成期间解耦电子传输而产生热量。白色脂肪组织的褐变升高白色和棕色脂肪组织中的UCP1水平,由KD鼓励的现象。酮氧化会耗尽克雷布斯循环中的中间体,需要回补物质,包括葡萄糖,糖原,或氨基酸,代谢效率。甲基化在脂肪形成和身体的饮食反应中是必不可少的,与体重减轻和酮症相关的几个基因的DNA甲基化。KD刺激FGF21,通过UCP1途径影响代谢稳定性。KD诱导肌肉质量减少,可能涉及抗脂解作用和减弱骨骼肌蛋白水解。此外,KD有助于神经保护,具有抗炎特性,改变表观遗传学。本文综述了KD在脂肪组织和主要代谢器官中的代谢作用和信号传导。
    The ketogenic diet (KD) is characterized by minimal carbohydrate, moderate protein, and high fat intake, leading to ketosis. It is recognized for its efficiency in weight loss, metabolic health improvement, and various therapeutic interventions. The KD enhances glucose and lipid metabolism, reducing triglycerides and total cholesterol while increasing high-density lipoprotein levels and alleviating dyslipidemia. It significantly influences adipose tissue hormones, key contributors to systemic metabolism. Brown adipose tissue, essential for thermogenesis and lipid combustion, encounters modified UCP1 levels due to dietary factors, including the KD. UCP1 generates heat by uncoupling electron transport during ATP synthesis. Browning of the white adipose tissue elevates UCP1 levels in both white and brown adipose tissues, a phenomenon encouraged by the KD. Ketone oxidation depletes intermediates in the Krebs cycle, requiring anaplerotic substances, including glucose, glycogen, or amino acids, for metabolic efficiency. Methylation is essential in adipogenesis and the body\'s dietary responses, with DNA methylation of several genes linked to weight loss and ketosis. The KD stimulates FGF21, influencing metabolic stability via the UCP1 pathways. The KD induces a reduction in muscle mass, potentially involving anti-lipolytic effects and attenuating proteolysis in skeletal muscles. Additionally, the KD contributes to neuroprotection, possesses anti-inflammatory properties, and alters epigenetics. This review encapsulates the metabolic effects and signaling induced by the KD in adipose tissue and major metabolic organs.
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