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Journal of Lipid Research, Vol. 50, S74-S79, April 2009
Hepatic triacylglycerol accumulation and insulin resistance
Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 This work was supported by National Institutes of Health Grants DK56598, DK59935, and DK56350. Published, JLR Papers in Press, November 6, 2008. 1 AGPAT8 and AGPAT6 are correctly termed GPAT3 and GPAT4, respectively. 2 CGI-58, and endophilin both have AGPAT activity. 3 Several additional enzymes exhibit some DGAT activity, including MGAT2.
1 To whom correspondence should be addressed. email: rcoleman{at}unc.edu
The association of hepatic steatosis with hepatic insulin resistance and type 2 diabetes has prompted investigators to elucidate the underlying mechanism. In this review we focus on pathways of lipid metabolism, and we review recent data, primarily from mouse models, that link lipid intermediates with insulin resistance. Most of the studies that implicate acyl-CoA, lysophosphatidic acid, phosphatidic acid, diacylglycerol, or ceramide rely on indirect associations. Convincing data to support the hypothesis that specific lipid intermediates initiate pathways that alter insulin signaling will require studies in which the concentration of each purported signaling molecule can be manipulated independently.
Supplementary key words Hepatic steatosis diacylglycerol phosphatidic acid lysophosphatidic acid ceramide Abbreviations: ACC, acetyl-CoA carboxylase; ACSL, acyl-CoA synthetase; AGPAT, 1-acylglycerol-3-phosphate acyltransferase; ChREBP, carbohydrate-responsive element-binding protein; CPT, carnitine-palmitoyltransferase; DAG, diacylglycerol; DGAT, DAG acyltransferase; GPAT, glycerol-3-phosphate acyltransferase; HF, high fat; HF-SD, HF safflower oil diet; IR, insulin resistance; IRS, insulin receptor substrate; KO, knock out; LCAD, long chain acyl-CoA dehydrogenase; LPA, lysophosphatidic acid; LXR, liver-X-receptor; MCAD, medium chain acyl-CoA dehydrogenase; NAFLD, nonalcoholic fatty liver disease; DNL, de novo lipogenesis; PA, phosphatidic acid; PAP, phosphatidic acid phosphatase; PKC, protein kinase C; PPAR, peroxisome proliferator-activated receptor; TAG, triacylglycerol; SCAD, short-chain acyl-CoA dehydrogenase; SCD, stearoyl-CoA desaturase; SREBP, sterol regulatory element binding protein; TCA, tricarboxylic acid; WT, wild type; VLCAD, long chain acyl-CoA dehydrogenase
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