Highlights
- •Irisin levels were significantly elevated after CSII treatment in T2DM patients.
- •Elevated irisin was accompanied by improved glycemic control and lipid profiles.
- •Elevated irisin may represent benefits of ameliorative metabolism following CSII.
Abstract
Irisin, identified as a novel myokine, plays an important role in improving metabolic
disorders, including type 2 diabetes mellitus (T2DM). In this interventional study,
we investigated the alteration of serum irisin levels in T2DM subjects after transient
continuous subcutaneous insulin infusion (CSII) treatment.
Keywords
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References
- Muscles, exercise and obesity: skeletal muscle as a secretory organ.Nat Rev Endocrinol. 2012; 8: 457-465https://doi.org/10.1038/nrendo.2012.49
- Muscles and their myokines.J Exp Biol. 2011; 214: 337-346https://doi.org/10.1242/jeb.048074
- A PGC1-alpha-dependent myokine that drives brown-fat-like development of white fat and thermogenesis.Nature. 2012; 481: 463-468https://doi.org/10.1038/nature10777
- Irisin stimulates browning of white adipocytes through mitogen-activated protein kinase p38 MAP kinase and ERK MAP kinase signaling.Diabetes. 2014; 63: 514-525https://doi.org/10.2337/db13-1106
- Adipose tissue browning and metabolic health.Nat Rev Endocrinol. 2014; 10: 24-36https://doi.org/10.1038/nrendo.2013.204
- Serum irisin levels in new-onset type 2 diabetes.Diabetes Res Clin Pract. 2013; 100: 96-101https://doi.org/10.1016/j.diabres.2013.01.007
- Lower circulating irisin is associated with type 2 diabetes mellitus.J Diabetes Complicat. 2013; 27: 365-369https://doi.org/10.1016/j.jdiacomp.2013.03.002
- Circulating irisin in relation to insulin resistance and the metabolic syndrome.J Clin Endocrinol Metab. 2013; 98: 4899-4907https://doi.org/10.1210/jc. 2013-2373
- Lower irisin level in patients with type 2 diabetes mellitus: a case-control study and meta-analysis.J Diabetes. 2014; https://doi.org/10.1111/1753-0407.12256
- Effect of intensive insulin therapy on beta-cell function and glycaemic control in patients with newly diagnosed type 2 diabetes: a multicentre randomised parallel-group trial.Lancet. 2008; 371: 1753-1760https://doi.org/10.1016/S0140-6736(08)60762-X
- Short-term intensified insulin treatment in type 2 diabetes: long-term effects on beta-cell function.Diabetes Obes Metab. 2012; 14: 161-166https://doi.org/10.1111/j. 1463-1326.2012.01658.x
- The effect of improved diabetic control on plasma lipid and lipoprotein levels: a comparison of conventional therapy and continuous subcutaneous insulin infusion.Diabetes. 1980; 29: 1001-1005
- Observations on blood lipid and intermediary metabolite concentrations during conventional insulin treatment or CSII.Diabetes. 1985; 34: 27-30
- Effects of continuous insulin infusion therapy on lipoprotein surface and core lipid composition in insulin-dependent diabetes mellitus.Metabolism. 1991; 40: 445-449
- Irisin inhibits hepatic gluconeogenesis and increases glycogen synthesis via the PI3K/Akt pathway in type 2 diabetic mice and hepatocytes.Clin Sci (Lond). 2015; 129: 839-850https://doi.org/10.1042/CS20150009
- Irisin improves fatty acid oxidation and glucose utilization in type 2 diabetes by regulating the AMPK signaling pathway.Int J Obes (Lond). 2015; https://doi.org/10.1038/ijo.2015.199
- FNDC5 overexpression and irisin ameliorate glucose/lipid metabolic derangements and enhance lipolysis in obesity.Biochim Biophys Acta. 2015; 1852: 1867-1875https://doi.org/10.1016/j.bbadis.2015.06.017
- PGC-1alpha: a potent transcriptional cofactor involved in the pathogenesis of type 2 diabetes.Diabetologia. 2006; 49: 1477-1488https://doi.org/10.1007/s00125-006-0268-6
- PGC-1alpha-responsive genes involved in oxidative phosphorylation are coordinately downregulated in human diabetes.Nat Genet. 2003; 34: 267-273https://doi.org/10.1038/ng1180
- Coordinated reduction of genes of oxidative metabolism in humans with insulin resistance and diabetes: potential role of PGC1 and NRF1.Proc Natl Acad Sci USA. 2003; 100: 8466-8471https://doi.org/10.1073/pnas.1032913100
Article info
Publication history
Published online: January 30, 2016
Accepted:
January 22,
2016
Received in revised form:
January 17,
2016
Received:
August 13,
2015
Identification
Copyright
© 2016 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.