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Publication : Overnutrition causes insulin resistance and metabolic disorder through increased sympathetic nervous system activity.

First Author  Sakamoto K Year  2025
Journal  Cell Metab Volume  37
Issue  1 Pages  121-137.e6
PubMed ID  39437790 Mgi Jnum  J:373631
Mgi Id  MGI:7779314 Doi  10.1016/j.cmet.2024.09.012
Citation  Sakamoto K, et al. (2024) Overnutrition causes insulin resistance and metabolic disorder through increased sympathetic nervous system activity. Cell Metab
abstractText  The mechanisms underlying obesity-induced insulin resistance remain incompletely understood, as impaired cellular insulin signaling, traditionally considered the primary driver of insulin resistance, does not always accompany impaired insulin action. Overnutrition rapidly increases plasma norepinephrine (NE), suggesting overactivation of the sympathetic nervous system (SNS). However, the role of the SNS in obesity is controversial, as both increased and decreased SNS activity (SNA) have been reported. Here, we show that reducing catecholamine (CA) release from the SNS protects against overnutrition-induced insulin resistance as well as hyperglucagonemia, adipose tissue dysfunction, and fatty liver disease, as we demonstrate utilizing a mouse model of inducible and peripherally restricted deletion of tyrosine hydroxylase (th; THDeltaper). A key mechanism through which heightened SNA induces insulin resistance is by triggering adipose tissue lipolysis. Increased SNA emerges as a critical driver in the pathogenesis of overnutrition-induced insulin resistance and metabolic disease independent of cellular insulin signaling.
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