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Fatty acids may influence insulin dynamics through modulation of albumin‐Zn2+ interactions

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Arya, Swati, Gourley, Adam J., Penedo, J. Carlos, Blindauer, Claudia A. and Stewart, Alan J. (2021) Fatty acids may influence insulin dynamics through modulation of albumin‐Zn2+ interactions. BioEssays, 43 (12). 2100172. doi:10.1002/bies.202100172 ISSN 0265-9247.

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Official URL: https://doi.org/10.1002/bies.202100172

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Abstract

Insulin is stored within the pancreas in an inactive Zn2+-bound hexameric form prior to release. Similarly, clinical insulins contain Zn2+ and form multimeric complexes. Upon release from the pancreas or upon injection, insulin only becomes active once Zn2+ disengages from the complex. In plasma and other extracellular fluids, the majority of Zn2+ is bound to human serum albumin (HSA), which plays a vital role in controlling insulin pharmacodynamics by enabling removal of Zn2+. The Zn2+-binding properties of HSA are attenuated by non-esterified fatty acids (NEFAs) also transported by HSA. Elevated NEFA concentrations are associated with obesity and type 2 diabetes. Here we present the hypothesis that higher NEFA levels in obese and/or diabetic individuals may contribute to insulin resistance and affect therapeutic insulin dose-response profiles, through modulation of HSA/Zn2+ dynamics. We envisage this novel concept to have important implications for personalized treatments and management of diabetes-related conditions in the future.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Science > Chemistry
Library of Congress Subject Headings (LCSH): Insulin resistance, Fatty acids, Zinc in the body, Diabetes -- Complications
Journal or Publication Title: BioEssays
Publisher: John Wiley & Sons Ltd.
ISSN: 0265-9247
Official Date: December 2021
Dates:
DateEvent
December 2021Published
1 November 2021Available
13 October 2021Accepted
Volume: 43
Number: 12
Article Number: 2100172
DOI: 10.1002/bies.202100172
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Copyright Holders: © 2021 The Authors. BioEssays published by Wiley Periodicals LLC
Date of first compliant deposit: 29 June 2022
Date of first compliant Open Access: 29 June 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
RPG-2017-214Leverhulme Trusthttp://dx.doi.org/10.13039/501100000275
UNSPECIFIEDScottish Funding Councilhttp://dx.doi.org/10.13039/501100000360
204821/Z/16/ZWellcome Trusthttp://dx.doi.org/10.13039/100010269

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