Insulin resistance: the conflict between biological settings of energy metabolism and human lifestyle (a glance at the problem from evolutionary viewpoint)

A biological function of the phylogenetically late humoral mediator insulin is to provide energy substrates for locomotion, i.e. movement resulting from contraction of striated muscles. Insulin is able to meet this evolutionary demand of an organism by means of the effective ATP production in the mi...

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Main Authors: Vladimir Nicolaevich Titov, Vladimir Pavlovich Shirinsky
Format: Article
Language:English
Published: Endocrinology Research Centre 2016-11-01
Series:Сахарный диабет
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Online Access:https://www.dia-endojournals.ru/jour/article/view/7959
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author Vladimir Nicolaevich Titov
Vladimir Pavlovich Shirinsky
author_facet Vladimir Nicolaevich Titov
Vladimir Pavlovich Shirinsky
author_sort Vladimir Nicolaevich Titov
collection DOAJ
description A biological function of the phylogenetically late humoral mediator insulin is to provide energy substrates for locomotion, i.e. movement resulting from contraction of striated muscles. Insulin is able to meet this evolutionary demand of an organism by means of the effective ATP production in the mitochondria. Exogenous fatty acids, optimised endogenous fatty acids produced from glucose and glucose itself are the major substrates for ATP synthesis. Cells stimulated by insulin produce ω-9 С18:1 oleic acid from glucose. This fatty acid is oxidised by the mitochondria at a higher rate than exogenous and endogenous C16:0 palmitic fatty acid. In the normal state of insulin system and mitochondria, the frequent cause of insulin resistance is the non-optimal properties of dietary fatty acids supplied for oxidation by the mitochondria. Dietary excess of saturated palmitic fatty acid over monogenic oleic fatty acid causes insulin resistance to develop. Insulin resistance syndrome is the condition of in vivo energy deficiency and insufficient production of ATP for the realisation of the biological adaptation and compensation. Insulin effectively inhibits lipolysis only in phylogenetically late subcutaneous adipocytes but not in phylogenetically early visceral fat cells of the omentum. Discrepancy in the regulation of energy substrate metabolism against the background of a ‘relative biological perfection’ of higher mammals is the aetiological basis of insulin resistance.
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spelling doaj-art-4f6f441151db41288db05900b8e6cdae2025-08-20T03:09:03ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782016-11-0119428629410.14341/DM79597449Insulin resistance: the conflict between biological settings of energy metabolism and human lifestyle (a glance at the problem from evolutionary viewpoint)Vladimir Nicolaevich Titov0Vladimir Pavlovich Shirinsky1Cardiology Research and Production Complex, Moscow, RussiaCardiology Research and Production Complex, Moscow, RussiaA biological function of the phylogenetically late humoral mediator insulin is to provide energy substrates for locomotion, i.e. movement resulting from contraction of striated muscles. Insulin is able to meet this evolutionary demand of an organism by means of the effective ATP production in the mitochondria. Exogenous fatty acids, optimised endogenous fatty acids produced from glucose and glucose itself are the major substrates for ATP synthesis. Cells stimulated by insulin produce ω-9 С18:1 oleic acid from glucose. This fatty acid is oxidised by the mitochondria at a higher rate than exogenous and endogenous C16:0 palmitic fatty acid. In the normal state of insulin system and mitochondria, the frequent cause of insulin resistance is the non-optimal properties of dietary fatty acids supplied for oxidation by the mitochondria. Dietary excess of saturated palmitic fatty acid over monogenic oleic fatty acid causes insulin resistance to develop. Insulin resistance syndrome is the condition of in vivo energy deficiency and insufficient production of ATP for the realisation of the biological adaptation and compensation. Insulin effectively inhibits lipolysis only in phylogenetically late subcutaneous adipocytes but not in phylogenetically early visceral fat cells of the omentum. Discrepancy in the regulation of energy substrate metabolism against the background of a ‘relative biological perfection’ of higher mammals is the aetiological basis of insulin resistance.https://www.dia-endojournals.ru/jour/article/view/7959insulininsulin resistanceatppalmitic acidoleic acidbiological adaptationglucose
spellingShingle Vladimir Nicolaevich Titov
Vladimir Pavlovich Shirinsky
Insulin resistance: the conflict between biological settings of energy metabolism and human lifestyle (a glance at the problem from evolutionary viewpoint)
Сахарный диабет
insulin
insulin resistance
atp
palmitic acid
oleic acid
biological adaptation
glucose
title Insulin resistance: the conflict between biological settings of energy metabolism and human lifestyle (a glance at the problem from evolutionary viewpoint)
title_full Insulin resistance: the conflict between biological settings of energy metabolism and human lifestyle (a glance at the problem from evolutionary viewpoint)
title_fullStr Insulin resistance: the conflict between biological settings of energy metabolism and human lifestyle (a glance at the problem from evolutionary viewpoint)
title_full_unstemmed Insulin resistance: the conflict between biological settings of energy metabolism and human lifestyle (a glance at the problem from evolutionary viewpoint)
title_short Insulin resistance: the conflict between biological settings of energy metabolism and human lifestyle (a glance at the problem from evolutionary viewpoint)
title_sort insulin resistance the conflict between biological settings of energy metabolism and human lifestyle a glance at the problem from evolutionary viewpoint
topic insulin
insulin resistance
atp
palmitic acid
oleic acid
biological adaptation
glucose
url https://www.dia-endojournals.ru/jour/article/view/7959
work_keys_str_mv AT vladimirnicolaevichtitov insulinresistancetheconflictbetweenbiologicalsettingsofenergymetabolismandhumanlifestyleaglanceattheproblemfromevolutionaryviewpoint
AT vladimirpavlovichshirinsky insulinresistancetheconflictbetweenbiologicalsettingsofenergymetabolismandhumanlifestyleaglanceattheproblemfromevolutionaryviewpoint