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Molecular mechanisms by which aerobic exercise induces insulin sensitivity
Authors:Habib Yaribeygi  Stephen L Atkin  Luis E Simental-Mendía  Amirhossein Sahebkar
Institution:1. Chronic Kidney Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Weill Cornell Medicine Qatar, Doha, Qatar;3. Biomedical Research Unit, Mexican Social Security Institute, Durango, Mexico;4. Neurogenic Inflammation Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:Insulin resistance is a key feature of Type 2 diabetes and an important therapeutic target to address glycemic control to prevent diabetic complications. Lifestyle advice is the first step in the ADA/EASD consensus guidelines followed by metformin therapy. Aerobic exercise (AE) can increase insulin sensitivity by several molecular pathways including upregulation of insulin transporters in the cellular membrane of insulin-dependent cells. In addition, AE improves insulin sensitivity by amelioration of the pathophysiologic pathways involved in insulin resistance such as the reduction of adipokines, inflammatory and oxidative stress responses, and improvement of insulin signal transduction via different molecular pathways. This review details the molecular pathways by which AE induces beneficial effects on insulin resistance
Keywords:adipokines  aerobic exercise  inflammation  insulin resistance  insulin signal transduction  oxidative stress
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