Bayu Lestari What will be Impaired in This Patient Obese Insulin Resistance Dyslipidemia High TG High LDL Low LDL T2DM Metabolic Syndrome High prevalence of metabolic s yndrome relation between glucose and lipid metabolism ID: 919813
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Metabolic Syndrome: Focused on AMPK as Molecular Target for Metabolic Syndrome
Bayu
Lestari
Slide2What will be Impaired in This Patient?
Obese
Insulin Resistance?
Dyslipidemia? (High TG, High LDL, Low LDL)
T2DM?
Metabolic Syndrome
Slide3High prevalence of metabolic syndrome: relation between glucose and lipid metabolismVarious clinical manifestations: T2DM, obese, dyslipidemia
New therapeutic approach required for efficient and high efficacy
AMPK was reported as potent molecular target for metabolic syndrome therapy
Background
Slide4Discuss about Metabolic SyndromeDiscuss about AMPK as molecular target for therapy
Aim
Slide5Cluster of syndrome: insulin resistance, high blood glucose, dyslipidemia, obeseImpairment both glucose metabolism and lipid metabolismCorrelation between glucose and lipid metabolism?
Metabolic Syndrome
Slide6Glucose Transport and How Insulin Resistance Occur
Slide7How Lipid Disorder Affect Insulin Resistance
Slide8Structure of AMPK
Slide9Activation Pathway of AMPK
Slide10Regulation of AMPK
Slide11How AMPK Activation Reduce Metabolic Syndrome
Slide12Enhanced translocation of GLUT4Enhanced expression of GLUT4 gene (Zheng et al, 2009)
Insulin independent pathway?
Role AMPK on GLUT4
Slide13mTOR Pathway
Slide14Insulin-mTOR pathway
activation & phosphorylation
S6 kinase
I, down-regulation insulin receptor substrate-1 (IRS1) decrease insulin signalling
(Zheng et al, 2009)
Role AMPK in Insulin Sensitivity
Slide15AMPK activation improve mitochondrial function via expression of
peroxisome
proliferator-activated receptor-γ
(PPAR-γ) coactivator-1α (PGC-1α) reduce insulin resistance reduce development of T2DM (Zheng
et al, 2009)Role AMPK in Mitochondrial Biogenesis
Slide16Role AMPK in Lipid Metabolism
Lipid Oxidation
Lipogenesis
Slide17Metabolic syndrome: cluster of syndromes (insulin resistance, dyslipidemia, obese)AMPK has beneficial role as molecular target for metabolic syndrome’s therapy
Conclusion
Slide18Thank You