A causal role for hyperinsulinemia in obesity

  1. James D Johnson1,2
  1. 1Department of Cellular and Physiological Sciences, Diabetes Research Group, Life Sciences Institute, University of British Columbia, Vancouver, British Columbia, Canada
  2. 2Institute for Personalized Therapeutic Nutrition, Vancouver, British Columbia, Canada
  1. Correspondence should be addressed to J D Johnson; Email: James.d.johnson{at}ubc.ca
  1. Figure 1

    Insulin’s effects are exerted through direct actions on target cells such as adipocytes, and also through autocrine feed-back on beta-cells. The number and function of beta-cells dictate insulin secretion levels and patterns that control adipogenesis and lipid homeostasis.

  2. Figure 2

    Insulin acts through multiple mechanisms to stimulate lipid uptake and storage and to inhibit lipid breakdown. Additional details have been expertly reviewed by Czech et al. (2013).

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