Effect of different ventilation methods combined with pulmonary surfactant on neonatal acute respiratory distress syndrome

医学 病理生理学 胰岛素抵抗 代谢综合征 胰岛素 内分泌学 内科学 呼吸窘迫 代谢紊乱 葡萄糖稳态 2型糖尿病 糖尿病 平衡 2型糖尿病 生物信息学 生物 麻醉
作者
Qing Qing,Ping Zha,Lixing Dai,Yang Wang
出处
期刊:World Journal of Clinical Cases [Baishideng Publishing Group]
卷期号:11 (25): 5878-5886
标识
DOI:10.12998/wjcc.v11.i25.5878
摘要

Insulin, a small protein with 51 amino acids synthesized by pancreatic β-cells, is crucial to sustain glucose homeostasis at biochemical and molecular levels. Numerous metabolic dysfunctions are related to insulin-mediated altered glucose homeostasis. One of the significant pathophysiological conditions linked to the insulin associated disorder is diabetes mellitus (DM) (type 1, type 2, and gestational). Insulin resistance (IR) is one of the major underlying causes of metabolic disorders despite its association with several physiological conditions. Metabolic syndrome (MS) is another pathophysiological condition that is associated with IR, hypertension, and obesity. Further, several other pathophysiological disorders/diseases are associated with the insulin malfunctioning, which include polycystic ovary syndrome, neuronal disorders, and cancer. Insulinomas are an uncommon type of pancreatic β-cell-derived neuroendocrine tumor that makes up 2% of all pancreatic neoplasms. Literature revealed that different biochemical events, molecular signaling pathways, microRNAs, and microbiota act as connecting links between insulin disorder and associated pathophysiology such as DM, insuloma, neurological disorder, MS, and cancer. In this review, we focus on the insulin-related disorders and the underlying mechanisms associated with the pathophysiology.

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