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Clinical Implications of Basic Research
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Volume 349:2560-2562 December 25, 2003 Number 26
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Putting the Brakes on Insulin Signaling
Alan R. Saltiel, Ph.D.

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The dramatic increase in the incidence of type 2 diabetes mellitus and obesity in the Western world signals the beginning of an epidemic that is expected to become a major cause of illness and death. At the heart of this problem lies insulin resistance, the earliest detectable abnormality in the development of diabetes. Many states give rise to insulin resistance, and all are explained by numerous mechanisms in which insulin signaling is decreased. Du et al.1 have recently described another, involving a protein they call TRB3 that specifically blocks the actions of insulin in the liver.

Insulin is the master . . . [Full Text of this Article]


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From the Life Sciences Institute, University of Michigan, Ann Arbor.


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