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Trends Endocrinol Metab. 2012 Aug;23(8):391-8. doi: 10.1016/j.tem.2012.05.009. Epub 2012 Jun 20.

Role of intramyocelluar lipids in human health.

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Department of Health and Physical Activity, University of Pittsburgh, Trees Hall Rm 134D, Allequippa Street and Darragh Street, Pittsburgh, PA 15260, USA.


Intramyocellular lipid (IMCL) is predominantly stored as intramuscular triglyceride (IMTG) in lipid droplets and is utilized as metabolic fuel during physical exercise. IMTG is also implicated in muscle insulin resistance (IR) in type 2 diabetes. However, it has become apparent that lipid moieties such as ceramide and diacylglycerol are the likely culprits of IR. This article reviews current knowledge of IMCL-mediated IR and important areas of investigation, including myocellular lipid transport and lipid droplet proteins. Several crucial questions remain unanswered, such as the identity of specific ceramide and diacylglycerol species that mediate IR in human muscle and their subcellular location. Quantitative lipidomics and proteomics of targeted subcellular organelles will help to better define the mechanisms underlying pathological IMCL accumulation and IR.

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