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Kobayashi, J. (2022). Nitric oxide bioavailability and insulin resistance: an overview. In Challenges and Advances in Pharmaceutical Research Vol. 8. BP International. 
Added by: Dr. Enrique Feoli (02/03/2026, 14:29)   Last edited by: Dr. Enrique Feoli (02/03/2026, 15:06)
Resource type: Book Chapter
ID no. (ISBN etc.): 978-93-5547-807-8
BibTeX citation key: Kobayashi2022
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Categories: BioAcyl Corp
Subcategories: Entero-salivary cycle
Creators: Kobayashi
Publisher: BP International
Collection: Challenges and Advances in Pharmaceutical Research Vol. 8
Views: 5/15
Abstract
The aim of this review are to discusses the mechanisms by which insulin 
resistance develops in the presence of increased adiposity, to summarize the 
causative relationship between impaired NO bioavailability and insulin resistance, 
and also to show the implications of life-style changes to prevent insulin 
resistance. Obesity with increased visceral adiposity is an inflammatory condition 
that leads to insulin resistance. Because the insulin signalling pathway is linked 
to endothelial nitric oxide synthase (eNOS) activation, insulin resistance is 
always associated with decreased nitric oxide (NO) bioavailability. Recently, 
accumulating evidence has suggested that physical exercise and dietary 
nitrate/nitrite diets rich in vegetables improve insulin resistance by enhancing NO 
bioavailability, and thus provide potential preventive and therapeutic options for 
these patients with insulin resistance.
Added by: Dr. Enrique Feoli  
Notes
Accumulating evidence has suggested that the defect responsible for insulin 
resistance lies mostly at the post-receptor level of insulin signaling [71] (Fig. 1). 
Many kinases and phosphatases associated with the insulin signaling pathways 
are intricately regulated and balanced by protein phosphorylation/ 
dephosphorylation and nitrosation [17]. Increased adiposity causes an oxidative 
shift in the intracellular redox environment [69], and impairs the early steps of the 
insulin signaling pathway [72]. Wang et al recently indicated that NO mediates S
nitrosation of protein-tyrosine phosphatase 1B (PTPB1) and enhances the effects 
of insulin [57]. Because PTPB1 dephosphorylates the insulin receptor and its 
substrates, attenuating the effects of insulin, its phosphatase activity tends to be 
suppressed by eNOS-mediated S-nitrosation. In contrast, once the vascular 
eNOS activity is impaired, PTPB1 suppresses the downstream signaling to 
PI3K/Akt, leading to insulin resistance (Fig. 1). Therefore, NO might act as a 
84 
Challenges and Advances in Pharmaceutical Research Vol. 8 
Nitric Oxide Bioavailability and Insulin Resistance: An Overview 
regulatory factor for the downstream signaling molecules linking GLUT4 
translocation and glucose uptake [66,73]. In addition, Jiang recently reported that 
the NO-dependent nitrosation of GLUT4 facilitates GLUT4 translocation to the 
membrane for glucose uptake and improves insulin resistance [27,74]. 


Added by: Dr. Enrique Feoli  Last edited by: Dr. Enrique Feoli
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