Insulin as an immunomodulatory hormone

dc.contributor.authorVan Niekerk, Gustaven_ZA
dc.contributor.authorChristowitz, Claudiaen_ZA
dc.contributor.authorConradie, Daleenen_ZA
dc.contributor.authorEngelbrecht, Anna-Marten_ZA
dc.date.accessioned2022-06-21T07:32:22Z
dc.date.available2022-06-21T07:32:22Z
dc.date.issued2019
dc.descriptionCITATION: van Niekerk, G. et al. 2020. Insulin as an immunomodulatory hormone. Cytokine & Growth Factor Reviews, 52:34-44. doi:10.1016/j.cytogfr.2019.11.006
dc.descriptionThe original publication is available at https://www.sciencedirect.com/journal/cytokine-and-growth-factor-reviews
dc.description.abstractInsulin plays an indispensable role in the management of hyperglycaemia that arises in a variety of settings, including Type I and II diabetes, gestational diabetes, as well as is in hyperglycaemia following a severe inflammatory insult. However, insulin receptors are also expressed on a range of cells that are not canonically implicated in glucose homeostasis. This includes immune cells, where the anti-inflammatory effects of insulin have been repeatedly reported. However, recent findings have also implicated a more involved role for insulin in shaping the immune response during an infection. This includes the ability of insulin to modulate immune cell differentiation and polarisation as well as the modulation of effector functions such as biocidal ROS production. Finally, inflammatory mediators can through both direct and indirect mechanisms also regulate serum insulin levels, suggesting that insulin may be co-opted by the immune system during an infection to direct immunological operations. Collectively, these observations implicate insulin as a bona fide immune-modulating hormone and suggest that a better understanding of insulin’s immunological function may aid in optimising insulin therapy in a range of clinical settings.en_ZA
dc.description.urihttps://www.sciencedirect.com/science/article/pii/S1359610119300644
dc.description.versionPublishers version
dc.format.extent11 pages : illustations (some color)en_ZA
dc.identifier.citationvan Niekerk, G. et al. 2020. Insulin as an immunomodulatory hormone. Cytokine & Growth Factor Reviews, 52:34-44. doi:10.1016/j.cytogfr.2019.11.006
dc.identifier.issn1359-6101 (print)
dc.identifier.otherdoi:10.1016/j.cytogfr.2019.11.006
dc.identifier.urihttp://hdl.handle.net/10019.1/125391
dc.language.isoen_ZAen_ZA
dc.publisherElsevier
dc.rights.holderElsevier
dc.subjectInsulin -- Therapeutic useen_ZA
dc.subjectDiabetesen_ZA
dc.subjectGestational diabetesen_ZA
dc.subjectHyperglycaemia -- Managementen_ZA
dc.subjectAutophagyen_ZA
dc.subjectInflammation -- Mediatorsen_ZA
dc.titleInsulin as an immunomodulatory hormoneen_ZA
dc.typeArticleen_ZA
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