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Diabetes & MASLD: Power Plants Fail Fuel Switch
25 Nov
Summary
- Mitochondria, body's energy producers, struggle to use ketone bodies for fuel.
- Insulin resistance in type 2 diabetes and MASLD impairs energy generation.
- Study reveals a new target for improving energy metabolism in these conditions.

Researchers have uncovered a critical energy metabolism issue affecting individuals with type 2 diabetes and MASLD. Mitochondria, essential for cellular energy, were found to be less efficient at utilizing ketone bodies, a key fuel source derived from fat breakdown. This impaired ability to switch between energy sources is particularly detrimental in states of insulin resistance.
The study utilized a novel high-resolution respirometry technique to directly assess mitochondrial energy generation from ketone bodies. Findings indicated a marked decrease in this process across various insulin-resistant conditions. Specifically, heart and skeletal muscle cells in type 2 diabetes patients, and liver cells in MASLD patients, demonstrated significantly reduced energy output from ketone metabolism.




