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Table 2 Processes of phenotypic flexibility modulated by OLTT

From: Phenotypic flexibility as a measure of health: the optimal nutritional stress response test

Organ system

Process

Direction (↑, ↓, –)

Disturbed

Gut

Incretin production

(GIP) ↑ (GLP-1)

NASH, MetS

Gut-mediated inflammation

Obesity, T2DM, IGT

Adipose tissue

Lipolysis

Obesity, MetS, NASH

Adipokine production

NASH, obesity

Systemic stress

Insulin sensitivity

 

Oxidative stress

NASH, obesity

Nitrosative stress

T2DM

Inflammation

MetS

Metabolic flexibility

MetS, obesity

Liver

Lipoprotein production

NASH, T2DM, obesity, IGT

Hepatic injury control

NASH

Vasculature

Blood pressure regulation

Obesity

Adhesion

T2DM

Vascular flexibility

T2DM

Pancreas

Insulin secretion

a

MetS, obesity

  1. MetS metabolic syndrome, T2DM type 2 diabetes mellitus, IFG impaired fasting glucose, IGT impaired glucose tolerance, NASH non-alcoholic steatohepatitis
  2. aDependent on carbohydrates in OLTT