Publications by authors named "Alexandra Koshkina"

Article Synopsis
  • Active surveillance is a management option for small, low-risk papillary thyroid carcinoma, particularly suitable for some patients.
  • The study aimed to analyze the relationship between patient age and the progression of low-risk papillary thyroid carcinoma in adults under active surveillance.
  • Findings suggest that older patients (especially those aged 40-50) have a lower risk ratio for tumor growth compared to younger patients, indicating age may influence the disease's progression.
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Insulin activates a cascade of signaling molecules, including Rac-1, Akt, and AS160, to promote the net gain of glucose transporter 4 (GLUT4) at the plasma membrane of muscle cells. Interestingly, constitutively active Rac-1 expression results in a hormone-independent increase in surface GLUT4; however, the molecular mechanism and significance behind this effect remain unresolved. Using L6 myoblasts stably expressing myc-tagged GLUT4, we found that overexpression of constitutively active but not wild-type Rac-1 sufficed to drive GLUT4 translocation to the membrane of comparable magnitude with that elicited by insulin.

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Obesity is associated with insulin resistance and increased risk for developing type 2 diabetes. Enlarged adipocytes develop resistance to the anti-lipolytic action of insulin. Elevated levels of fatty acids in the plasma and interstitial fluids lead to whole-body insulin resistance by disrupting normal insulin-regulated glucose uptake and glycogen storage in skeletal muscle.

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