Abstract
Diabetes accompanies several metabolic complications and poor production and clearance of lipoprotein is one of them. Type 2 diabetes mellitus is linked with atherosclerosis, though exact mechanism is still unclear. There are different complications of type 2 diabetes mellitus. Dyslipidemia is one of them. It has been documented that deranged lipid profile is caused by insulin resistance. Dyslipidemia arises due to low level of high density lipoproteins and high level of triglycerides. Diabetic dyslipidimia occurs due to imbalance in reverse cholesterol transport mechanism which is a major risk for cardiovascular diseases. Reverse cholesterol transport is regulated by cell surface receptors scavenger receptor B1 and ATP binding cassette protein-1. These are HDL binding receptors and help to maintain balance of HDL. Genetic and epigenetic factors influence the regulation of cell surface receptors. It plays a significant role in lipid homeostasis. HDL receptors are encoded by SCARB1 and ABCA1 genes. Peroxisome proliferator activated receptor alpha (PPARα) is a down-stream transcriptional activator of SCARB1, ABCA1 and ApoA1 genes.
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