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22 Insulin signaling pathways Physiologically, insulin binds to the extracellular subunit of insulin receptor, a receptor tyrosine kinase which recruits and phosphorates insulin receptor substrate (IRS)-1, thus activating phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt) signaling and diverse downstream pathways to maintain the glucose homeostasis

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These cells also have zonulin [2]

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doi: 10.1016/j.bbadis.2008.09.009