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. 2019 Sep 11;10(6):1210–1227. doi: 10.1002/jcsm.12459

Figure 9.

Figure 9

Summary diagram. Suppression of SIRPα improves insulin sensitivity leading to skeletal muscle that is resistant to atrophy plus physiologic browning of white adipose tissue (WAT). Chronic kidney disease (CKD) and acute diabetes stimulates PKA activity, an up‐regulation of SIRPα that inhibits insulin signalling causing muscle wasting and pathologic browning of WAT.