Kolehmainen M, Ohisalo J J, Kaartinen J M, Tuononen V, Pääkkönen M, Poikolainen E, Alhava E, Uusitupa M I
Department of Clinical Nutrition, University of Kuopio and Kuopio University Hospital, Finland.
Int J Obes Relat Metab Disord. 2000 Nov;24(11):1426-32. doi: 10.1038/sj.ijo.0801438.
Adipose tissue metabolism can be investigated directly in vivo by microdialysis and indirectly in vitro using isolated adipocytes. The in vitro studies are relatively easy to make and they give information about specific tissue metabolism. The in vivo studies, on the other hand, are supposed to give relevant data about tissue physiology interacting with other metabolic systems at the body level.
To investigate the concordance between the results on responsiveness to stimulation of lipolysis from in vivo microdialysis and in vitro isolated adipocytes.
Altogether 22 massively obese otherwise healthy subjects (seven men and 15 women, age 41 (26-55) y, BMI 51.5 (37.5-73.9)kg/m2, mean (range)) going through the gastric banding operation participated in the study.
The microdialysis study was done after an overnight fast at rest. Lipolysis was stimulated with isoprenaline that was perfused into the subcutaneous abdominal adipose tissue. Local blood flow was estimated by ethanol dilution method. Adipose tissue biopsy for the in vitro study was taken from subcutaneous abdominal region during the operation. Lipolysis in freshly isolated adipocytes was stimulated with different concentrations of adrenaline or isoprenaline.
Significant positive correlations were observed between the values of relative stimulation of lipolysis in isolated adipocytes and in the microdialysis study. These correlations improved after correcting for cell size or fat mass.
The microdialysis study in vivo and lipolysis assay with isolated adipocytes in vitro provide concordant and complementary information of adipose tissue metabolism in the same individual.
脂肪组织代谢可通过微透析在体内直接进行研究,也可使用分离的脂肪细胞在体外间接进行研究。体外研究相对容易开展,且能提供有关特定组织代谢的信息。另一方面,体内研究旨在提供有关组织生理学与身体层面其他代谢系统相互作用的相关数据。
研究体内微透析和体外分离脂肪细胞对脂解刺激反应结果之间的一致性。
共有22名严重肥胖但其他方面健康的受试者(7名男性和15名女性,年龄41(26 - 55)岁,体重指数51.5(37.5 - 73.9)kg/m²,均值(范围))接受胃束带手术并参与了该研究。
微透析研究在静息过夜禁食后进行。用灌注到腹部皮下脂肪组织的异丙肾上腺素刺激脂解。通过乙醇稀释法估计局部血流量。体外研究的脂肪组织活检在手术期间取自腹部皮下区域。用不同浓度的肾上腺素或异丙肾上腺素刺激新鲜分离脂肪细胞中的脂解。
在分离脂肪细胞中的脂解相对刺激值与微透析研究之间观察到显著的正相关。在校正细胞大小或脂肪量后,这些相关性有所改善。
体内微透析研究和体外分离脂肪细胞的脂解测定为同一个体的脂肪组织代谢提供了一致且互补的信息。