Fürnsinn Clemens, Nowotny Peter, Brunmair Barbara, Gras Florian, Roden Michael, Waldhäusl Werner, Vierhapper Heinrich
Department of Medicine III, Division of Endocrinology & Metabolism, University of Vienna, A-1090 Vienna, Austria.
Endocrinology. 2002 Jan;143(1):327. doi: 10.1210/endo.143.1.8689.
Insulin sensitizing thiazolidinediones (TZDs) inhibit steroidogenic enzyme activities in vitro and affect plasma steroids in women with polycystic ovary syndrome. This study was to examine TZD action on circulating steroids in male genetically obese Zucker rats (fa/fa), which were treated with troglitazone or rosiglitazone (0.3% and 0.01% food admixture, respectively) and were compared to untreated obese and lean littermates. After 36 days of TZD administration, obesity- associated derangement of carbohydrate metabolism was ameliorated (e.g., insulin-stimulated glucose oxidation by isolated soleus muscle, nmol/g/h: lean controls, 1049 +/- 100; obese controls, 518 +/- 30; troglitazone-treated obese, 672 +/- 43; rosiglitazone-treated obese, 761 +/- 77; p < 0.01 each vs. obese controls). While plasma pregnenolone and testosterone were neither affected by obesity nor by TZDs, a marked reduction of 17-hydroxyprogesterone in obese vs. lean controls (27 +/- 3 vs. 58 +/- 10 ng/dl; p < 0.01) was partially reversed by TZD treatment (46 +/- 5 and 48 +/- 9 ng/dl for troglitazone and rosiglitazone, respectively; p < 0.02 each vs. untreated obese). Plasma 5-alpha-dihydrotestosterone, in contrast, was not reduced by obesity (76 +/- 9 vs. 59 +/- 7 ng/dl in obese vs. lean controls; n.s.) but blunted by TZD treatment of obese rats (38 +/- 4 and 44 +/- 3 ng/dl for troglitazone and rosiglitazone, respectively; p < 0.05 each vs. untreated obese). We conclude that (i) oral TZD treatment influences circulating steroid concentrations of male obese Zucker rats, and (ii) these effects are at least in part mediated via mechanisms other than those underlying TZD-induced insulin sensitization.
胰岛素增敏剂噻唑烷二酮类(TZDs)在体外可抑制类固醇生成酶的活性,并影响多囊卵巢综合征女性的血浆类固醇水平。本研究旨在检测TZDs对雄性遗传性肥胖Zucker大鼠(fa/fa)循环类固醇的作用,这些大鼠分别用曲格列酮或罗格列酮(分别为0.3%和0.01%的食物混合物)进行治疗,并与未治疗的肥胖和瘦的同窝大鼠进行比较。在给予TZDs 36天后,与肥胖相关的碳水化合物代谢紊乱得到改善(例如,分离的比目鱼肌在胰岛素刺激下的葡萄糖氧化,nmol/g/h:瘦对照组,1049±100;肥胖对照组,518±30;曲格列酮治疗的肥胖组,672±43;罗格列酮治疗的肥胖组,761±77;与肥胖对照组相比,每组p<0.01)。虽然血浆孕烯醇酮和睾酮既不受肥胖影响,也不受TZDs影响,但肥胖对照组与瘦对照组相比,17-羟孕酮显著降低(27±3 vs. 58±10 ng/dl;p<0.01),而TZDs治疗可部分逆转这种降低(曲格列酮和罗格列酮分别为46±5和48±9 ng/dl;与未治疗的肥胖组相比,每组p<0.02)。相比之下,血浆5-α-二氢睾酮不受肥胖影响(肥胖对照组与瘦对照组分别为76±9 vs. 59±7 ng/dl;无显著性差异),但肥胖大鼠经TZDs治疗后降低(曲格列酮和罗格列酮分别为38±4和44±3 ng/dl;与未治疗的肥胖组相比,每组p<0.05)。我们得出结论:(i)口服TZDs治疗会影响雄性肥胖Zucker大鼠的循环类固醇浓度,(ii)这些作用至少部分是通过TZDs诱导胰岛素增敏作用以外的机制介导的。