Shafrir Eleazar, Ziv Ehud, Saha Asish K, Ruderman Neil B
Department of Biochemistry and Diabetes Research Unit, Hadassah University Hospital, Jerusalem 91120, Israel.
Diabetes Metab Res Rev. 2002 May-Jun;18(3):217-23. doi: 10.1002/dmrr.288.
Malonyl-CoA, an allosteric inhibitor of carnitine palmitoyl transferase, controls the oxidation of fatty acids in muscle and other tissues by regulating their entrance into mitochondria. The level of malonyl-CoA in muscle is influenced by the uptake of energy substrates such as glucose, the precursor of its synthesis. The desert gerbil, Psammomys obesus, develops a severe insulin resistance with hyperinsulinemia and hyperglycemia when transferred from its native nutrition to a relative high-energy (HE) rodent chow. In keeping with this it shows a low rate of glucose transport and a failure of insulin to suppress hepatic glucose production during a hyperinsulinemic-euglycemic clamp.
The concentration of malonyl-CoA has been determined by radio-enzymatic assay together with the levels of citrate and malate in the gastrocnemius muscle of diabetes-prone (DP) and diabetes-resistant (DR) P. obesus during the administration of exogenous insulin, during an hyperinsulinemic-euglycemic clamp and following a 48-h fast.
Muscle GLUT4 protein was reduced by 44% in DP Psammomys on a HE diet, compared with normoglycemic-normoinsulinemic animals on a low-energy (LE) diet. Muscle levels of malonyl-CoA, its precursor citrate and the citrate counter-ion malate were not elevated in DP Psammomys on the HE diet despite the hyperinsulinemia. Likewise, the administration of external insulin in subcutaneous (sc) implants to DP Psammomys did not evoke hypoglycemia, decrease glucose production or increase the concentration of malonyl-CoA and citrate in muscle, as it did in both albino rats and a selected line of DR Psammomys. In contrast, fasting significantly reduced muscle malonyl-CoA and citrate levels in the DP and DR Psammomys and promoted the fat oxidative pathway.
Since non-diabetic Psammomys on a LE diet already show insulin resistance in the fed state, the sustained low malonyl-CoA levels in these animals imply a readiness for the oxidation of fatty acids. In a desert gerbil, adjusted to a food-scarce environment, such a continuing utilization of fatty acids as energy substrate by muscle would preserve the available glucose for glucose-dependent tissues and would diminish the need for gluconeogenesis.
丙二酰辅酶A是肉碱棕榈酰转移酶的变构抑制剂,通过调节脂肪酸进入线粒体来控制肌肉和其他组织中脂肪酸的氧化。肌肉中丙二酰辅酶A的水平受能量底物如葡萄糖(其合成前体)摄取的影响。沙漠沙鼠(肥胖沙鼠)从其天然营养状态转变为相对高能量(HE)的啮齿动物饲料时,会出现严重的胰岛素抵抗,并伴有高胰岛素血症和高血糖症。与此相符的是,在高胰岛素-正常血糖钳夹期间,它表现出葡萄糖转运率低,且胰岛素无法抑制肝脏葡萄糖生成。
通过放射酶法测定了易患糖尿病(DP)和抗糖尿病(DR)的肥胖沙鼠在给予外源性胰岛素期间、高胰岛素-正常血糖钳夹期间以及禁食48小时后腓肠肌中丙二酰辅酶A的浓度以及柠檬酸和苹果酸的水平。
与低能量(LE)饮食的正常血糖-正常胰岛素血症动物相比,HE饮食的DP沙鼠肌肉中的GLUT4蛋白减少了44%。尽管存在高胰岛素血症,但HE饮食的DP沙鼠肌肉中丙二酰辅酶A及其前体柠檬酸以及柠檬酸的抗衡离子苹果酸的水平并未升高。同样,向DP沙鼠皮下植入外源性胰岛素并未引起低血糖,也未降低葡萄糖生成或增加肌肉中丙二酰辅酶A和柠檬酸的浓度,而在白化大鼠和选定品系的DR沙鼠中则会出现这种情况。相反,禁食显著降低了DP和DR沙鼠肌肉中丙二酰辅酶A和柠檬酸的水平,并促进了脂肪氧化途径。
由于低能量饮食的非糖尿病沙鼠在进食状态下已表现出胰岛素抵抗,这些动物中持续的低丙二酰辅酶A水平意味着它们随时准备氧化脂肪酸。在适应食物匮乏环境的沙漠沙鼠中,肌肉持续将脂肪酸用作能量底物可保留可利用的葡萄糖以供依赖葡萄糖的组织使用,并减少糖异生的需求。