Lundgren M, Eriksson J W
Department of Medicine, Umeå University Hospital, Umeå, Sweden.
Horm Metab Res. 2004 Apr;36(4):203-9. doi: 10.1055/s-2004-814446.
Elevated plasma levels of free fatty acids (FFA) can produce insulin resistance in skeletal muscle tissue and liver and, together with alterations in beta-cell function, this has been referred to as lipotoxicity. This study explores the effects of FFAs on insulin action in rat adipocytes. Cells were incubated 4 or 24 h with or without an unsaturated FFA, oleate or a saturated FFA, palmitate (0.6 and 1.5 mM, respectively). After the culture period, cells were washed and insulin effects on glucose uptake and lipolysis as well as cellular content of insulin signaling proteins (IRS-1, PI3-kinase, PKB and phosphorylated PKB) and the insulin regulated glucose transporter GLUT4 were measured. No significant differences were found in basal or insulin-stimulated glucose uptake in FFA-treated cells compared to control cells, regardless of fatty acid concentration or incubation period. Moreover, there were no significant alterations in the expression of IRS-1, PI3-kinase, PKB and GLUT4 following FFA exposure. Insulin's ability to stimulate PKB phosphorylation was also left intact. Nor did we find any alterations following FFA exposure in basal or cAMP-stimulated lipolysis or in the ability of insulin to inhibit lipolysis. The results indicate that oleate or palmitate does not directly influence insulin action to stimulate glucose uptake and inhibit lipolysis in rat fat cells. Thus, lipotoxicity does not seem to occur in the fat tissue itself.
血浆中游离脂肪酸(FFA)水平升高可在骨骼肌组织和肝脏中产生胰岛素抵抗,并且与β细胞功能改变一起,这被称为脂毒性。本研究探讨了游离脂肪酸对大鼠脂肪细胞胰岛素作用的影响。细胞在有无不饱和游离脂肪酸油酸或饱和游离脂肪酸棕榈酸(分别为0.6和1.5 mM)的情况下孵育4或24小时。培养期结束后,洗涤细胞并测量胰岛素对葡萄糖摄取和脂解的作用以及胰岛素信号蛋白(IRS-1、PI3激酶、蛋白激酶B和磷酸化蛋白激酶B)的细胞含量以及胰岛素调节的葡萄糖转运蛋白GLUT4。与对照细胞相比,无论脂肪酸浓度或孵育时间如何,在游离脂肪酸处理的细胞中基础或胰岛素刺激的葡萄糖摄取均未发现显著差异。此外,游离脂肪酸暴露后IRS-1、PI3激酶、蛋白激酶B和GLUT4的表达没有显著改变。胰岛素刺激蛋白激酶B磷酸化的能力也未受影响。我们在游离脂肪酸暴露后,在基础或cAMP刺激的脂解方面,或在胰岛素抑制脂解的能力方面也未发现任何改变。结果表明,油酸或棕榈酸不会直接影响胰岛素刺激葡萄糖摄取和抑制大鼠脂肪细胞脂解的作用。因此,脂毒性似乎不会在脂肪组织本身中发生。