Ran Jianmin, Hirano Tsutomu, Adachi Mitsuru
First Dept. of Internal Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-666, Japan.
Am J Physiol Endocrinol Metab. 2004 Nov;287(5):E955-61. doi: 10.1152/ajpendo.00199.2004. Epub 2004 Jun 22.
We recently observed that ANG II receptor blocker therapy improved the overproduction of triglyceride (TG) in fructose-fed rats and Zucker fatty rats with insulin resistance, which in turn suggests that ANG II may stimulate TG production. Accordingly, we investigated the effects of ANG II on TG production and the association with insulin resistance in normal rats. Male Wistar rats were continuously infused with ANG II (100 ng.min(-1).kg body wt(-1)) via an osmotic minipump for 14 days. ANG II infusion markedly elevated both the systolic and diastolic blood pressure. The plasma TG level increased twofold, but cholesterol was unchanged. ANG II infusion stimulated the TG secretion rate (TGSR) by twofold and increased the hepatic TG content by 31%. Lipogenesis determined by [2-(3)H]glycerol incorporation into hepatic TG was also significantly increased in ANG II-infused rats. The stimulatory effect of ANG II on TGSR was dose dependent and was not observed until 2 wk after the start of infusion. ANG II infusion significantly reduced insulin sensitivity index (SI) without affecting glucose effectiveness determined by Bergman's minimal model. The plasma TG level was positively correlated with TGSR (r = 0.88, P < 0.001) and inversely with SI (r = -0.80, P < 0.005). These results suggest that chronic ANG II infusion stimulates hepatic TG production, which is partly associated with simultaneous development of insulin resistance. Our results may suggest a new mechanism for the intimate association between hypertension and dyslipidemia.
我们最近观察到,血管紧张素II(ANG II)受体阻滞剂疗法可改善果糖喂养大鼠和具有胰岛素抵抗的Zucker肥胖大鼠中甘油三酯(TG)的过量产生,这反过来表明ANG II可能刺激TG的产生。因此,我们研究了ANG II对正常大鼠TG产生的影响以及与胰岛素抵抗的关系。雄性Wistar大鼠通过渗透微型泵连续输注ANG II(100 ng·min⁻¹·kg体重⁻¹),持续14天。输注ANG II显著升高了收缩压和舒张压。血浆TG水平增加了两倍,但胆固醇水平未变。输注ANG II使TG分泌率(TGSR)增加了两倍,并使肝脏TG含量增加了31%。通过[2-(³)H]甘油掺入肝脏TG来测定的脂肪生成在输注ANG II的大鼠中也显著增加。ANG II对TGSR的刺激作用呈剂量依赖性,且在输注开始后2周才观察到。输注ANG II显著降低了胰岛素敏感性指数(SI),但不影响通过Bergman最小模型测定的葡萄糖有效性。血浆TG水平与TGSR呈正相关(r = 0.88,P < 0.001),与SI呈负相关(r = -0.80,P < 0.005)。这些结果表明,慢性输注ANG II刺激肝脏TG的产生,这部分与胰岛素抵抗的同时发生有关。我们的结果可能提示了高血压与血脂异常密切关联的一种新机制。