Asensio Cédric, Jimenez Maria, Kühne Françoise, Rohner-Jeanrenaud Françoise, Muzzin Patrick
Department of Cell Physiology and Metabolism, Medical University Centre, Geneva, Switzerland.
Diabetes. 2005 Dec;54(12):3490-5. doi: 10.2337/diabetes.54.12.3490.
We and others have previously shown that triple knockout mice lacking the beta1/beta2/beta3-adrenoceptors (beta-less mice) developed a progressive obesity at adulthood. Here, we studied the glucose homeostasis in beta-less mice before the onset of obesity. We show that beta-less mice have increased fat mass and are glucose intolerant. In addition, we observed that beta-less mice have impaired glucose-induced insulin secretion and exhibit an increase in liver PEPCK gene expression in the fed state, suggesting that they have increased gluconeogenesis. Although these characteristics are usually associated with insulin resistance, beta-less mice exhibit enhanced insulin sensitivity during insulin tolerance tests. This is keeping with the results obtained during euglycemic-hyperinsulinemic clamps showing that beta-less mice display increased insulin responsiveness with normal suppression of hepatic glucose production. Altogether, our results suggest that an intact beta-adrenergic system is required to regulate overall glucose homeostasis and, in particular, insulin-mediated glucose uptake, most likely at the level of muscles and adipose tissue.
我们和其他研究人员之前已经表明,缺乏β1/β2/β3肾上腺素能受体的三敲除小鼠(β-缺失小鼠)在成年后会逐渐肥胖。在此,我们研究了肥胖症发作前β-缺失小鼠的葡萄糖稳态。我们发现β-缺失小鼠的脂肪量增加且葡萄糖不耐受。此外,我们观察到β-缺失小鼠的葡萄糖诱导的胰岛素分泌受损,并且在进食状态下肝脏磷酸烯醇式丙酮酸羧激酶(PEPCK)基因表达增加,这表明它们的糖异生增加。尽管这些特征通常与胰岛素抵抗相关,但β-缺失小鼠在胰岛素耐量试验中表现出增强的胰岛素敏感性。这与正常血糖-高胰岛素钳夹试验的结果一致,该试验表明β-缺失小鼠在正常抑制肝脏葡萄糖生成的情况下表现出增加的胰岛素反应性。总之,我们的结果表明,完整的β-肾上腺素能系统对于调节整体葡萄糖稳态是必需的,特别是对于胰岛素介导的葡萄糖摄取,很可能是在肌肉和脂肪组织水平上。