Coutinho Agnes E, Campbell Jonathan E, Fediuc Sergiu, Riddell Michael C
Department of Kinesiology and Health Science, York University, Toronto, Ontario, Canada.
J Appl Physiol (1985). 2006 May;100(5):1483-8. doi: 10.1152/japplphysiol.01236.2005. Epub 2005 Dec 15.
Recent findings indicate that elevated levels of glucocorticoids (GC), governed by the expression of 11beta-hydroxysteroid dehydrogenase type 1 (11beta-HSD1) and GC receptors (GR), in visceral adipose tissue and skeletal muscle lead to increased insulin resistance and the metabolic syndrome. Paradoxically, evidence indicates that aerobic exercise attenuates the development of the metabolic syndrome even though it stimulates acute increases in circulating GC levels. To investigate the hypothesis that training alters peripheral GC action to maintain insulin sensitivity, young male hamsters were randomly divided into sedentary (S) and trained (T) groups (n = 8 in each). The T group had 24-h access to running wheels over 4 wk of study. In muscle, T hamsters had lower 11beta-HSD1 protein expression (19.2 +/- 1.40 vs. 22.2 +/- 0.96 optical density, P < 0.05), similar 11beta-HSD1 enzyme activity (0.9 +/- 0.27% vs. 1.1 +/- 0.26), and lower GR protein expression (9.7 +/- 1.86 vs. 15.1 +/- 1.78 optical density, P < 0.01) than S hamsters. In liver, 11beta-HSD1 protein expression tended to be lower in T compared with S (19.2 +/- 0.56 vs. 21.4 +/- 1.05, P = 0.07), whereas both enzyme activity and GR protein expression were similar. In contrast, visceral adipose tissue contained approximately 2.7-fold higher 11beta-HSD1 enzyme activity in T compared with S (12.9 +/- 3.3 vs. 4.8 +/- 1.5% conversion, P < 0.05) but was considerably smaller in mass (0.24 +/- 0.02 vs. 0.71 +/- 0.06 g). Thus the intracellular adaptation of GC regulators to exercise is tissue specific, resulting in decreases in GC action in skeletal muscle and increases in GC action in visceral fat. These adaptations may have important implications in explaining the protective effects of aerobic exercise on insulin resistance and other symptoms of the metabolic syndrome.
近期研究结果表明,内脏脂肪组织和骨骼肌中,受11β-羟类固醇脱氢酶1型(11β-HSD1)和糖皮质激素受体(GR)表达调控的糖皮质激素(GC)水平升高会导致胰岛素抵抗增加和代谢综合征。矛盾的是,有证据表明有氧运动可减轻代谢综合征的发展,尽管它会刺激循环中GC水平急性升高。为了研究训练改变外周GC作用以维持胰岛素敏感性这一假说,将年轻雄性仓鼠随机分为久坐组(S)和训练组(T)(每组n = 8)。在为期4周的研究中,T组仓鼠可随时使用跑轮24小时。在肌肉中,T组仓鼠的11β-HSD1蛋白表达较低(光密度为19.2±1.40 vs. 22.2±0.96,P < 0.05),11β-HSD1酶活性相似(0.9±0.27% vs. 1.1±0.26),GR蛋白表达较低(光密度为9.7±1.86 vs. 15.1±1.78,P < 0.01),均低于S组仓鼠。在肝脏中,T组的11β-HSD1蛋白表达相较于S组有降低趋势(19.2±0.56 vs. 21.4±1.05,P = 0.07),而酶活性和GR蛋白表达相似。相反,与S组相比,T组内脏脂肪组织中的11β-HSD1酶活性约高2.7倍(转化率为12.9±3.3 vs. 4.8±1.5%,P < 0.05),但其质量却小得多(0.24±0.02 vs. 0.71±0.06 g)。因此,GC调节因子对运动的细胞内适应性具有组织特异性,导致骨骼肌中GC作用降低,内脏脂肪中GC作用增加。这些适应性变化可能对解释有氧运动对胰岛素抵抗和代谢综合征其他症状的保护作用具有重要意义。