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过氧化物酶体增殖物激活受体α激动剂治疗后胰岛素敏感性的改善伴随着循环抵抗素水平的反常升高。

Improvement of insulin sensitivity after peroxisome proliferator-activated receptor-alpha agonist treatment is accompanied by paradoxical increase of circulating resistin levels.

作者信息

Haluzik M M, Lacinova Z, Dolinkova M, Haluzikova D, Housa D, Horinek A, Vernerova Z, Kumstyrova T, Haluzik M

机构信息

Third Department of Medicine, First Faculty of Medicine and General University Hospital, Charles University, 128 08 Prague, Czech Republic.

出版信息

Endocrinology. 2006 Sep;147(9):4517-24. doi: 10.1210/en.2005-1624. Epub 2006 Jun 1.

DOI:10.1210/en.2005-1624
PMID:16740970
Abstract

We studied the effect of peroxisome proliferator-activated receptor-alpha (PPAR-alpha) activation on serum concentrations and tissue expression of resistin, adiponectin, and adiponectin receptor-1 and -2 (AdipoR1 and AdipoR2) mRNA in normal mice and mice with insulin resistance induced by lipogenic, simple-carbohydrate diet (LD). Sixteen weeks of LD feeding induced obesity with liver steatosis and increased insulin levels but did not significantly affect circulating adiponectin or resistin. Treatment with PPAR-alpha agonist fenofibrate decreased body weight and fat pad weight and ameliorated liver steatosis in LD-fed mice with concomitant reduction in blood glucose, free fatty acid, triglyceride, serum insulin levels, and homeostasis model assessment index values. Euglycemic-hyperinsulinemic clamp demonstrated the development of whole-body and liver insulin resistance in LD-fed mice, which were both normalized by fenofibrate. Fenofibrate treatment markedly increased circulating resistin levels on both diets and adiponectin levels in chow-fed mice only. Fat adiponectin mRNA expression was not affected by fenofibrate treatment. Resistin mRNA expression increased in subcutaneous but not gonadal fat after fenofibrate treatment. In addition to fat, a significant amount of adiponectin mRNA was also expressed in the muscle. This expression markedly increased after fenofibrate treatment in chow- but not in LD-fed mice. Adipose tissue expression of AdipoR1 mRNA was significantly reduced in LD-fed mice and increased after fenofibrate treatment. In conclusion, PPAR-alpha activation ameliorated the development of insulin resistance in LD-fed mice despite a major increase in serum resistin levels. This effect could be partially explained by increased AdipoR1 expression in adipose tissue after fenofibrate treatment.

摘要

我们研究了过氧化物酶体增殖物激活受体α(PPAR-α)激活对正常小鼠以及由生脂、简单碳水化合物饮食(LD)诱导的胰岛素抵抗小鼠血清中抵抗素、脂联素浓度和组织中脂联素受体-1和-2(AdipoR1和AdipoR2)mRNA表达的影响。16周的LD喂养诱导了肥胖并伴有肝脏脂肪变性,且胰岛素水平升高,但对循环脂联素或抵抗素无显著影响。用PPAR-α激动剂非诺贝特治疗可降低LD喂养小鼠的体重和脂肪垫重量,改善肝脏脂肪变性,同时降低血糖、游离脂肪酸、甘油三酯、血清胰岛素水平以及稳态模型评估指数值。正常血糖-高胰岛素钳夹试验表明,LD喂养小鼠出现了全身和肝脏胰岛素抵抗,而非诺贝特可使其恢复正常。非诺贝特治疗显著增加了两种饮食喂养小鼠的循环抵抗素水平,仅增加了正常饮食喂养小鼠的脂联素水平。非诺贝特治疗对脂肪组织脂联素mRNA表达无影响。非诺贝特治疗后,皮下脂肪而非性腺脂肪中的抵抗素mRNA表达增加。除脂肪外,肌肉中也表达大量脂联素mRNA。在正常饮食喂养的小鼠中,非诺贝特治疗后这种表达显著增加,而在LD喂养的小鼠中则未增加。LD喂养小鼠脂肪组织中AdipoR1 mRNA表达显著降低,非诺贝特治疗后增加。总之,尽管血清抵抗素水平大幅升高,但PPAR-α激活改善了LD喂养小鼠胰岛素抵抗的发展。这种作用可能部分归因于非诺贝特治疗后脂肪组织中AdipoR1表达增加。

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