Holness Mark J, Smith Nicholas D, Greenwood Gemma K, Sugden Mary C
Centre for Diabetes and Metabolic Medicine, Institute of Cell and Molecular Science, St.Bartholomew's and the Royal London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Am J Physiol Endocrinol Metab. 2007 Apr;292(4):E1087-94. doi: 10.1152/ajpendo.00375.2006. Epub 2006 Dec 12.
We examined whether the additional demand for insulin secretion imposed by dietary saturated fat-induced insulin resistance during pregnancy is accommodated at late pregnancy, already characterized by insulin resistance. We also assessed whether effects of dietary saturated fat are influenced by PPARalpha activation or substitution of 7% of dietary fatty acids (FAs) with long-chain omega-3 FA, manipulations that improve insulin action in the nonpregnant state. Glucose tolerance at day 19 of pregnancy in the rat was impaired by high-saturated-fat feeding throughout pregnancy. Despite modestly enhanced glucose-stimulated insulin secretion (GSIS) in vivo, islet perifusions revealed an increased glucose threshold and decreased glucose responsiveness of GSIS in the saturated-fat-fed pregnant group. Thus, insulin resistance evoked by dietary saturated fat is partially countered by augmented insulin secretion, but compensation is compromised by impaired islet function. Substitution of 7% of saturated FA with long-chain omega-3 FA suppressed GSIS in vivo but did not modify the effect of saturated-fat feeding to impair GSIS by perifused islets. PPARalpha activation (24 h) rescued impaired islet function that was identified using perifused islets, but GSIS in vivo was suppressed such that glucose tolerance was not improved, suggesting modification of the feedback loop between insulin action and secretion.
我们研究了孕期饮食中饱和脂肪诱导的胰岛素抵抗所带来的额外胰岛素分泌需求在妊娠晚期(此时已存在胰岛素抵抗)是否能得到满足。我们还评估了饮食中饱和脂肪的影响是否受过氧化物酶体增殖物激活受体α(PPARα)激活或用长链ω-3脂肪酸替代7%的膳食脂肪酸(FAs)的影响,这些操作可改善非孕期的胰岛素作用。孕期全程给予高饱和脂肪喂养会损害大鼠妊娠第19天的糖耐量。尽管体内葡萄糖刺激的胰岛素分泌(GSIS)略有增强,但胰岛灌流显示,饱和脂肪喂养的妊娠组中,GSIS的葡萄糖阈值升高,葡萄糖反应性降低。因此,饮食中饱和脂肪引起的胰岛素抵抗部分被胰岛素分泌增加所抵消,但胰岛功能受损会影响这种代偿。用长链ω-3脂肪酸替代7%的饱和脂肪酸会抑制体内GSIS,但不会改变饱和脂肪喂养对灌流胰岛GSIS的损害作用。PPARα激活(24小时)可挽救灌流胰岛所显示的受损胰岛功能,但体内GSIS受到抑制,因此糖耐量并未改善,这表明胰岛素作用与分泌之间的反馈回路发生了改变。