Wang Zhihui, Masternak Michal M, Al-Regaiey Khalid A, Bartke Andrzej
Division of Diabetes, Endocrinology, and Metabolism, School of Medicine, Vanderbilt University, 2220 Pierce Avenue, Nashville, TN 37232-6303, USA.
Endocrinology. 2007 Jun;148(6):2845-53. doi: 10.1210/en.2006-1313. Epub 2007 Mar 8.
Chronic elevation of GH induces resistance to insulin and hyperinsulinemia in both humans and animals, whereas calorie restriction (CR) improves peripheral insulin sensitivity in many species. To investigate the mechanisms that lead to insulin resistance in animals with high levels of GH as well as the mechanisms that might improve insulin sensitivity, we fed GH-overexpressing transgenic mice ad libitum or subjected them to 30% CR. We then assayed the plasma adipocytokines levels related to insulin sensitivity, plasma lipid levels, and tissue triglycerides accumulation and examined adipocyte morphology. Furthermore, we evaluated mRNA expression and protein levels of enzymes or regulators involved in regulating hepatic lipid metabolism. Our results suggest that decreased plasma adiponectin, increased plasma resistin and cholesterol, and elevated levels of TNF-alpha and IL-6 in adipocytes may all contribute to the insulin resistance observed in GH-Tg mice. Increased accumulation of triglycerides and impaired adipocytes differentiation in GH-transgenic mice provide plausible mechanisms for the alterations of adipocytokines. Hepatic and muscle insulin resistance in these mice is probably related to excessive accumulation of fatty acids and their metabolites. An increase in plasma adiponectin and decrease in plasma IL-6, triglycerides, and cholesterol levels in response to CR may improve insulin sensitivity.
在人类和动物中,生长激素(GH)的长期升高会导致胰岛素抵抗和高胰岛素血症,而热量限制(CR)可改善许多物种的外周胰岛素敏感性。为了研究GH水平高的动物出现胰岛素抵抗的机制以及可能改善胰岛素敏感性的机制,我们对过表达GH的转基因小鼠进行随意进食或30%的热量限制。然后,我们检测了与胰岛素敏感性相关的血浆脂肪细胞因子水平、血浆脂质水平和组织甘油三酯积累情况,并检查了脂肪细胞形态。此外,我们评估了参与调节肝脏脂质代谢的酶或调节因子的mRNA表达和蛋白质水平。我们的结果表明,血浆脂联素降低、血浆抵抗素和胆固醇升高以及脂肪细胞中肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)水平升高可能都导致了GH转基因(GH-Tg)小鼠出现胰岛素抵抗。GH转基因小鼠中甘油三酯积累增加和脂肪细胞分化受损为脂肪细胞因子的改变提供了合理的机制。这些小鼠的肝脏和肌肉胰岛素抵抗可能与脂肪酸及其代谢产物的过度积累有关。热量限制导致血浆脂联素增加、血浆IL-6、甘油三酯和胆固醇水平降低,可能会改善胰岛素敏感性。