Hoy Andrew J, Brandon Amanda E, Turner Nigel, Watt Matthew J, Bruce Clinton R, Cooney Gregory J, Kraegen Edward W
Diabetes and Obesity Research Program, Garvan Institute of Medical Research, Darlinghurst, University of New South Wales, Sydney, New South Wales, Australia.
Am J Physiol Endocrinol Metab. 2009 Jul;297(1):E67-75. doi: 10.1152/ajpendo.90945.2008. Epub 2009 Apr 14.
Type 2 diabetes is characterized by hyperlipidemia, hyperinsulinemia, and insulin resistance. The aim of this study was to investigate whether acute hyperlipidemia-induced insulin resistance in the presence of hyperinsulinemia was due to defective insulin signaling. Hyperinsulinemia (approximately 300 mU/l) with hyperlipidemia or glycerol (control) was produced in cannulated male Wistar rats for 0.5, 1 h, 3 h, or 5 h. The glucose infusion rate required to maintain euglycemia was significantly reduced by 3 h with lipid infusion and was further reduced after 5 h of infusion, with no difference in plasma insulin levels, indicating development of insulin resistance. Consistent with this finding, in vivo skeletal muscle glucose uptake (31%, P < 0.05) and glycogen synthesis rate (38%, P < 0.02) were significantly reduced after 5 h compared with 3 h of lipid infusion. Despite the development of insulin resistance, there was no difference in the phosphorylation state of multiple insulin-signaling intermediates or muscle diacylglyceride and ceramide content over the same time course. However, there was an increase in cumulative exposure to long-chain acyl-CoA (70%) with lipid infusion. Interestingly, although muscle pyruvate dehydrogenase kinase 4 protein content was decreased in hyperinsulinemic glycerol-infused rats, this decrease was blunted in muscle from hyperinsulinemic lipid-infused rats. Decreased pyruvate dehydrogenase complex activity was also observed in lipid- and insulin-infused animals (43%). Overall, these results suggest that acute reductions in muscle glucose metabolism in rats with hyperlipidemia and hyperinsulinemia are more likely a result of substrate competition than a significant early defect in insulin action or signaling.
2型糖尿病的特征为高脂血症、高胰岛素血症和胰岛素抵抗。本研究的目的是调查在高胰岛素血症存在的情况下,急性高脂血症诱导的胰岛素抵抗是否归因于胰岛素信号传导缺陷。对插管的雄性Wistar大鼠输注高脂血症或甘油(对照)以产生高胰岛素血症(约300 mU/l),持续0.5、1、3或5小时。输注脂质3小时后,维持血糖正常所需的葡萄糖输注速率显著降低,输注5小时后进一步降低,而血浆胰岛素水平无差异,表明发生了胰岛素抵抗。与这一发现一致,与输注脂质3小时相比,输注脂质5小时后,体内骨骼肌葡萄糖摄取量(31%,P < 0.05)和糖原合成率(38%,P < 0.02)显著降低。尽管发生了胰岛素抵抗,但在相同时间进程中,多种胰岛素信号传导中间体的磷酸化状态或肌肉二酰甘油和神经酰胺含量并无差异。然而,输注脂质后,长链酰基辅酶A的累积暴露量增加了70%。有趣的是,尽管在输注甘油的高胰岛素血症大鼠中,肌肉丙酮酸脱氢酶激酶4蛋白含量降低,但在输注脂质的高胰岛素血症大鼠的肌肉中,这种降低并不明显。在输注脂质和胰岛素的动物中也观察到丙酮酸脱氢酶复合物活性降低(43%)。总体而言,这些结果表明,高脂血症和高胰岛素血症大鼠肌肉葡萄糖代谢的急性降低更可能是底物竞争的结果,而非胰岛素作用或信号传导的显著早期缺陷。