Research, Harry S. Truman Memorial Veterans Affairs Hospital and Departments of Nutrition and Exercise Physiology and Internal Medicine, University of Missouri, Columbia, Missour, USA.
Am J Physiol Regul Integr Comp Physiol. 2010 Sep;299(3):R926-34. doi: 10.1152/ajpregu.00093.2010. Epub 2010 May 26.
Interest in the pathophysiological relevance of intramuscular triacylglycerol (IMTG) accumulation has grown from numerous studies reporting that abnormally high glycerolipid levels in tissues of obese and diabetic subjects correlate negatively with glucose tolerance. Here, we used a hindlimb perfusion model to examine the impact of obesity and elevated IMTG levels on contraction-induced changes in skeletal muscle fuel metabolism. Comprehensive lipid profiling was performed on gastrocnemius muscles harvested from lean and obese Zucker rats immediately and 25 min after 15 min of one-legged electrically stimulated contraction compared with the contralateral control (rested) limbs. Predictably, IMTG content was grossly elevated in control muscles from obese rats compared with their lean counterparts. In muscles of obese (but not lean) rats, contraction resulted in marked hydrolysis of IMTG, which was then restored to near resting levels during 25 min of recovery. Despite dramatic phenotypical differences in contraction-induced IMTG turnover, muscle levels of diacylglycerol (DAG) and long-chain acyl-CoAs (LCACoA) were surprisingly similar between groups. Tissue profiles of acylcarnitine metabolites suggested that the surfeit of IMTG in obese rats fueled higher rates of fat oxidation relative to the lean group. Muscles of the obese rats had reduced lactate levels immediately following contraction and higher glycogen resynthesis during recovery, consistent with a lipid-associated glucose-sparing effect. Together, these findings suggest that contraction-induced mobilization of local lipid reserves in obese muscles promotes beta-oxidation, while discouraging glucose utilization. Further studies are necessary to determine whether persistent oxidation of IMTG-derived fatty acids contributes to systemic glucose intolerance in other physiological settings.
人们对肌内三酰甘油(IMTG)积累的病理生理学相关性产生了浓厚的兴趣,这源于许多研究报告称,肥胖和糖尿病患者组织中甘油脂质水平异常升高与葡萄糖耐量呈负相关。在这里,我们使用后肢灌流模型研究了肥胖和 IMTG 水平升高对收缩引起的骨骼肌燃料代谢变化的影响。我们对取自瘦型和肥胖型 Zucker 大鼠的比目鱼肌进行了全面的脂质谱分析,这些大鼠在进行 15 分钟单腿电刺激收缩后立即和 25 分钟与对侧对照(休息)肢体相比。可以预见的是,与瘦型大鼠相比,肥胖型大鼠对照肌肉中的 IMTG 含量明显升高。在肥胖型(而非瘦型)大鼠的肌肉中,收缩导致 IMTG 发生明显水解,然后在 25 分钟的恢复过程中恢复到接近休息水平。尽管收缩诱导的 IMTG 周转率存在明显的表型差异,但两组肌肉中的二酰基甘油(DAG)和长链酰基辅酶 A(LCACoA)水平惊人地相似。酰基辅酶 A 代谢物的组织谱表明,肥胖大鼠肌肉中过多的 IMTG 为相对瘦型大鼠提供了更高的脂肪氧化率。收缩后即刻,肥胖大鼠的肌肉中乳酸水平降低,恢复期间糖原合成增加,这与脂肪相关的葡萄糖节省效应一致。综上所述,这些发现表明,收缩诱导的肥胖肌肉中局部脂质储备的动员促进了β氧化,同时抑制了葡萄糖的利用。进一步的研究有必要确定 IMTG 衍生脂肪酸的持续氧化是否会导致其他生理情况下的全身葡萄糖不耐受。