Departments of Endocrinology and Metabolic Diseases, Leiden University Medical Center, Leiden, The Netherlands.
J Lipid Res. 2011 Sep;52(9):1712-22. doi: 10.1194/jlr.M015396. Epub 2011 Jun 23.
Insulin signaling in the central nervous system (CNS) is required for the inhibitory effect of insulin on glucose production. Our aim was to determine whether the CNS is also involved in the stimulatory effect of circulating insulin on the tissue-specific retention of fatty acid (FA) from plasma. In wild-type mice, hyperinsulinemic-euglycemic clamp conditions stimulated the retention of both plasma triglyceride-derived FA and plasma albumin-bound FA in the various white adipose tissues (WAT) but not in other tissues, including brown adipose tissue (BAT). Intracerebroventricular (ICV) administration of insulin induced a similar pattern of tissue-specific FA partitioning. This effect of ICV insulin administration was not associated with activation of the insulin signaling pathway in adipose tissue. ICV administration of tolbutamide, a K(ATP) channel blocker, considerably reduced (during hyperinsulinemic-euglycemic clamp conditions) and even completely blocked (during ICV administration of insulin) WAT-specific retention of FA from plasma. This central effect of insulin was absent in CD36-deficient mice, indicating that CD36 is the predominant FA transporter in insulin-stimulated FA retention by WAT. In diet-induced insulin-resistant mice, these stimulating effects of insulin (circulating or ICV administered) on FA retention in WAT were lost. In conclusion, in insulin-sensitive mice, circulating insulin stimulates tissue-specific partitioning of plasma-derived FA in WAT in part through activation of K(ATP) channels in the CNS. Apparently, circulating insulin stimulates fatty acid uptake in WAT but not in BAT, directly and indirectly through the CNS.
中枢神经系统 (CNS) 中的胰岛素信号对于胰岛素抑制葡萄糖产生的作用是必需的。我们的目的是确定中枢神经系统是否也参与了循环胰岛素对血浆中脂肪酸 (FA) 的组织特异性保留的刺激作用。在野生型小鼠中,高胰岛素-正常血糖钳夹条件刺激了各种白色脂肪组织 (WAT) 中血浆甘油三酯衍生 FA 和血浆白蛋白结合 FA 的保留,但不包括棕色脂肪组织 (BAT)。脑室内 (ICV) 给予胰岛素诱导了类似的组织特异性 FA 分配模式。ICV 给予胰岛素的这种作用与脂肪组织中胰岛素信号通路的激活无关。K(ATP) 通道阻滞剂甲苯磺丁脲 (tolbutamide) 的 ICV 给药大大降低了(在高胰岛素-正常血糖钳夹条件下)甚至完全阻断了(在 ICV 给予胰岛素时)WAT 中血浆 FA 的特异性保留。在 CD36 缺陷小鼠中,这种胰岛素的中枢作用缺失,表明 CD36 是胰岛素刺激 WAT 中 FA 保留的主要 FA 转运蛋白。在饮食诱导的胰岛素抵抗小鼠中,胰岛素(循环或 ICV 给予)对 WAT 中 FA 保留的这些刺激作用丧失。总之,在胰岛素敏感的小鼠中,循环胰岛素通过 CNS 中的 K(ATP) 通道激活刺激 WAT 中血浆衍生 FA 的组织特异性分配。显然,循环胰岛素通过中枢神经系统直接和间接地刺激 WAT 中脂肪酸的摄取,但不刺激 BAT 中脂肪酸的摄取。