Institut des Maladies Métaboliques et Cardiovasculaires, Université Paul Sabaties, Inserm U1048, 1 avenue Jean Poulhès, BP 84225, 31432 Toulouse Cedex 4, France.
Diabetologia. 2013 Jun;56(6):1394-402. doi: 10.1007/s00125-013-2891-3. Epub 2013 Mar 19.
AIMS/HYPOTHESIS: Lysophosphatidic acid (LPA) is a lipid mediator produced by adipocytes that acts via specific G-protein-coupled receptors; its synthesis is modulated in obesity. We previously reported that reducing adipocyte LPA production in high-fat diet (HFD)-fed obese mice is associated with improved glucose tolerance, suggesting a negative impact of LPA on glucose homeostasis. Here, our aim was to test this hypothesis.
First, glucose tolerance and plasma insulin were assessed after acute (30 min) injection of LPA (50 mg/kg) or of the LPA1/LPA3 receptor antagonist Ki16425 (5 mg kg(-1) day(-1), i.p.) in non-obese mice fed a normal diet (ND) and in obese/prediabetic (defined as glucose-intolerant) HFD mice. Glucose and insulin tolerance, pancreas morphology, glycogen storage, glucose oxidation and glucose transport were then studied after chronic treatment (3 weeks) of HFD mice with Ki16425.
In ND and HFD mice, LPA acutely impaired glucose tolerance by inhibiting glucose-induced insulin secretion. These effects were blocked by pre-injection of Ki16425 (5 mg/kg, i.p.). Inhibition of glucose-induced insulin secretion by LPA also occurred in isolated mouse islets. Plasma LPA was higher in HFD mice than in ND mice and Ki16425 transiently improved glucose tolerance. The beneficial effect of Ki16425 became permanent after chronic treatment and was associated with increased pancreatic islet mass and higher fasting insulinaemia. Chronic treatment with Ki16425 also improved insulin tolerance and increased liver glycogen storage and basal glucose use in skeletal muscle.
CONCLUSIONS/INTERPRETATION: Exogenous and endogenous LPA exerts a deleterious effect on glucose disposal through a reduction of plasma insulin; pharmacological blockade of LPA receptors improves glucose homeostasis in obese/prediabetic mice.
目的/假设:溶血磷脂酸(LPA)是脂肪细胞产生的一种脂质介质,通过特定的 G 蛋白偶联受体发挥作用;其合成在肥胖中受到调节。我们之前报道过,在高脂肪饮食(HFD)喂养的肥胖小鼠中减少脂肪细胞 LPA 的产生与改善葡萄糖耐量有关,这表明 LPA 对葡萄糖稳态有负面影响。在这里,我们的目的是检验这一假设。
首先,在正常饮食(ND)喂养的非肥胖小鼠和肥胖/糖尿病前期(定义为葡萄糖耐量受损)HFD 小鼠中,急性(30 分钟)注射 LPA(50mg/kg)或 LPA1/LPA3 受体拮抗剂 Ki16425(5mgkg(-1)day(-1),腹腔注射)后,评估葡萄糖耐量和血浆胰岛素。然后,在 HFD 小鼠中进行慢性治疗(3 周)Ki16425 后,研究葡萄糖和胰岛素耐量、胰腺形态、糖原储存、葡萄糖氧化和葡萄糖转运。
在 ND 和 HFD 小鼠中,LPA 急性抑制葡萄糖诱导的胰岛素分泌,从而损害葡萄糖耐量。这些作用被 Ki16425(5mg/kg,腹腔注射)预先注射所阻断。LPA 也抑制了分离的小鼠胰岛中的葡萄糖诱导的胰岛素分泌。与 ND 小鼠相比,HFD 小鼠的血浆 LPA 水平更高,Ki16425 可短暂改善葡萄糖耐量。Ki16425 的有益作用在慢性治疗后变为永久性,并与胰腺胰岛质量增加和空腹胰岛素血症升高有关。慢性 Ki16425 治疗还改善了胰岛素耐量,并增加了肝脏糖原储存和骨骼肌的基础葡萄糖利用。
结论/解释:外源性和内源性 LPA 通过降低血浆胰岛素对葡萄糖处置产生有害影响;LPA 受体的药理学阻断可改善肥胖/糖尿病前期小鼠的葡萄糖稳态。