Division of Endocrinology, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Diabetes. 2013 Oct;62(10):3350-61. doi: 10.2337/db13-0500. Epub 2013 Jul 8.
Intramyocellular triacylglycerol (IMTG) accumulation is highly associated with insulin resistance and metabolic complications of obesity (lipotoxicity), whereas comparable IMTG accumulation in endurance-trained athletes is associated with insulin sensitivity (the athlete's paradox). Despite these findings, it remains unclear whether changes in IMTG accumulation and metabolism per se influence muscle-specific and systemic metabolic homeostasis and insulin responsiveness. By mediating the rate-limiting step in triacylglycerol hydrolysis, adipose triglyceride lipase (ATGL) has been proposed to influence the storage/production of deleterious as well as essential lipid metabolites. However, the physiological relevance of ATGL-mediated triacylglycerol hydrolysis in skeletal muscle remains unknown. To determine the contribution of IMTG hydrolysis to tissue-specific and systemic metabolic phenotypes in the context of obesity, we generated mice with targeted deletion or transgenic overexpression of ATGL exclusively in skeletal muscle. Despite dramatic changes in IMTG content on both chow and high-fat diets, modulation of ATGL-mediated IMTG hydrolysis did not significantly influence systemic energy, lipid, or glucose homeostasis, nor did it influence insulin responsiveness or mitochondrial function. These data argue against a role for altered IMTG accumulation and lipolysis in muscle insulin resistance and metabolic complications of obesity.
肌内三酰基甘油 (IMTG) 积累与胰岛素抵抗和肥胖的代谢并发症(脂毒性)高度相关,而耐力训练运动员中相当的 IMTG 积累与胰岛素敏感性(运动员悖论)相关。尽管有这些发现,但尚不清楚 IMTG 积累和代谢本身的变化是否会影响肌肉特异性和全身代谢稳态和胰岛素反应性。脂肪甘油三酯脂肪酶 (ATGL) 通过介导甘油三酯水解的限速步骤,被认为会影响有害和必需脂质代谢物的储存/产生。然而,ATGL 介导的甘油三酯水解在骨骼肌中的生理相关性尚不清楚。为了确定在肥胖背景下 IMTG 水解对组织特异性和全身代谢表型的贡献,我们生成了专门在骨骼肌中缺失或过表达 ATGL 的小鼠。尽管在正常饮食和高脂肪饮食中 IMTG 含量发生了显著变化,但 ATGL 介导的 IMTG 水解的调节并没有显著影响全身能量、脂质或葡萄糖稳态,也没有影响胰岛素反应性或线粒体功能。这些数据表明,改变的 IMTG 积累和脂肪分解在肌肉胰岛素抵抗和肥胖的代谢并发症中不起作用。