East Carolina Diabetes and Obesity Institute, East Carolina University, Greenville, NC.
Diabetes. 2014 Jan;63(1):132-41. doi: 10.2337/db13-0940. Epub 2013 Aug 23.
Considerable debate exists about whether alterations in mitochondrial respiratory capacity and/or content play a causal role in the development of insulin resistance during obesity. The current study was undertaken to determine whether such alterations are present during the initial stages of insulin resistance in humans. Young (∼23 years) insulin-sensitive lean and insulin-resistant obese men and women were studied. Insulin resistance was confirmed through an intravenous glucose tolerance test. Measures of mitochondrial respiratory capacity and content as well as H(2)O(2) emitting potential and the cellular redox environment were performed in permeabilized myofibers and primary myotubes prepared from vastus lateralis muscle biopsy specimens. No differences in mitochondrial respiratory function or content were observed between lean and obese subjects, despite elevations in H(2)O(2) emission rates and reductions in cellular glutathione. These findings were apparent in permeabilized myofibers as well as in primary myotubes. The results suggest that reductions in mitochondrial respiratory capacity and content are not required for the initial manifestation of peripheral insulin resistance.
关于线粒体呼吸能力和/或含量的改变是否在肥胖期间胰岛素抵抗的发展中起因果作用,存在相当大的争议。本研究旨在确定在人类胰岛素抵抗的初始阶段是否存在这种改变。研究了年轻(约 23 岁)胰岛素敏感的瘦人和胰岛素抵抗的肥胖男女。通过静脉葡萄糖耐量试验确认胰岛素抵抗。在从股外侧肌活检标本制备的透化肌纤维和原代肌管中进行线粒体呼吸能力和含量以及 H2O2 发射潜能和细胞氧化还原环境的测量。尽管 H2O2 发射率升高和细胞谷胱甘肽减少,但在瘦人和肥胖受试者之间未观察到线粒体呼吸功能或含量的差异。这些发现在透化肌纤维和原代肌管中均明显。结果表明,线粒体呼吸能力和含量的降低不是外周胰岛素抵抗最初表现所必需的。