Bergeron R, Mentor J S, Côté I, Ngo Sock É T, Rabasa-Lhoret R, Lavoie J M
Department of Kinesiology, University of Montreal, Montreal, Quebec, Canada.
The Montreal Diabetes Research Center, Montreal, Quebec, Canada.
Horm Metab Res. 2014 Oct;46(11):774-81. doi: 10.1055/s-0034-1381980. Epub 2014 Jul 1.
Studies on normoglycemic ovariectomized Sprague-Dawley rats have provided insights about the effects of estrogen deficiency on insulin resistance in lean individuals. It is not completely clear if subjects with pre-established obesity and insulin resistance are at greater risk of developing type 2 diabetes when ovarian estrogens are no longer secreted, and if physical activity can protect against this susceptibility. Contrasting with their male counterparts, obese and insulin resistant female ZDF (Zucker diabetic fatty) rats do not become hyperglycemic when fed a standard diet. The aim of the study was to evaluate the hypothesis that withdrawal of ovarian estrogens in insulin resistant female ZDF rats would trigger overt hyperglycemia, provided they remain physically inactive. Female ZDF rats underwent either an ovariectomy (OVX) or a simulated surgery (SHAM). Thereafter, OVX rats engaged either in voluntary wheel cage running (OVX-Active), or like the Sham rats, remained sedentary (OVX-Sed) for 6 weeks. Fasting glycemia, insulinemia, and glucose tolerance were not altered in OVX-Sed as compared to SHAM-Sed rats. However, OVX-Sed rats showed altered liver triglyceride and glycogen contents, increased pancreatic insulin content and reduced insulin-stimulated muscle pAKT as compared to SHAM-Sed rats. Physical activity in OVX rats lowered fasting glucose and insulin levels, improved glucose tolerance and insulin-stimulated skeletal muscle glucose uptake as compared to OVX-Sed rats. OVX-induced alterations in pancreatic insulin content and liver glycogen and triglyceride contents were significantly improved by physical activity. Loss of ovarian estrogens did not cause overt hyperglycemia in insulin-resistant female ZDF rats. Physical activity improved glucose homeostasis despite estrogen deficiency.
对血糖正常的去卵巢Sprague-Dawley大鼠的研究为了解雌激素缺乏对瘦个体胰岛素抵抗的影响提供了见解。目前尚不完全清楚,在卵巢雌激素不再分泌时,已存在肥胖和胰岛素抵抗的个体患2型糖尿病的风险是否更高,以及体育活动是否可以预防这种易感性。与雄性对应物不同,肥胖且胰岛素抵抗的雌性ZDF(Zucker糖尿病肥胖)大鼠在喂食标准饮食时不会出现高血糖。本研究的目的是评估以下假设:在胰岛素抵抗的雌性ZDF大鼠中,卵巢雌激素的撤除会引发明显的高血糖,前提是它们保持不运动状态。雌性ZDF大鼠接受了卵巢切除术(OVX)或假手术(SHAM)。此后,OVX大鼠要么进行自愿轮笼跑步(OVX-活跃组),要么像假手术大鼠一样保持久坐(OVX-久坐组)6周。与SHAM-久坐组大鼠相比,OVX-久坐组大鼠的空腹血糖、胰岛素血症和葡萄糖耐量没有改变。然而,与SHAM-久坐组大鼠相比,OVX-久坐组大鼠的肝脏甘油三酯和糖原含量发生了变化,胰腺胰岛素含量增加,胰岛素刺激的肌肉pAKT减少。与OVX-久坐组大鼠相比,OVX大鼠的体育活动降低了空腹血糖和胰岛素水平,改善了葡萄糖耐量和胰岛素刺激的骨骼肌葡萄糖摄取。体育活动显著改善了OVX诱导的胰腺胰岛素含量以及肝脏糖原和甘油三酯含量的变化。卵巢雌激素的丧失并未在胰岛素抵抗的雌性ZDF大鼠中导致明显的高血糖。尽管存在雌激素缺乏,体育活动仍改善了葡萄糖稳态。