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海洋omega-3脂肪酸可预防高胰岛素暴露实验诱导的心肌胰岛素抵抗和代谢重塑。

Marine omega-3 fatty acids prevent myocardial insulin resistance and metabolic remodeling as induced experimentally by high insulin exposure.

作者信息

Franekova Veronika, Angin Yeliz, Hoebers Nicole T H, Coumans Will A, Simons Peter J, Glatz Jan F C, Luiken Joost J F P, Larsen Terje S

机构信息

Cardiovascular Research Group, Department of Medical Biology, Health Sciences Faculty, UiT The Arctic University of Norway, Tromsø, Norway;

Department of Molecular Genetics, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, the Netherlands; and.

出版信息

Am J Physiol Cell Physiol. 2015 Feb 15;308(4):C297-307. doi: 10.1152/ajpcell.00073.2014. Epub 2014 Dec 3.

Abstract

Insulin resistance is an important risk factor for the development of several cardiac pathologies, thus advocating strategies for restoring insulin sensitivity of the heart in these conditions. Omega-3 polyunsaturated fatty acids (ω-3 PUFAs), mainly eicosapentaenoic acid (EPA, C20:5n-3) and docosahexaenoic acid (DHA, C22:6n-3), have been shown to improve insulin sensitivity in insulin-sensitive tissues, but their direct effect on insulin signaling and metabolic parameters in the myocardium has not been reported previously. The aim of this study was therefore to examine the ability of EPA and DHA to prevent insulin resistance in isolated rat cardiomyocytes. Primary rat cardiomyocytes were made insulin resistant by 48 h incubation in high insulin (HI) medium. Parallel incubations were supplemented by 200 μM EPA or DHA. Addition of EPA or DHA to the medium prevented the induction of insulin resistance in cardiomyocytes by preserving the phosphorylation state of key proteins in the insulin signaling cascade and by preventing persistent relocation of fatty acid transporter CD36 to the sarcolemma. Only cardiomyocytes incubated in the presence of EPA, however, exhibited improvements in glucose and fatty acid uptake and cell shortening. We conclude that ω-3 PUFAs protect metabolic and functional properties of cardiomyocytes subjected to insulin resistance-evoking conditions.

摘要

胰岛素抵抗是多种心脏疾病发生发展的重要危险因素,因此提倡在这些情况下采取恢复心脏胰岛素敏感性的策略。ω-3多不饱和脂肪酸(ω-3 PUFAs),主要是二十碳五烯酸(EPA,C20:5n-3)和二十二碳六烯酸(DHA,C22:6n-3),已被证明可改善胰岛素敏感组织中的胰岛素敏感性,但它们对心肌胰岛素信号传导和代谢参数的直接影响此前尚未见报道。因此,本研究的目的是检测EPA和DHA预防分离的大鼠心肌细胞胰岛素抵抗的能力。原代大鼠心肌细胞在高胰岛素(HI)培养基中孵育48小时后产生胰岛素抵抗。平行孵育组添加200μM EPA或DHA。向培养基中添加EPA或DHA可通过维持胰岛素信号级联反应中关键蛋白的磷酸化状态以及防止脂肪酸转运蛋白CD36持续重新定位到肌膜来预防心肌细胞胰岛素抵抗的诱导。然而,只有在EPA存在下孵育的心肌细胞在葡萄糖和脂肪酸摄取以及细胞缩短方面表现出改善。我们得出结论,ω-3 PUFAs可保护处于诱发胰岛素抵抗条件下的心肌细胞的代谢和功能特性。

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