Steinbeck K, Caterson I D, Astbury L, Turtle J R
Department of Endocrinology, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Int J Obes. 1987;11(5):507-18.
Pyruvate dehydrogenase complex activity is the major determinant of glucose oxidation in animal cells. Tissue glucose oxidation is reduced in obesity and states of insulin resistance and alternate fuels are utilized for energy and pyruvate dehydrogenase activity is reduced in cardiac muscle in obesity. The effect of four different diets (standard laboratory chow, high-carbohydrate, high-protein and high-fat) on weight gain, cardiac pyruvate dehydrogenase activity (PDHa) and serum insulin, glucose and free fatty acids was studied in the gold thioglucose obese mouse. All four diets produced significant weight gain in the gold thioglucose injected animal. Cardiac PDHa was influenced by both obesity and diet composition. The obese chow-fed animals had significantly reduced PDHa. On high-carbohydrate and high-protein feeding lean controls had a significant decrease in cardiac PDHa compared to chow-fed controls, but only in high-carbohydrate-fed animals was this further reduced by obesity. High-fat feeding produced a rapid and almost complete suppression of PDHa in both lean and obese animals. Serum insulin, glucose and free fatty acids were also affected by diet as well as obesity. The highest serum insulins were found in chow-fed obese animals whereas the highest serum glucoses were in high-carbohydrate-fed obese animals. Hyperinsulinaemia did not develop in the high-fat-fed obese animal, but the highest serum free fatty acids were found in high-fat feeding. It is concluded that both diet composition and obesity affect cardiac PDHa and therefore glucose utilization in this tissue. Insulin resistance in the acute stages of obesity development is also affected by diet composition.
丙酮酸脱氢酶复合体活性是动物细胞中葡萄糖氧化的主要决定因素。在肥胖和胰岛素抵抗状态下,组织葡萄糖氧化减少,替代燃料被用于提供能量,且肥胖时心肌中的丙酮酸脱氢酶活性降低。在金硫葡萄糖诱导的肥胖小鼠中,研究了四种不同饮食(标准实验室饲料、高碳水化合物、高蛋白和高脂肪)对体重增加、心脏丙酮酸脱氢酶活性(PDHa)以及血清胰岛素、葡萄糖和游离脂肪酸的影响。所有四种饮食都使注射了金硫葡萄糖的动物体重显著增加。心脏PDHa受肥胖和饮食组成的影响。喂食普通饲料的肥胖动物的PDHa显著降低。与喂食普通饲料的对照组相比,喂食高碳水化合物和高蛋白饲料的瘦小鼠心脏PDHa显著降低,但只有在喂食高碳水化合物饲料的动物中,肥胖会进一步降低PDHa。高脂肪喂养在瘦小鼠和肥胖小鼠中都迅速且几乎完全抑制了PDHa。血清胰岛素、葡萄糖和游离脂肪酸也受饮食以及肥胖的影响。喂食普通饲料的肥胖动物血清胰岛素水平最高,而喂食高碳水化合物饲料的肥胖动物血清葡萄糖水平最高。高脂肪喂养的肥胖动物未出现高胰岛素血症,但高脂肪喂养的动物血清游离脂肪酸水平最高。结论是,饮食组成和肥胖均影响心脏PDHa,进而影响该组织中的葡萄糖利用。肥胖发展急性期的胰岛素抵抗也受饮食组成的影响。