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肾上腺切除术及糖皮质激素替代治疗对肥胖症发生发展的影响

Effect of adrenalectomy and glucocorticoid replacement on development of obesity.

作者信息

Freedman M R, Horwitz B A, Stern J S

出版信息

Am J Physiol. 1986 Apr;250(4 Pt 2):R595-607. doi: 10.1152/ajpregu.1986.250.4.R595.

Abstract

Female obese and lean Zucker rats were adrenalectomized (ADX) or sham-operated at 4 wk of age. ADX animals were given daily injections of 0.01, 0.05, 0.50, 1.0, or 2.0 mg hydrocortisone/100 g body wt for 30 days. ADX rats gained less weight than sham-operated controls. Obese ADX rats at the lowest dose (0.01) had a net positive energy gain but lost body fat. As steroid dose increased, obese rats deposited more fat and less protein. Doses of 0.01 and 0.05 mg produced rats that were less fat than sham-operated controls, whereas doses of 0.50, 1.0, and 2.0 mg produced rats of comparable body fat composition. Obese rats were consistently fatter and had a significantly smaller percentage body protein than lean rats at each dose. Body fat elevation was reflected by heavier parametrial and retroperitoneal fat depots and larger fat cells at all doses except the lowest. Compared with sham-operated controls, lean and obese rats at the two lowest replacement doses (0.01, 0.05) exhibited significantly decreased plasma insulin and triglyceride levels and significantly elevated brown adipose tissue protein content and citrate synthase (CS) activity. Obese rats at these doses had significantly reduced adipose tissue lipoprotein lipase (LPL) activity in the retroperitoneal depot and lower food intake. Furthermore, these obese rats had adipose depot weights, cell sizes, LPL activity, and plasma insulin, glucose, and triglyceride comparable to that of lean sham-operated controls. As steroid dose increased (0.5, 1.0, 2.0), plasma insulin and triglyceride and food intake markedly increased only in obese rats. Adipose tissue LPL activity appeared unaffected by dose. Brown adipose tissue protein content and CS activity significantly decreased as dose increased in both lean and obese rats. At all doses of replacement obese rats were more responsive to steroid than were lean rats. Obese rats receiving 0.01 mg had comparable fat depot weights, cell sizes, and plasma insulin and triglyceride as lean rats receiving 50 times as much steroid per day (0.50 mg). These results suggest glucocorticoids play an important role in the early development of obesity in the Zucker rat and support the hypothesis that obese rats are more responsive to glucocorticoids than are lean rats.

摘要

雌性肥胖和瘦的 Zucker 大鼠在 4 周龄时进行肾上腺切除术(ADX)或假手术。ADX 动物每天注射 0.01、0.05、0.50、1.0 或 2.0 mg 氢化可的松/100 g 体重,持续 30 天。ADX 大鼠的体重增加少于假手术对照组。最低剂量(0.01)的肥胖 ADX 大鼠有净正能量增加,但体脂减少。随着类固醇剂量增加,肥胖大鼠储存更多脂肪和更少蛋白质。0.01 和 0.05 mg 的剂量使大鼠的脂肪比假手术对照组少,而 0.50、1.0 和 2.0 mg 的剂量使大鼠的体脂组成相当。在每个剂量下,肥胖大鼠始终比瘦大鼠更胖,身体蛋白质百分比显著更小。除最低剂量外,所有剂量下,子宫旁和腹膜后脂肪储存更重以及脂肪细胞更大反映了体脂升高。与假手术对照组相比,两个最低替代剂量(0.01、0.05)的瘦和肥胖大鼠血浆胰岛素和甘油三酯水平显著降低,棕色脂肪组织蛋白质含量和柠檬酸合酶(CS)活性显著升高。这些剂量下的肥胖大鼠腹膜后储存的脂肪组织脂蛋白脂肪酶(LPL)活性显著降低,食物摄入量减少。此外,这些肥胖大鼠的脂肪储存重量、细胞大小、LPL 活性以及血浆胰岛素、葡萄糖和甘油三酯与瘦的假手术对照组相当。随着类固醇剂量增加(0.5、1.0、2.0),仅肥胖大鼠的血浆胰岛素、甘油三酯和食物摄入量显著增加。脂肪组织 LPL 活性似乎不受剂量影响。随着剂量增加,瘦和肥胖大鼠的棕色脂肪组织蛋白质含量和 CS 活性均显著降低。在所有替代剂量下,肥胖大鼠比瘦大鼠对类固醇更敏感。接受 0.01 mg 的肥胖大鼠的脂肪储存重量、细胞大小以及血浆胰岛素和甘油三酯与每天接受 50 倍剂量类固醇(0.50 mg)的瘦大鼠相当。这些结果表明糖皮质激素在 Zucker 大鼠肥胖的早期发展中起重要作用,并支持肥胖大鼠比瘦大鼠对糖皮质激素更敏感的假说。

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