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热量限制增强糖原代谢以弥补脂质不足。

Calorie Restriction Enhanced Glycogen Metabolism to Compensate for Lipid Insufficiency.

机构信息

Department of Endocrinology and Metabolism, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai Clinical Center for Metabolic Diseases, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Diabetes Institute, Shanghai, 200233, China.

Max Delbrück Center for Molecular Medicine in the Helmholtz Association, 13125, Berlin-Buch, Germany.

出版信息

Mol Nutr Food Res. 2022 Oct;66(20):e2200182. doi: 10.1002/mnfr.202200182. Epub 2022 Aug 31.

Abstract

SCOPE

This study aims to investigate the metabolic phenotype and mechanism of 40% calorie restriction (CR) in mice.

METHODS AND RESULTS

CR mice exhibit super-stable blood glucose, as evidenced by increased fasting blood glucose (FBG), decreased postprandial blood glucose, and reduced glucose fluctuations. Additionally, both fasting plasma insulin and the homeostasis model assessment of insulin resistance increase significantly in CR mice. Compared with control, the phosphorylation of insulin receptor substrates-1 and serine/threonine kinase decreases in liver and fat but increases in muscle of CR mice after insulin administration, indicating hepatic and adipose insulin resistance, and muscle insulin sensitization. CR reduces visceral fat much more than subcutaneous fat. The elevated FBG is negatively correlated with low-level fasting β-hydroxybutyrate, which may result from insufficient free fatty acids and diminishes ketogenic ability in CR mice. Furthermore, liver glycogen increases dramatically in CR mice. Analysis of glycogen metabolism related proteins indicates active glycogen synthesis and decomposition. Additionally, CR elevates plasma corticosterone and hypothalamic orexigenic gene expression.

CONCLUSION

CR induces lipid insufficiency and stress, resulting in global physiological insulin resistance except muscle and enhances glycogen metabolism, culminating in the stability of blood glucose manifests in increased FBG, which compensates for insufficient blood ketones.

摘要

研究范围

本研究旨在探究 40%热量限制(CR)对小鼠的代谢表型和机制。

方法与结果

CR 小鼠表现出血糖超稳定性,表现在空腹血糖(FBG)升高、餐后血糖降低和血糖波动减少。此外,CR 小鼠的空腹血浆胰岛素和胰岛素抵抗的稳态模型评估均显著增加。与对照组相比,胰岛素给药后,CR 小鼠的肝和脂肪组织中胰岛素受体底物-1 和丝氨酸/苏氨酸激酶的磷酸化减少,而肌肉组织中增加,表明肝和脂肪组织胰岛素抵抗,肌肉组织胰岛素敏感性增强。CR 使内脏脂肪减少的程度远大于皮下脂肪。升高的 FBG 与低水平的空腹β-羟丁酸呈负相关,这可能是由于游离脂肪酸不足和 CR 小鼠酮生成能力降低所致。此外,CR 使肝糖原显著增加。对糖元代谢相关蛋白的分析表明,糖元的合成和分解都很活跃。此外,CR 还会升高血浆皮质酮和下丘脑食欲基因的表达。

结论

CR 引起脂质不足和应激,导致除肌肉以外的全身生理胰岛素抵抗,并增强糖元代谢,最终导致血糖稳定性表现为 FBG 升高,从而弥补了血液酮体的不足。

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