Genetically or experimentally-produced (e.g. via lesions of the hypothalamus) obese animals have several common features such as increased hepatic lipogenesis (resulting in fat infiltration) and increased hepatic lipoprotein secretion, together, with increased adipose tissue lipogenesis. These abnormalities appear to be related primarily to hyperinsulinemia as they are reversed to or toward normal when hyperinsulinemia is corrected or, conversely, as they develop concomitantly with hyperinsulinemia. In the liver (ob/ob mice), another defect can be demonstrated, i.e. a decreased hepatic insulin clearance. This defect is also related to hyperinsulinemia and is markedly reduced upon normalizing hyperinsulinemia of obese mice. Hyperinsulinemia may thus be a key feature of the obesity syndromes, and bring about most of the abnormalities noted, including the subsequent state of insulin resistance known to exist in obese animals. The etiology of hyperinsulinemia of genetically obese animals is still unknown. Among the possible mechanisms one should cite possible primary dysfunction of the pancreas, possible primary dysregulation, by the hypothalamus, of overall endocrine pancreas activity.
基因上肥胖或通过实验产生的(如通过下丘脑损伤)肥胖动物有几个共同特征,如肝脏脂肪生成增加(导致脂肪浸润)、肝脏脂蛋白分泌增加,以及脂肪组织脂肪生成增加。这些异常似乎主要与高胰岛素血症有关,因为当高胰岛素血症得到纠正时,它们会恢复到正常或接近正常,或者相反,当它们与高胰岛素血症同时出现时。在肝脏中(ob/ob小鼠),还可以证明另一个缺陷,即肝脏胰岛素清除率降低。这个缺陷也与高胰岛素血症有关,并且在肥胖小鼠的高胰岛素血症正常化后会显著降低。因此,高胰岛素血症可能是肥胖综合征的一个关键特征,并导致了所观察到的大多数异常,包括肥胖动物中已知存在的后续胰岛素抵抗状态。基因肥胖动物高胰岛素血症的病因仍然未知。在可能的机制中,应该提到胰腺可能存在的原发性功能障碍,以及下丘脑可能对整个内分泌胰腺活动进行的原发性调节异常。