Rocchini A P, Marker P, Cervenka T
Department of Pediatrics, University of Minnesota, Minneapolis 55455, USA.
Am J Physiol. 1997 Jan;272(1 Pt 1):E147-54. doi: 10.1152/ajpendo.1997.272.1.E147.
The current study evaluated both the time course of insulin resistance associated with feeding dogs a high-fat diet and the relationship between the development of insulin resistance and the increase in blood pressure that also occurs. Twelve adult mongrel dogs were chronically instrumented and randomly assigned to either a control diet group (n = 4) or a high-fat diet group (n = 8). Insulin resistance was assessed by a weekly, single-dose (2 mU.kg-1.min-1) euglycemic-hyperinsulinemic clamp on all dogs. Feeding dogs a high-fat diet was associated with a 3.7 +/- 0.5 kg increase in body weight, a 20 +/- 4 mmHg increase in mean blood pressure, a reduction in insulin-mediated glucose uptake [(in mumol-kg-1.min-1) decreasing from 72 +/- 6 before to 49 +/- 7 at 1 wk, 29 +/- 3 at 3 wk, and 30 +/- 2 at 6 wk of the high-fat diet, P < 0.01]. and a reduced insulin-mediated increase in cardiac output. In eight dogs (4 high fat and 4 control), the dose-response relationship of insulin-induced glucose uptake also was studied. The whole body glucose uptake dose-response curve was shifted to the right, and the rate of maximal whole body glucose uptake was significantly decreased (P < 0.001). Finally, we observed a direct relationship between the high-fat diet-induced weekly increase in mean arterial pressure and the degree to which insulin resistance developed. In summary, the current study documents that feeding dogs a high-fat diet causes the rapid development of insulin resistance that is the result of both a reduced sensitivity and a reduced responsiveness to insulin.
本研究评估了给犬喂食高脂饮食后胰岛素抵抗的时间进程,以及胰岛素抵抗的发展与同时出现的血压升高之间的关系。12只成年杂种犬长期植入监测仪器,并随机分为对照饮食组(n = 4)或高脂饮食组(n = 8)。通过每周对所有犬进行单剂量(2 mU·kg-1·min-1)的正常血糖-高胰岛素钳夹试验来评估胰岛素抵抗。给犬喂食高脂饮食与体重增加3.7±0.5 kg、平均血压升高20±4 mmHg、胰岛素介导的葡萄糖摄取减少[(以μmol·kg-1·min-1计)从高脂饮食前的72±6降至1周时的49±7、3周时的29±3和6周时的30±2,P<0.01]以及胰岛素介导的心输出量增加减少有关。在8只犬(4只高脂组和4只对照组)中,还研究了胰岛素诱导的葡萄糖摄取的剂量反应关系。全身葡萄糖摄取剂量反应曲线右移,最大全身葡萄糖摄取率显著降低(P<0.001)。最后,我们观察到高脂饮食诱导的平均动脉压每周升高与胰岛素抵抗发展程度之间存在直接关系。总之,本研究证明给犬喂食高脂饮食会导致胰岛素抵抗迅速发展,这是胰岛素敏感性降低和反应性降低共同作用的结果。