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甲状腺功能亢进对脂肪组织中胰岛素作用的选择性修饰。

Selective modification of insulin action in adipose tissue by hyperthyroidism.

作者信息

Fryer L G, Holness M J, Sugden M C

机构信息

Department of Biochemistry, Basic Medical Sciences, St Bartholomew's London, UK.

出版信息

J Endocrinol. 1997 Sep;154(3):513-22. doi: 10.1677/joe.0.1540513.

Abstract

Adipose-tissue lipolysis (assessed from glycerol release) and glucose uptake were examined in parametrial and mesenteric adipocytes prepared from control or hyperthyroid rats in relation to changes in insulin sensitivity. Basal rates of lipolysis did not differ significantly between adipose-tissue depots. Lipolysis was maximally stimulated by noradrenaline at 1 microM, half-maximal anti-lipolytic effects of insulin were observed at approximately 11 microU/ ml insulin, and half-maximal stimulation of glucose uptake was observed at approximately 16 microU/ml insulin in adipocytes from both depots. Wortmannin caused a dose-dependent inhibition of the anti-lipolytic effect of insulin (150 microU/ml) on noradrenaline-stimulated lipolysis. Half-maximal effects of wortmannin were observed at 20-40 nM. The p70S6K inhibitor rapamycin and the mitogen-activated protein kinase kinase inhibitor PD098059 had no effects on noradrenaline-stimulated lipolysis. Hyperthyroidism increased basal rates of lipolysis and the maximal response of lipolysis to noradrenaline stimulation (3.1-fold, P < 0.001 and 2.1-fold, P < 0.05 respectively) in parametrial adipocytes. Hyperthyroidism markedly blunted the sensitivity of noradrenaline-stimulated lipolysis to half-maximal suppression by insulin in both parametrial and mesenteric adipocyte depots, and noradrenaline-stimulated lipolysis at a maximal insulin concentration remained significantly higher in adipocytes prepared from hyperthyroid rats compared with controls. Hyperthyroidism had no effect on basal and little effect on insulin-stimulated glucose uptake. Tri-iodothyronine administered at a low dose selectively influenced the anti-lipolytic action of insulin in parametrial adipocytes, and led to significantly less marked elevation in plasma non-esterified fatty acid concentrations in vivo. The results demonstrate a selective effect of hyperthyroidism to impair insulin's anti-lipolytic action, and are consistent with the operation of different downstream signalling mechanisms for the effects of insulin on adipocyte glucose transport and lipolysis.

摘要

在由对照或甲状腺功能亢进大鼠制备的子宫旁和肠系膜脂肪细胞中,研究了脂肪组织脂解作用(通过甘油释放评估)和葡萄糖摄取与胰岛素敏感性变化的关系。不同脂肪组织库之间的基础脂解速率无显著差异。去甲肾上腺素在1微摩尔时可最大程度地刺激脂解作用,在约11微单位/毫升胰岛素时观察到胰岛素的半数最大抗脂解作用,在来自两个脂肪组织库的脂肪细胞中,约16微单位/毫升胰岛素时观察到葡萄糖摄取的半数最大刺激作用。渥曼青霉素对胰岛素(150微单位/毫升)对去甲肾上腺素刺激的脂解作用的抗脂解作用产生剂量依赖性抑制。渥曼青霉素的半数最大效应在20 - 40纳摩尔时观察到。p70S6K抑制剂雷帕霉素和丝裂原活化蛋白激酶激酶抑制剂PD098059对去甲肾上腺素刺激的脂解作用无影响。甲状腺功能亢进增加了子宫旁脂肪细胞的基础脂解速率以及脂解作用对去甲肾上腺素刺激的最大反应(分别为3.1倍,P < 0.001和2.1倍,P < 0.05)。甲状腺功能亢进显著减弱了子宫旁和肠系膜脂肪组织库中去甲肾上腺素刺激的脂解作用对胰岛素半数最大抑制的敏感性,并与对照相比,在甲状腺功能亢进大鼠制备的脂肪细胞中,最大胰岛素浓度下的去甲肾上腺素刺激的脂解作用仍显著更高。甲状腺功能亢进对基础葡萄糖摄取无影响,对胰岛素刺激的葡萄糖摄取影响较小。低剂量给予的三碘甲状腺原氨酸选择性地影响子宫旁脂肪细胞中胰岛素的抗脂解作用,并导致体内血浆非酯化脂肪酸浓度升高明显减轻。结果表明甲状腺功能亢进对胰岛素抗脂解作用的损害具有选择性,并且与胰岛素对脂肪细胞葡萄糖转运和脂解作用的不同下游信号传导机制的运作一致。

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