Nilsson C, Niklasson M, Eriksson E, Björntorp P, Holmäng A
Department of Heart and Lung Diseases, Göteborg University, Göteborg, Sweden.
J Clin Invest. 1998 Jan 1;101(1):74-8. doi: 10.1172/JCI1353.
In women, a relative hyperandrogenicity is statistically associated with insulin resistance and centralization of body fat, which are predictors for the development of non-insulin-dependent diabetes mellitus. The aim of this study was to evaluate the effect of androgenization of newborn female rats on insulin sensitivity at adult age. To mimic the neonatal androgen peak normally observed in male rats, female pups were administered one high dose of testosterone (T) subcutaneously within 3 h after birth. They were then given back to their mothers and followed to adult age. At the end of the week 9, tail samples were taken, showing no differences in fasting plasma concentrations of glucose, lactate, insulin, or free fatty acids between T-treated rats and controls. Plasma concentrations of T and progesterone were significantly lower in the T-treated rats, whereas no differences were found in the levels of corticosterone, estradiol, insulin-like growth factor I, or ACTH. After 10 wk, insulin sensitivity was studied with hyperglycemic and euglycemic hyperinsulinemic (5 mU insulin/kg/min) clamp techniques. The T-treated rats showed insulin resistance with both techniques, which was overcome with time and increasing insulin concentrations during the clamp measurements. The T-treated rats were also heavier and had increased relative weights of skeletal muscles and the spleen. Parametrial, retroperitoneal, and inguinal adipose tissues decreased in weight while mesenteric adipose tissue tended to increase, resulting in an approximately 30-50% larger mesenteric than other adipose tissues. It is concluded that neonatal T imprinting of female rats is followed by insulin resistance, changes in adipose tissue distribution, and an enlarged lean mass, without elevation of circulating T. Similar changes are seen in adult female rats or women receiving T.
在女性中,相对高雄激素血症在统计学上与胰岛素抵抗及体脂向心性分布相关,而这两者是非胰岛素依赖型糖尿病发生的预测因素。本研究的目的是评估新生雌性大鼠雄激素化对成年期胰岛素敏感性的影响。为模拟正常情况下雄性大鼠出生时出现的雄激素峰值,雌性幼崽在出生后3小时内皮下注射一剂高剂量睾酮(T)。然后将它们放回母亲身边直至成年。在第9周结束时,采集尾静脉血样,结果显示T处理组大鼠与对照组大鼠在空腹血浆葡萄糖、乳酸、胰岛素或游离脂肪酸浓度方面没有差异。T处理组大鼠的血浆T和孕酮浓度显著降低,而皮质酮、雌二醇、胰岛素样生长因子I或促肾上腺皮质激素水平未发现差异。10周后,采用高血糖和正常血糖高胰岛素血症(5 mU胰岛素/kg/min)钳夹技术研究胰岛素敏感性。两种技术均显示T处理组大鼠存在胰岛素抵抗,但在钳夹测量过程中,随着时间推移及胰岛素浓度增加,这种抵抗得以克服。T处理组大鼠体重也更重,骨骼肌和脾脏的相对重量增加。子宫旁、腹膜后和腹股沟脂肪组织重量减轻,而肠系膜脂肪组织有增加趋势,导致肠系膜脂肪组织比其他脂肪组织大约重30 - 50%。研究得出结论,雌性大鼠新生儿期T印记会导致胰岛素抵抗、脂肪组织分布改变和瘦体重增加,且循环T水平未升高。在成年雌性大鼠或接受T治疗的女性中也观察到类似变化。