Wang M Y, Koyama K, Shimabukuro M, Newgard C B, Unger R H
Gifford Laboratories for Diabetes Research, University of Texas Southwestern Medical Center, Dallas 75235, USA.
Proc Natl Acad Sci U S A. 1998 Jan 20;95(2):714-8. doi: 10.1073/pnas.95.2.714.
In obese Zucker diabetic fatty (ZDF) rats with mutant leptin receptors, pancreatic islets have an approximately 50-fold increase in fat (TG), overproduce nitric oxide (NO), and lack a normal proinsulin mRNA response to fatty acids. We overexpressed the wild-type full-length "b" isoform of the leptin receptor (OB-Rb) in ZDF islets by perfusing ZDF pancreata with recombinant adenovirus containing the cDNA encoding OB-Rb. In cultured islets isolated from these animals, leptin lowered islet TG by 87% and completely blocked TG formation from free fatty acids. Overproduction of NO was reduced, and the preproinsulin mRNA response to free fatty acids was restored. This establishes defective leptin action as the proximate cause of lipotoxic diabetes in ZDF rats.
在具有突变瘦素受体的肥胖Zucker糖尿病脂肪(ZDF)大鼠中,胰岛中的脂肪(甘油三酯)增加了约50倍,一氧化氮(NO)产生过多,并且缺乏对脂肪酸的正常胰岛素原mRNA反应。我们通过用含有编码OB-Rb的cDNA的重组腺病毒灌注ZDF胰腺,在ZDF胰岛中过表达瘦素受体的野生型全长“b”亚型(OB-Rb)。在从这些动物分离的培养胰岛中,瘦素使胰岛甘油三酯降低了87%,并完全阻断了游离脂肪酸形成甘油三酯的过程。NO的过量产生减少,并且对游离脂肪酸的胰岛素原前体mRNA反应得以恢复。这确定了瘦素作用缺陷是ZDF大鼠脂毒性糖尿病的直接原因。