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1.
Diabetes Metab ; 36(3): 221-8, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20303812

RESUMO

AIM: Lipogenesis is expressed in vascular smooth muscle cells (VSMCs), and such in situ lipogenesis could be providing the fatty acids for triglyceride synthesis and cholesterol esterification, and contributing to lipid accumulation in the arterial wall. This study investigated both the expression and regulation of lipogenesis in VSMCs to determine if they are modified in Psammomys obesus gerbils fed a high-fat diet as a model of insulin resistance and diabetes. METHODS: Aortas were collected from diabetic and non-diabetic P. obesus for histological examination, measurement of lipogenic gene expression and VSMC culture. RESULTS: The aortas of diabetic animals exhibited lipid deposits and foam cells as well as disorganization of elastic fibres. However, lipogenic gene expression was not modified. VSMCs in vitro from the aortas of diabetic animals had, compared with cells from non-diabetic animals, lower mRNA levels of SREBP-1c and ChREBP. An adipogenic medium stimulated moderate FAS and ACC1 expression in cells from both diabetic and non-diabetic animals, but glucose and insulin on their own had no such stimulatory action. Also, triiodothyronine (T3) had a clear stimulatory action, while angiotensin II had a moderate effect, in cells from non-diabetic P. obesus, but not from diabetic animals, whereas LXR agonists stimulated lipogenesis in cells from both animal groups. CONCLUSION: Lipogenesis is expressed in the arterial walls and VSMCs of P. obesus. However, its expression was not increased in diabetes, and did not respond to either T3 or angiotensin II. Therefore, lipogenesis in situ is unlikely to contribute to the accumulation of lipids in the arterial walls of diabetic P. obesus gerbils.


Assuntos
Aorta/metabolismo , Diabetes Mellitus Experimental/metabolismo , Lipogênese , Músculo Liso Vascular/metabolismo , Análise de Variância , Animais , Células Cultivadas , Modelos Animais de Doenças , Gorduras/administração & dosagem , Ácido Graxo Sintase Tipo I/genética , Ácido Graxo Sintase Tipo I/metabolismo , Fígado Gorduroso/metabolismo , Perfilação da Expressão Gênica , Regulação da Expressão Gênica , Gerbillinae , Proteínas Nucleares/genética , Proteínas Nucleares/metabolismo , Fatores de Transcrição/genética , Fatores de Transcrição/metabolismo
2.
Diabetes Metab ; 35(6): 452-7, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19854668

RESUMO

AIM: High triglyceride (TG) levels are a risk factor for cardiovascular diseases, and TG concentrations depend on the balance between its appearance in and clearance from plasma. TG clearance is controlled mainly by lipoprotein lipase (LPL), the maturation and activity of which are dependent on lipase maturation factor 1 (LMF1) protein. The present study aimed to investigate LMF1 expression in hypertriglyceridaemia and the regulation of its expression, as little is currently known of these processes. METHODS: We measured LMF1 expression (mRNA) in Zucker diabetic rats (ZDF) throughout the development of obesity, insulin resistance and diabetes, and compared it with that of control rats. We also determined whether fenofibrate and metformin, agents with TG-lowering activities, have an effect on LMF1 expression in ZDF rats. RESULTS: At 7 weeks, the ZDF rats were obese, insulin-resistant and hypertriglyceridaemic, and their LMF1 mRNA levels were - whichever tissue was investigated - comparable to those of the control rats. Diabetic ZDF rats (14 and 21-week-old) also had high TG levels, but the presence of diabetes had no effect on LMF1 expression; mRNA levels remained comparable to those in the controls. Although fenofibrate and metformin both decreased plasma TG levels, fenofibrate had no effect on LMF1 expression, whereas metformin increased LMF1 mRNA in heart tissue (14- and 21-week-old ZDF rats; P<0.01), and induced a trend towards increases in adipose tissue (14-week-old ZDF rats) and muscle (14- and 21-week-old ZDF rats). CONCLUSION: LMF1 expression was not altered in this experimental animal model of obesity, insulin resistance and diabetes in the presence of raised TG levels. However, metformin increased LMF1 expression in the heart, suggesting that stimulation of LMF1 may play a part in its TG-lowering action.


Assuntos
Diabetes Mellitus/metabolismo , Fenofibrato/farmacologia , Proteínas de Membrana/metabolismo , Metformina/farmacologia , Obesidade/metabolismo , Tecido Adiposo/efeitos dos fármacos , Tecido Adiposo/metabolismo , Análise de Variância , Animais , Glicemia/metabolismo , Peso Corporal/efeitos dos fármacos , Peso Corporal/genética , Diabetes Mellitus/tratamento farmacológico , Diabetes Mellitus/genética , Ensaio de Imunoadsorção Enzimática , Ácidos Graxos não Esterificados/sangue , Coração/efeitos dos fármacos , Hipoglicemiantes/farmacologia , Hipolipemiantes/farmacologia , Insulina/sangue , Resistência à Insulina/genética , Masculino , Proteínas de Membrana/genética , Miocárdio/metabolismo , Obesidade/tratamento farmacológico , Obesidade/genética , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Ratos , Ratos Zucker , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Triglicerídeos/sangue
3.
Diabetes Metab ; 31(6): 558-66, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16357804

RESUMO

ChREBP (Carbohydrate response element binding protein) is considered to mediate the stimulatory effect of glucose on the expression of lipogenic genes. Its activity is stimulated by glucose. Less is known on the control of its expression. This expression could be controlled by nutritional (glucose, fatty acids) and hormonal (insulin) factors. We examined the in vivo nutritional control of ChREBP expression in liver and adipose tissue of Wistar rats. Compared respectively to the fed state and to a high carbohydrate diet, ChREBP mRNA concentrations were not modified by fasting or a high fat diet in rat liver and adipose tissue. FAS and ACC1 mRNA concentrations were on the contrary decreased as expected by fasting and high fat diets and these variations of FAS and ACC1 mRNA were positively related to those of SREBP-1c mRNA and protein, but not of ChREBP mRNA. Therefore i) ChREBP expression appears poorly responsive to modifications of nutritional condition, ii) modifications of the expression of ChREBP do not seem implicated in the physiological control of lipogenesis. To investigate the possible role of ChREBP in pathological situations we measured its mRNA concentrations in the liver and adipose tissue of obese Zucker rats. ChREBP expression was increased in the liver but not the adipose tissue of obese rats compared to their lean littermates. These results support a role of ChREBP in the development of hepatic steatosis and hypertriglyceridemia but not of obesity in this experimental model.


Assuntos
Proteína de Ligação a Elemento Regulador de Esterol 1/genética , Proteína de Ligação a Elemento Regulador de Esterol 1/metabolismo , Animais , Fatores de Transcrição de Zíper de Leucina e Hélice-Alça-Hélix Básicos/genética , Glicemia/metabolismo , Colesterol/sangue , Ingestão de Alimentos , Ácidos Graxos não Esterificados/sangue , Insulina/sangue , Masculino , RNA Mensageiro/genética , Ratos , Ratos Wistar , Ratos Zucker , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Triglicerídeos/sangue , Receptor fas/genética
4.
Diabetes Metab ; 30(4): 294-309, 2004 09.
Artigo em Inglês | MEDLINE | ID: mdl-15525872

RESUMO

Adipose tissue is considered as the body's largest storage organ for energy in the form of triacylglycerols, which are mobilized through lipolysis process, to provide fuel to other organs and to deliver substrates to liver for gluconeogenesis (glycerol) and lipoprotein synthesis (free fatty acids). The release of glycerol and free fatty acids from human adipose tissue is mainly dependent on hormone-sensitive lipase which is intensively regulated by hormones and agents, such as insulin (inhibition of lipolysis) and catecholamines (stimulation of lipolysis). A special attention is paid to the recently discovered perilipins which could regulate the activity of the lipase hormono-sensible. Most of the plasma triacylglycerols are provided by dietary lipids, secreted from the intestine in the form of chylomicron or from the liver in the form of VLDL. Released into circulation as non-esterified fatty acids by lipoprotein lipase, those are taken up by adipose tissue via specific plasma fatty acid transporters (CD36, FATP, FABPpm) and used for triacylglycerol synthesis. A small part of triacylglycerols is synthesized into adipocytes from carbohydrates (lipogenesis) but its regulation is still debated in human. Physiological factors such as dieting/fasting regulate all these metabolic pathways, which are also modified in pathological conditions e.g. obesity.


Assuntos
Adipócitos/metabolismo , Tecido Adiposo/metabolismo , Metabolismo dos Lipídeos , Ácidos Graxos não Esterificados/metabolismo , Humanos , Lipase/metabolismo , Lipídeos/sangue , Lipólise , Modelos Biológicos
5.
Diabetes Metab ; 29(5): 478-85, 2003 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-14631324

RESUMO

BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) is frequently observed in insulin-resistant subjects and can lead to liver fibrosis and cirrhosis. The abnormalities of lipid metabolism behind this development of excess hepatic TG stores are poorly understood. METHODS: To clarify these mechanisms we measured triglyceride secretion rate and the contributions of hepatic lipogenesis and reesterification of non-esterified fatty acids (NEFA) to this secretion in healthy subjects and in patients with clear evidence of NAFLD. All subjects were studied in the post-absorptive state. Hepatic lipogenesis was measured with deuterated water. NEFA turnover rate, triglyceride secretion rate and the contribution of NEFA reesterification to this secretion were determined with [1-(13)C] palmitate infusion. RESULTS: NAFLD patients had higher NEFA concentrations (p<0.05) but normal NEFA turnover rates (5.23 +/- 0.80 vs 5.91 +/- 0.97 micromol.kg(-1).min(-1) in control subjects, ns). Despite a trend for higher plasma triglyceride levels in patients (p<0.10), triglyceride turnover rates were not increased (0.11 +/- 0.01 micromol.kg(-1).min(-1) in patients vs 0.14 +/- 0.01 in controls, ns). However the contribution of hepatic lipogenesis to triglyceride secretion was largely increased in patients (14.9 +/- 2.7 vs 4.6 +/- 1.1% p<0.01) while that of NEFA reesterification was reduced (25.1 +/- 2.9 vs 52.8 +/- 6.2% p<0.01). CONCLUSION: Enhanced lipogenesis appears as a major abnormality of hepatic fatty metabolism in subjects with NAFLD. Therapeutic measures aimed at decreasing hepatic lipogenesis would therefore be the most appropriate in order to reduce hepatic TG synthesis and content in such patients.


Assuntos
Ácidos Graxos não Esterificados/sangue , Fígado Gorduroso/metabolismo , Fígado/metabolismo , Triglicerídeos/sangue , Adulto , Isótopos de Carbono , Colesterol/sangue , Fígado Gorduroso/sangue , Feminino , Glucagon/sangue , Humanos , Insulina/sangue , Marcação por Isótopo/métodos , Mobilização Lipídica , Masculino , Pessoa de Meia-Idade , Ácido Palmítico/sangue , Valores de Referência
6.
J Clin Endocrinol Metab ; 86(11): 5353-7, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11701705

RESUMO

To determine the effect of hyperthyroidism on hepatic lipogenesis and cholesterol synthesis we measured these metabolic pathways (deuterated water method) in euthyroid and hyperthyroid subjects investigated in the postabsorptive state. Hyperthyroid patients had increased concentrations of glucose (P < 0.05), insulin (P < 0.05), nonesterified fatty acids (P < 0.01), and triglycerides (P < 0.05) and decreased levels of plasma cholesterol (P < 0.01). The contribution of hepatic lipogenesis to plasma triglycerides was largely increased in hyperthyroid subjects (23.0 +/- 1.8% vs. 7.5 +/- 0.2%; P < 0.001), whereas the fractional synthetic rate of cholesterol was moderately higher (5.0 +/- 0.8% vs. 3.3 +/- 0.2%; P < 0.05). mRNA levels of beta-hydroxy-beta-methyl glutaryl-coenzyme A reductase, measured in circulating mononuclear cells, were increased (P < 0.05), whereas those of low density lipoprotein (LDL) receptor and LDL receptor-related protein were unchanged. Sterol responsive element binding protein-1c mRNAs were undetectable in mononuclear cells from both groups of subjects. The large stimulation of hepatic lipogenesis in hyperthyroid patients is probably explained by both a direct action of thyroid hormones and the increase in insulin. It could contribute to their moderate rise in triglycerides levels. The decreased plasma cholesterol level is observed despite an enhanced synthetic rate and is thus related to an increased clearance rate. The lack of increased expression of LDL receptor and LDL receptor-related protein suggests that other receptors are implicated.


Assuntos
Colesterol/biossíntese , Hipertireoidismo/metabolismo , Lipídeos/biossíntese , Fígado/metabolismo , Fatores de Transcrição , Adulto , Proteínas Estimuladoras de Ligação a CCAAT/biossíntese , Proteínas de Ligação a DNA/biossíntese , Feminino , Doença de Graves/metabolismo , Hepatócitos/enzimologia , Hepatócitos/metabolismo , Humanos , Hidroximetilglutaril-CoA Redutases/biossíntese , Hidroximetilglutaril-CoA Redutases/metabolismo , Masculino , Monócitos/efeitos dos fármacos , Monócitos/metabolismo , RNA Mensageiro/biossíntese , Receptores de LDL/biossíntese , Receptores de LDL/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Proteína de Ligação a Elemento Regulador de Esterol 1
7.
Biochem J ; 358(Pt 3): 599-605, 2001 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-11535121

RESUMO

In the accompanying paper [Beylot, McKie, Voragen, Doeswijk-Voragen and Gilbert (2001) Biochem. J. 358, 607-614] the chromosome of Pseudomonas cellulosa was shown to contain two genes, abf51A and abf62A, that encode arabinofuranosidases belonging to glycoside hydrolase families 51 and 62, respectively. In this report we show that expression of Abf51A is induced by arabinose and arabinose-containing polysaccharides. Northern-blot analysis showed that abf51A was efficiently transcribed, whereas no transcript derived from abf62A was detected in the presence of arabinose-containing polysaccharides. Zymogram and Western-blot analyses revealed that Abf51A was located on the outer membrane of P. cellulosa. To investigate the importance of Abf51A in the release of arabinose from poly- and oligosaccharides, transposon mutagenesis was used to construct an abf51A-inactive mutant of P. cellulosa (Deltaabf51A). The mutant did not grow on linear arabinan or sugar beet arabinan, and utilized arabinoxylan much more slowly than the wild-type bacterium. Arabinofuranosidase activity in Deltaabf51A against aryl-alpha-arabinofuranosides, arabinan and alpha1,5-linked arabino-oligosaccharides was approx. 1% of the wild-type bacterium. The mutant bacterium did not exhibit arabinofuranosidase activity against arabinoxylan, supporting the view that abf62A is not expressed in P. cellulosa. These data indicate that P. cellulosa expresses a membrane-bound glycoside hydrolase family 51 arabinofuranosidase that plays a pivotal role in releasing arabinose from polysaccharides and arabino-oligosaccharides.


Assuntos
Membrana Celular/enzimologia , Regulação Bacteriana da Expressão Gênica , Regulação Enzimológica da Expressão Gênica , Glicosídeo Hidrolases/genética , Pseudomonas/enzimologia , Pseudomonas/genética , Southern Blotting , Metabolismo dos Carboidratos , Clonagem Molecular , Meios de Cultura , Escherichia coli , Pseudomonas/crescimento & desenvolvimento , Proteínas Recombinantes/metabolismo , Mapeamento por Restrição
8.
Biochem J ; 358(Pt 3): 607-14, 2001 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-11535122

RESUMO

To investigate the mechanism by which Pseudomonas cellulosa releases arabinose from polysaccharides and oligosaccharides, a gene library of P. cellulosa genomic DNA was screened for 4-methylumbelliferyl-alpha-L-arabinofuranosidase (MUAase) activity. A single MUAase gene (abf51A) was isolated, which encoded a non-modular glycoside hydrolase family (GH) 51 arabinofuranosidase (Abf51A) of 57000 Da. The substrate specificity of the Abf51A showed that it preferentially removed alpha1,2- and alpha1,3-linked arabinofuranose side chains from either arabinan or arabinoxylan, and hydrolysed alpha1,5-linked arabino-oligosaccharides, although at a much lower rate. The activity of Abf51A against arabinoxylan was similar to a GH62 arabinofuranosidase encoded by a P. cellulosa gene. Glu-194 and Glu-321 of Abf51A are conserved in GH51 enzymes, and it has been suggested that these amino acids comprise the key catalytic acid/base and nucleophile residues, respectively. To evaluate this hypothesis the biochemical properties of E194A and E321A mutants of Abf51A were evaluated. The data were consistent with the view that Glu-194 and Glu-321 comprise the key catalytic residues of Abf51A. These data, in conjunction with the results presented in the accompanying paper [Beylot, Emami, McKie, Gilbert and Pell (2001) Biochem. J. 358, 599-605], indicate that P. cellulosa expresses a membrane-bound GH51 arabinofuranosidase that plays a pivotal role in releasing arabinose from a range of polysaccharides and oligosaccharides.


Assuntos
Glicosídeo Hidrolases/genética , Glicosídeo Hidrolases/metabolismo , Pseudomonas/enzimologia , Pseudomonas/genética , Sequência de Aminoácidos , Arabinose , Sequência de Bases , Clonagem Molecular , Escherichia coli , Biblioteca Gênica , Glicosídeo Hidrolases/química , Cinética , Dados de Sequência Molecular , Família Multigênica , Oligossacarídeos/química , Oligossacarídeos/metabolismo , Plasmídeos , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Mapeamento por Restrição , Alinhamento de Sequência , Homologia de Sequência de Aminoácidos , Especificidade por Substrato
9.
Am J Clin Nutr ; 73(5): 878-84, 2001 May.
Artigo em Inglês | MEDLINE | ID: mdl-11333840

RESUMO

BACKGROUND: High-carbohydrate diets improve plasma cholesterol concentrations but increase triacylglycerol concentrations; the latter effect increases the risk of cardiovascular disease (CVD). Triacylglycerol concentrations increase only during very-high-carbohydrate diets consisting mainly of simple sugars. OBJECTIVE: We compared the CVD risk profile, cholesterol metabolism, and glucose tolerance of 7 healthy subjects during 2 isoenergetic diets: a high-fat, low-carbohydrate diet (HF diet) and a moderately high-carbohydrate, low-fat diet (HC diet). DESIGN: In a randomized crossover study, we measured the effects of the HF diet [40% carbohydrate and 45% fat (15% saturated, 15% monounsaturated, and 15% polyunsaturated)] and HC diet [55% carbohydrate (mainly complex) and 30% fat (10% saturated, 10% monounsaturated, and 10% polyunsaturated)] (3 wk each) on plasma lipid concentrations, oral glucose tolerance, cholesterol synthesis rate, and the messenger RNA (mRNA) concentrations of beta-hydroxy-beta-methylglutaryl coenzyme A (HMG-CoA) reductase, the LDL receptor, and the LDL-receptor-related protein (LRP). RESULTS: Compared with the HF diet, the HC diet lowered total, LDL, and HDL cholesterol (P < 0.05 for all) without modifying the ratio of LDL to HDL cholesterol; triacylglycerol concentrations were unchanged. Lower cholesterol concentrations occurred despite a higher cholesterol synthesis rate (P < 0.05) and higher HMG-CoA reductase mRNA concentrations (P < 0.05). LDL receptor mRNA concentrations were unchanged, LRP mRNA concentrations were lower (P < 0.01), and oral glucose tolerance was better (P < 0.05) with the HC diet. CONCLUSION: The beneficial effects of the HC diet on glucose tolerance and plasma cholesterol concentrations without increases in triacylglycerol show that this diet had favorable effects on both insulin sensitivity and the plasma lipid profile.


Assuntos
Colesterol/biossíntese , Carboidratos da Dieta/farmacologia , Gorduras na Dieta/farmacologia , Regulação da Expressão Gênica/efeitos dos fármacos , Hidroximetilglutaril-CoA Redutases/genética , Receptores Imunológicos/genética , Receptores de LDL/genética , Adulto , Colesterol/sangue , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Doença das Coronárias/epidemiologia , Estudos Cross-Over , Ingestão de Energia , Metabolismo Energético , Feminino , Humanos , Leucócitos Mononucleares/efeitos dos fármacos , Leucócitos Mononucleares/metabolismo , Proteína-1 Relacionada a Receptor de Lipoproteína de Baixa Densidade , Masculino , Pessoa de Meia-Idade , RNA Mensageiro/genética , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Fatores de Risco , Transcrição Gênica , Triglicerídeos/sangue
10.
Nutr Metab Cardiovasc Dis ; 11(4 Suppl): 118-21, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11894744

RESUMO

Dietary digestible carbohydrates are able to modulate lipogenesis, by modifying the expression of genes coding for key lipogenic enzymes, like fatty acid synthase. The overall objective of the Nutrigene project (FAIR-CT97-3011) was to study the efficiency of various carbohydrates to modulate the lipogenic capacity and relevant gene expression in rat and human species (control and obese subjects) and to understand the underlying molecular mechanisms involved in the regulation of lipogenic genes by carbohydrates. Key cellular mediators (namely SREBP-1c and 2, AMP activated protein kinase, cholesterol content) of the regulation of lipogenic gene expression by glucose and/or insulin were identified and constitute new putative targets in the development of plurimetabolic syndrome associated with obesity. In humans, hepatic lipogenesis and triglyceride synthesis, assessed in vivo by the use of stable isotopes, was promoted by a high-carbohydrate diet in non obese subjects, and in non alcoholic steatotic patients, but was not modified in the adipose tissue of obese subjects. Non digestible/fermentable carbohydrates, such as fructans, were shown to decrease hepatic lipogenesis in non obese rats, and to lessen hepatic steatosis and body weight in obese Zucker rats. If confirmed in obese humans, this would allow the development of functional food able to counteract the metabolic disturbances linked to obesity.


Assuntos
Tecido Adiposo/metabolismo , Carboidratos da Dieta/metabolismo , Ácido Graxo Sintases/metabolismo , Regulação da Expressão Gênica/fisiologia , Lipídeos/biossíntese , Obesidade/genética , Tecido Adiposo/fisiopatologia , Animais , Ácido Graxo Sintases/genética , Regulação da Expressão Gênica/genética , Humanos , Fígado/metabolismo , Ratos
11.
Clin Sci (Lond) ; 99(4): 321-8, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10995598

RESUMO

In order to quantify the changes in insulin sensitivity, particularly of endogenous glucose production and fat metabolism, in patients with severe sepsis, a prospective study was conducted in five normal subjects and in five patients with severe sepsis hospitalized in an intensive care unit. The responses of endogenous glucose production, glucose utilization, plasma fatty acids and ketone body concentrations to progressive increase in plasma insulin levels (exogenous insulin infusion rates of 0, 0.5, 1 and 2 m-units x min(-1) x kg(-1)) were measured using the isoglycaemic clamp technique. Total glucose turnover was determined with D-[6,6-(2)H(2)]glucose. In each group, plasma glucose was maintained at basal levels (control subjects, 4.32+/-0.22 mmol x l(-1); patients with sepsis, 7.10+/-2.29 mmol x l(-1); P<0.05). Plasma insulin concentrations were comparable in the two groups at an insulin infusion rate of 0.4 m-unit x min(-1) x kg(-1) for controls and 0.5 m-unit x min(-1) x kg(-1) for patients with sepsis, but differed following infusion at 2 m-unit x min(-1) x kg(-1) (control subjects, 102+/-13.4 m-units x l(-1); patients with sepsis, 124.8+/-19.7 m-units x l(-1); P<0.05). Endogenous glucose production was completely suppressed in control subjects by the first insulin infusion (0.4 m-unit x min(-1) x kg(-1)), but was only suppressed during infusion at 1 m-unit x min(-1) x kg(-1) insulin in patients with sepsis. The glucose utilization rate increased significantly with exogenous insulin infusion in control subjects, but did not increase in patients with sepsis. Plasma non-esterified (free) fatty acid and ketone body levels were significantly decreased in both groups by the infusion of exogenous insulin, but the sensitivity of lipolysis was impaired in patients with sepsis. In conclusion, sepsis impaired to a varying extent the action of insulin on endogenous glucose production, glucose utilization, lipolysis and ketogenesis. Whole-body glucose uptake was the most affected, with a total lack of response to the elevated insulin levels obtained in this study. Suppression of endogenous glucose production and lipolysis could only be achieved with higher doses of insulin than those required in normal subjects.


Assuntos
Gorduras/metabolismo , Glucose/metabolismo , Insulina/administração & dosagem , Sepse/metabolismo , Adulto , Idoso , Estudos de Casos e Controles , Feminino , Técnica Clamp de Glucose , Humanos , Infusões Intravenosas , Insulina/sangue , Corpos Cetônicos/biossíntese , Lipólise/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos
12.
Diabetes Metab ; 26(3): 202-9, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10880894

RESUMO

The contribution of gluconeogenesis to glucose production can be measured by comparing after ingestion of deuterated water the enrichment in deuterium of the hydrogen bound to carbon 5 of glucose with that of hydrogen bound to carbon 2 or with the deuterium enrichment of plasma water. The method developed by Landau et al. for measuring deuterium enrichment on carbon 5 by gas chromatography-mass spectrometry analysis is tedious and time consuming. We developed a simpler procedure for measuring this deuterium enrichment. Deuterium enrichment on carbons 5 and 6 of glucose is measured using the 1,2-5, 6-diisopropylidene-3-O-acetyl-a-furanosyl derivative. Enrichment in position 6 is measured using the hexamethylenetetramine procedure and subtracted from the enrichment on carbons 5 and 6 to obtain the specific enrichment on carbon 5. We tested first this method in post-absorptive and fasted rats (plasma water enrichment 0.6%) infused simultaneously with [6,6-(2) H(2) ] glucose in order to obtain not only the percent contribution of gluconeogenesis, but also glucose turnover rate and absolute gluconeogenesis flux. In post-absorptive and starved rats gluconeogenesis represented respectively 46.7+/-2.0% and 94.1+/-2.0% of glucose production and a flux of 31.1+/-1.8 and 38.9+/-0.9 micromol/kg/min. The method was then used in humans. The contribution in the post-absorptive state of gluconeogenesis to glucose appearance measured in control and type 2 diabetic subjects (plasma water enrichment 0.23-0.38%) was 40. 7+/-5.0% and 65.7 +/-3.3% (p<0.05) respectively. In conclusion this simplified method appears useful for in vivo studies of gluconeogenesis.


Assuntos
Óxido de Deutério/farmacocinética , Diabetes Mellitus Tipo 2/metabolismo , Gluconeogênese , Adulto , Animais , Glicemia/metabolismo , Óxido de Deutério/administração & dosagem , Ingestão de Alimentos , Jejum , Feminino , Cromatografia Gasosa-Espectrometria de Massas , Hemoglobinas Glicadas/análise , Humanos , Infusões Intravenosas , Masculino , Pessoa de Meia-Idade , Ratos , Ratos Sprague-Dawley
13.
Am J Physiol ; 277(3): E529-36, 1999 09.
Artigo em Inglês | MEDLINE | ID: mdl-10484366

RESUMO

The labeling pattern of hepatic glutamine during infusion of [3-13C]lactate provides information on liver intermediary metabolism and allows us to correct apparent gluconeogenic rates for isotopic dilution in the oxaloacetate (OAA) pool. Liver glutamine can be sampled by its conjugation with phenylacetate to form phenylacetylglutamine (PAGN) but also by purifying the glutamine of the apolipoproteinB-100 of very low-density lipoprotein (apoB-100-VLDL). We compared these methods in normal and non-insulin dependent diabetes subjects. We tested also whether apoB-100-VLDL alanine enrichment could solve the problem of dilution of gluconeogenic precursor enrichments between peripheral blood and liver (prehepatic dilution). In both normal and diabetic subjects, the labeling patterns of glutamine obtained from PAGN or apoB-100-VLDL were comparable. Therefore, metabolic fluxes and correction factors for dilution in the OAA pool were also comparable. With both methods, gluconeogenic rates were not increased in diabetic patients. Use of the enrichment of apoB-100-VLDL alanine to correct for prehepatic dilution led to high estimates of gluconeogenesis; it remains uncertain whether this enrichment provides a correct estimate of liver pyruvate enrichment.


Assuntos
Apolipoproteínas B/metabolismo , Diabetes Mellitus Tipo 2/metabolismo , Glutamina/metabolismo , Fígado/metabolismo , Fenilacetatos/metabolismo , Adulto , Apolipoproteína B-100 , Glicemia/metabolismo , Diabetes Mellitus Tipo 2/sangue , Feminino , Hormônios/sangue , Humanos , Ácido Láctico/sangue , Masculino , Pessoa de Meia-Idade , Valores de Referência
14.
Diabetes ; 48(6): 1251-7, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10342812

RESUMO

To better define the modifications of liver gluconeogenesis and citric acid cycle, or Krebs' cycle, activity induced by insulin deficiency and the effects of metformin on these abnormalities, we infused livers isolated from postabsorptive or starved normal and streptozotocin-induced diabetic rats with pyruvate and lactate (labeled with [3-13C]lactate) with or without the simultaneous infusion of metformin. Lactate and pyruvate uptake and glucose production were calculated. The 13C-labeling pattern of liver glutamate was used to calculate, according to Magnusson's model, the relative fluxes through Krebs' cycle and gluconeogenesis. These relative fluxes were converted into absolute values using substrate balances. In normal rats, starvation increased gluconeogenesis, the flux through pyruvate carboxylase-phosphoenolpyruvate carboxykinase (PC-PEPCK), and the ratio of PC to pyruvate dehydrogenase (PDH) flux (P < 0.05); metformin induced only a moderate decrease in the PC:PDH ratio. Livers from postabsorptive diabetic rats had increased lactate and pyruvate uptakes (P < 0.05); their metabolic fluxes resembled those of starved control livers, with increased gluconeogenesis and flux through PC-PEPCK. Starvation induced no further modifications in the diabetic group. Metformin decreased glucose output from the liver of starved diabetic rats (P < 0.05). The flux through PC-PEPCK and also pyruvate kinase were decreased (P < 0.05) by metformin in both groups of diabetic rats. In conclusion, insulin deficiency increased in this model of diabetes gluconeogenesis through enhanced uptake of substrate and increased flux through PC-PEPCK; metformin decreased glucose production by reducing the flux through PC-PEPCK.


Assuntos
Ciclo do Ácido Cítrico , Diabetes Mellitus Experimental/fisiopatologia , Gluconeogênese , Hipoglicemiantes/farmacologia , Metformina/farmacologia , Animais , Glucose/metabolismo , Ácido Glutâmico/metabolismo , Técnicas In Vitro , Ácido Láctico/metabolismo , Fígado/efeitos dos fármacos , Fígado/metabolismo , Masculino , Ácido Pirúvico/metabolismo , Ratos , Ratos Sprague-Dawley , Inanição , Estreptozocina
15.
Metabolism ; 48(3): 278-84, 1999 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10094100

RESUMO

Resistance to the glucoregulatory action of insulin is a common finding in obesity and may affect thermogenesis. In 13 healthy subjects, we studied the influence of acute insulin resistance induced by a lipid infusion on thermogenesis without any glucose load (n = 4) or during a euglycemic-hyperinsulinemic clamp (n = 5) and an oral glucose tolerance test (OGTT, n = 8). When substrates were not administered at the same time, the energy cost of storage was significantly (P < .05) lower for lipids (3.9%+/-0.9%) than for glucose (11.9%+/-0.5% during the clamp and 14.9%+/-4.0% during the OGTT, NS). The lipid infusion decreased glucose storage during the clamp (control, 3.99+/-0.40 mg x kg(-1) x min(-1); lipid infusion, 0.92+/-0.39; P < .05) but increased it during the OGTT (control, 1.76+/-0.22 mg x kg(-1) x min(-1); lipid infusion, 2.94+/-0.27; P < .05). Infused lipids were stored more (clamp, 3.31+/-0.16; OGTT, 2.65+/-0.11 mg x kg(-1) x min(-1); P < .01) and oxidized less (clamp, 0.64+/-0.21; OGTT, 1.02+/-0.09 mg x kg(-1) x min(-1); P < .05) during the clamp than during the OGTT. When lipids were infused, the energy cost of substrate storage was lower during the clamp versus the OGTT (clamp, 3.2%+/-0.8%; OGTT, 7.3%+/-1.0%; P < .05). This effect was attributed to a lipid-induced impairment of glucose tolerance, which overcomes the inhibitory effect of lipid infusion on glucose storage observed in euglycemia. A slight elevation of plasma glucose in response to a lipid infusion impairs thermogenesis by redirecting the storage of substrates from lipids to glucose, which has a higher energy cost.


Assuntos
Temperatura Corporal/efeitos dos fármacos , Hiperglicemia/fisiopatologia , Lipídeos , Adulto , Glicemia/metabolismo , Calorimetria Indireta , Metabolismo Energético/efeitos dos fármacos , Feminino , Técnica Clamp de Glucose , Teste de Tolerância a Glucose , Humanos , Hiperinsulinismo/sangue , Infusões Intravenosas , Insulina/sangue , Resistência à Insulina , Masculino , Oxirredução
16.
J Biol Chem ; 273(48): 32187-99, 1998 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-9822697

RESUMO

The crystal structures of family 10 xylanases indicate that the distal regions of their active sites are quite different, suggesting that the topology of the substrate binding clefts of these enzymes may vary. To test this hypothesis, we have investigated the rate and pattern of xylooligosaccharide cleavage by the family 10 enzymes, Pseudomonas fluorescens subsp. cellulosa xylanase A (XYLA) and Cellulomonas fimi exoglucanase, Cex. The data showed that Cex contained three glycone and two aglycone binding sites, while XYLA had three glycone and four aglycone binding sites, supporting the view that the topologies of substrate binding clefts in family 10 glycanases are not highly conserved. The importance of residues in the substrate binding cleft of XYLA in catalysis and ligand binding were evaluated using site-directed mutagenesis. In addition to providing insight into the function of residues in the glycone region of the active site, the data showed that the aromatic residues Phe-181, Tyr-255, and Tyr-220 play important roles in binding xylose moieties, via hydrophobic interactions, at subsites +1, +3, and +4, respectively. Interestingly, the F181A mutation caused a much larger reduction in the activity of the enzyme against xylooligosaccharides compared with xylan. These data, in conjunction with a previous study (Charnock, S. J., Lakey, J. H., Virden, R., Hughes, N., Sinnott, M. L., Hazlewood, G. P., Pickersgill, R., and Gilbert, H. J. (1997) J. Biol. Chem. 272, 2942-2951), suggest that the binding of xylooligosaccharides at the -2 and +1 subsites ensures that the substrates occupy the -1 and +1 subsites and thus preferentially form productive complexes with the enzyme. Loss of ligand binding at either subsite results in small substrates forming nonproductive complexes with XYLA by binding to distal regions of the substrate binding cleft.


Assuntos
Xilosidases/química , Xilosidases/metabolismo , beta-Glucosidase/química , beta-Glucosidase/metabolismo , Sequência de Aminoácidos , Catálise , Domínio Catalítico , Sequência Conservada , Endo-1,4-beta-Xilanases , Glucana 1,3-beta-Glucosidase , Bacilos Gram-Positivos Asporogênicos/enzimologia , Cinética , Modelos Moleculares , Mutagênese Sítio-Dirigida , Conformação Proteica , Pseudomonas fluorescens/enzimologia , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Especificidade por Substrato
17.
Am J Physiol ; 275(4): E641-8, 1998 10.
Artigo em Inglês | MEDLINE | ID: mdl-9755083

RESUMO

Lipid infusions may affect glucose tolerance by effects on glucose production or utilization. We performed double-labeled oral glucose tolerance tests with and without a lipid infusion in eight normal subjects. During the lipid infusion, plasma glucose and insulin levels were higher, showing some insulin resistance. The increased glucose level was due to a higher total glucose appearance rate, partly reproducible by a control infusion of glycerol [saline 1,181 +/- 71 mg . kg-1 . 330 min-1 vs. lipid 1,388 +/- 100 (P < 0.05) vs. glycerol 1,276 +/- 126 (NS)]. The tracer-determined appearance rate of exogenous glucose was higher with lipid infusion but was probably overestimated because of higher 13C recycling into glucose. Residual systemic glucose production was increased but was reproducible by the glycerol infusion. Total glucose disposal was increased. This was observed despite a lower stimulation of total glucose oxidation as measured by indirect calorimetry, whereas oxidation of exogenous glucose was normal after correction for the lipid-induced modification of excretion rate of 13CO2. Accordingly, glucose nonoxidative disposal was increased. These moderate modifications of glucose metabolism (increased appearance, increased nonoxidative disposal, and lower total oxidation) have been reported in starvation-induced or spontaneously impaired glucose tolerance. Further impairment, especially decreased nonoxidative glucose disposal, seems to be required to produce non-insulin-dependent diabetes mellitus.


Assuntos
Glicemia/metabolismo , Glucose/metabolismo , Triglicerídeos/sangue , Triglicerídeos/farmacologia , Glicemia/efeitos dos fármacos , Calorimetria Indireta , Deutério , Ácidos Graxos não Esterificados/sangue , Teste de Tolerância a Glucose , Glicerol/sangue , Humanos , Infusões Intravenosas , Modelos Biológicos , Triglicerídeos/administração & dosagem
18.
Anal Biochem ; 258(2): 315-21, 1998 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-9570847

RESUMO

A sensitive assay of the 2H-enrichment of water based on the isotopic exchange between the hydrogens of water and of acetone in alkaline medium is described and validated. For low 2H-enrichments (0.008 to 0.5%), the sample is spiked with [U-13C3]acetone and NaOH. After exchange, 2H-enriched [U-13C3]acetone is extracted with chloroform and assayed by gas chromatography-mass spectrometry. With some instruments, ion-molecule reactions, resulting in increased baseline enrichment, are minimized by lowering the electron ionization energy from the usual 70 to 10 eV. The 2H-enrichment of water is amplified nearly sixfold in the M4/M3 ratio of [U-13C3]acetone. For high 2H-enrichments (0.25 to 100%), the use of unlabeled acetone suffices. After exchange, the mass isotopomer distribution of acetone is analyzed, yielding the 2H-enrichment of water. The assay with [U-13C3]acetone allows measuring the 2H-enrichment of water even in biological samples containing acetone. This technique is more rapid and economical than the classical isotope ratio mass spectrometric assay of the enrichment of hydrogen gas derived from the reduction of water.


Assuntos
Acetona/química , Água/química , Animais , Isótopos de Carbono , Deutério , Cromatografia Gasosa-Espectrometria de Massas , Masculino , Ratos , Ratos Sprague-Dawley
19.
Am J Clin Nutr ; 67(4): 595-601, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9537605

RESUMO

The metabolic fate of an oral long-chain-triacylglycerol (LCT) load and of a mixed oral LCT and medium-chain-triacylglycerol (MCT) load was followed for 6 h in eight control and eight obese subjects with normal postabsorptive triacylglycerol concentrations. Labeled triacylglycerol and indirect calorimetry were used. Results showed that LCTs were less oxidized in obese than in control subjects (3.2+/-0.5 compared with 6.0+/-0.4 g, P < 0.01). Moreover, the amount of LCT oxidized was negatively correlated with fat mass (r = -0.77, P < 0.01). Appearance in plasma of dietary triacyglycerol-derived long-chain fatty acids was blunted in obese subjects and it was negatively related to fat mass (r = -0.84, P < 0.01) and positively to LCT oxidation (r = 0.70, P < 0.01). On the contrary, MCT oxidation was not altered in obese subjects compared with control subjects. Furthermore, the proportion of MCTs oxidized was higher in both groups compared with LCTs (x+/-SEM: 57.5+/-2.6% compared with 15.2+/-1.6%, P < 0.01, n = 16). Our conclusion is that obesity is associated with a defect in the oxidation of dietary LCTs probably related to an excessive uptake by the adipose tissue of meal-derived long-chain fatty acids. MCTs, the oxidation of which is not altered in obesity, could therefore be of interest in the dietary treatment of obesity.


Assuntos
Gorduras na Dieta/metabolismo , Obesidade/metabolismo , Triglicerídeos/metabolismo , Ácido 3-Hidroxibutírico , Adulto , Glicemia/metabolismo , Calorimetria Indireta , Quilomícrons/sangue , Ácidos Graxos/sangue , Feminino , Humanos , Hidroxibutiratos/sangue , Insulina/sangue , Cinética , Peroxidação de Lipídeos , Lipoproteínas VLDL/sangue
20.
Am J Physiol ; 274(2): E321-7, 1998 02.
Artigo em Inglês | MEDLINE | ID: mdl-9486165

RESUMO

To measure 1) the contribution of hepatic de novo lipogenesis (DNL) and plasma free fatty acid (FFA) reesterification to plasma triglyceride (TG) secretion and 2) the role of oxidation and hepatic and extrahepatic reesterification in FFA utilization, five normal subjects drank deuterate water and were infused (postabsorptive state) with [1-13C]palmitate and [1,2,3-2H5]glycerol. Total lipid oxidation (Lox) was measured by indirect calorimetry. FFA oxidation (2.76 +/- 0.65 mumol.kg.-1.min-1) accounted for 45% of FFA turnover rate (Rt) (1.04 mumol.kg-1.min-1) and 91% of Lox; FFA reesterification was 3.27 +/- 0.54 mumol.kg-1.min-1. Fractional and absolute TG Rt were 0.21 +/- 0.02 h-1 and 0.11 +/- 0.05 mumol.kg-1.min-1. DNL accounted for 3.9 +/- 0.9% of TG secretion, and hepatic FFA reesterification accounted for 49.4 +/- 5.7%; this last process represented a utilization of FFA of 0.16 +/- 0.02 mumol.kg-1.min-1. We conclude that, in the postabsorptive state, 1) DNL and FFA reesterification account for only 50-55% of TG secretion, the remaining presumably being provided by stored lipids or lipoproteins taken up by liver, 2) most reesterification occurs in extrahepatic tissues, and 3) oxidation and reesterification each contribute about one-half to FFA utilization; FFA oxidation accounts for almost all Lox.


Assuntos
Ácidos Graxos não Esterificados/metabolismo , Lipídeos/biossíntese , Fígado/metabolismo , Triglicerídeos/metabolismo , Adulto , Calorimetria Indireta , Deutério/farmacocinética , Ácidos Graxos não Esterificados/sangue , Feminino , Glucagon/sangue , Humanos , Insulina/sangue , Masculino , Espectrometria de Massas , Ácido Palmítico/farmacocinética , Triglicerídeos/sangue
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