Fatty acids and insulin resistance

被引:111
作者
Boden, G
机构
[1] TEMPLE UNIV, SCH MED, DIV ENDOCRINOL METAB & DIABET, PHILADELPHIA, PA USA
[2] TEMPLE UNIV, SCH MED, GEN CLIN RES CTR, PHILADELPHIA, PA USA
关键词
D O I
10.2337/diacare.19.4.394
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We have demonstrated that physiological elevations in plasma free fatty acid concentrations inhibit insulin-stimulated glucose uptake in a dose-dependent manner in normal control subjects and in patients with NIDDM. Two possible mechanisms were identified. 1) a fat-related inhibition of glucose transport or phosphorylation that appeared after 3-4 h of fat infusion and 2) a decrease in muscle glycogen synthase activity that appeared after 4-6 h of Eat infusion. We conclude that elevations of plasma FFAs caused insulin resistance and hence may play a significant role in the pathogenesis of insulin resistance in obesity and NIDDM.
引用
收藏
页码:394 / 395
页数:2
相关论文
共 14 条
[1]   OPERATION OF RANDLES CYCLE IN PATIENTS WITH NIDDM [J].
BEVILACQUA, S ;
BUZZIGOLI, G ;
BONADONNA, R ;
BRANDI, LS ;
OLEGGINI, M ;
BONI, C ;
GELONI, M ;
FERRANNINI, E .
DIABETES, 1990, 39 (03) :383-389
[2]   EFFECTS OF FAT ON GLUCOSE-UPTAKE AND UTILIZATION IN PATIENTS WITH NON-INSULIN-DEPENDENT DIABETES [J].
BODEN, G ;
CHEN, XH .
JOURNAL OF CLINICAL INVESTIGATION, 1995, 96 (03) :1261-1268
[3]   MECHANISMS OF FATTY ACID-INDUCED INHIBITION OF GLUCOSE-UPTAKE [J].
BODEN, G ;
CHEN, XH ;
RUIZ, J ;
WHITE, JV ;
ROSSETTI, L .
JOURNAL OF CLINICAL INVESTIGATION, 1994, 93 (06) :2438-2446
[4]   EFFECTS OF FAT ON INSULIN-STIMULATED CARBOHYDRATE-METABOLISM IN NORMAL MEN [J].
BODEN, G ;
JADALI, F ;
WHITE, J ;
LIANG, Y ;
MOZZOLI, M ;
CHEN, X ;
COLEMAN, E ;
SMITH, C .
JOURNAL OF CLINICAL INVESTIGATION, 1991, 88 (03) :960-966
[5]   EARLY METABOLIC DEFECTS IN PERSONS AT INCREASED RISK FOR NON-INSULIN-DEPENDENT DIABETES-MELLITUS [J].
ERIKSSON, J ;
FRANSSILAKALLUNKI, A ;
EKSTRAND, A ;
SALORANTA, C ;
WIDEN, E ;
SCHALIN, C ;
GROOP, L .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 321 (06) :337-343
[6]   THE METABOLIC PROFILE OF NIDDM IS FULLY ESTABLISHED IN GLUCOSE-TOLERANT OFFSPRING OF 2 MEXICAN-AMERICAN NIDDM PARENTS [J].
GULLI, G ;
FERRANNINI, E ;
STERN, M ;
HAFFNER, S ;
DEFRONZO, RA .
DIABETES, 1992, 41 (12) :1575-1586
[7]   INTERACTION BETWEEN GLUCOSE AND FREE FATTY-ACID METABOLISM IN HUMAN SKELETAL-MUSCLE [J].
KELLEY, DE ;
MOKAN, M ;
SIMONEAU, JA ;
MANDARINO, LJ .
JOURNAL OF CLINICAL INVESTIGATION, 1993, 92 (01) :91-98
[8]   INDUCEMENT BY FAT FEEDING OF BASAL HYPERGLYCEMIA IN RATS WITH ABNORMAL BETA-CELL FUNCTION - MODEL FOR STUDY OF ETIOLOGY AND PATHOGENESIS OF NIDDM [J].
PASCOE, WS ;
STORLIEN, LH .
DIABETES, 1990, 39 (02) :226-233
[9]   GLUCOSE FATTY ACID CYCLE IN OBESITY AND MATURITY ONSET DIABETES MELLITUS [J].
RANDLE, PJ ;
GARLAND, PB ;
NEWSHOLME, EA ;
HALES, CN .
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES, 1965, 131 (A1) :324-+
[10]   MEASUREMENT OF PLASMA-GLUCOSE, FREE FATTY-ACID, LACTATE, AND INSULIN FOR 24-H IN PATIENTS WITH NIDDM [J].
REAVEN, GM ;
HOLLENBECK, C ;
JENG, CY ;
WU, MS ;
CHEN, YDI .
DIABETES, 1988, 37 (08) :1020-1024