Article

Regulation of hepatic fat and glucose oxidation in rats with lipid-induced hepatic insulin resistance.

Department of Internal Medicine, Yale University School of Medicine, New Haven, CT; Department of Biochemistry, Faculty of Sciences and Technology, University of Coimbra, Portugal.
Hepatology (impact factor: 11.66). 01/2011; 53(4):1175-81. DOI:10.1002/hep.24170 pp.1175-81
Source: PubMed

ABSTRACT Pyruvate dehydrogenase plays a critical role in the regulation of hepatic glucose and fatty acid oxidation; however, surprisingly little is known about its regulation in vivo. In this study we examined the individual effects of insulin and substrate availability on the regulation of pyruvate dehydrogenase flux (V(PDH) ) to tricarboxylic acid flux (V(TCA) ) in livers of awake rats with lipid-induced hepatic insulin resistance. V(PDH) /V(TCA) flux was estimated from the [4-(13) C]glutamate/[3-(13) C]alanine enrichments in liver extracts and assessed under conditions of fasting and during a hyperinsulinemic-euglycemic clamp, whereas the effects of increased plasma glucose concentration on V(PDH) /V(TCA) flux was assessed during a hyperglycemic clamp in conjunction with infusions of somatostatin and insulin to maintain basal concentrations of insulin. The effects of increases in both glucose and insulin on V(PDH) /V(TCA) were examined during a hyperinsulinemic-hyperglycemic clamp. The effects of chronic lipid-induced hepatic insulin resistance on this flux were also examined by performing these measurements in rats fed a high-fat diet for 3 weeks. Using this approach we found that fasting V(PDH) /V(TCA) was reduced by 95% in rats with hepatic insulin resistance (from 17.2 ± 1.5% to 1.3 ± 0.7%, P < 0.00001). Surprisingly, neither hyperinsulinemia per se or hyperglycemia per se were sufficient to increase V(PDH) /V(TCA) flux. Only under conditions of combined hyperglycemia and hyperinsulinemia did V(PDH) /V(TCA) flux increase (44.6 ± 3.2%, P < 0.0001 versus basal) in low-fat fed animals but not in rats with chronic lipid-induced hepatic insulin resistance. CONCLUSION: These studies demonstrate that the combination of both hyperinsulinemia and hyperglycemia are required to increase V(PDH) /V(TCA) flux in vivo and that this flux is severely diminished in rats with chronic lipid-induced hepatic insulin resistance.

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    Article: Pyruvate dehydrogenase activities during the fed-to-starved transition and on re-feeding after acute or prolonged starvation.
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    ABSTRACT: We investigated the temporal relationship between hepatic glycogen depletion and cardiac and hepatic PDH (pyruvate dehydrogenase complex) activities during the acute phase of starvation. There was a striking correlation between the decline in hepatic glycogen and PDH inactivation during the first 10 h of starvation. Re-feeding after 6 h starvation was associated with complete re-activation of PDH in liver and re-activation to approx. 75% of the fed value in heart, whereas in rats previously starved for 24-48 h re-activation was delayed in liver and diminished in heart. The results are discussed with reference to the fate of dietary carbohydrate after re-feeding.
    Biochemical Journal 04/1989; 258(2):529-33. · 4.90 Impact Factor

Keywords

3 weeks
 
awake rats
 
chronic lipid-induced hepatic insulin resistance
 
critical role
 
fasting V(PDH)
 
fatty acid oxidation
 
hepatic glucose
 
hepatic insulin resistance
 
high-fat diet
 
hyperglycemic clamp
 
hyperinsulinemia
 
hyperinsulinemic-euglycemic clamp
 
hyperinsulinemic-hyperglycemic clamp
 
increase V(PDH)
 
individual effects
 
lipid-induced hepatic insulin resistance
 
plasma glucose concentration
 
Pyruvate dehydrogenase
 
pyruvate dehydrogenase flux
 
tricarboxylic acid flux