Paradoxical changes in muscle gene expression in insulin-resistant subjects after sustained reduction in plasma free fatty acid concentration.
Open accessAbstract
Lipid oversupply plays a role in developing insulin resistance in skeletal muscle, decreasing expression of nuclear-encoded mitochondrial genes, and increasing extracellular matrix remodeling. To determine if a decrease in plasma lipid content reverses these abnormalities, insulin-resistant subjects with a family history of type 2 diabetes had euglycemic clamps and muscle biopsies before and after acipimox treatment to suppress free fatty acids. Free fatty acids fell from 0.584 +/- 0.041 to 0.252 +/- 0.053 mmol/l (P < 0.001) and glucose disposal increased from 5.28 +/- 0.46 to 6.31 +/- 0.55 mg . kg(-1) . min(-1) (P < 0.05) after acipimox; intramuscular fatty acyl CoA decreased from 10.3 +/- 1.9 to 4.54 +/- 0.82 pmol/mg muscle (P < 0.01). Paradoxically, expression of PGC-1-and nuclear-encoded mitochondrial genes decreased after acipimox, and expression of collagens I and III alpha-subunits (82- and 21-fold increase, respectively, P < 0.05), connective tissue growth factor (2.5-fold increase, P < 0.001), and transforming growth factor-beta1 increased (2.95-fold increase, P < 0.05). Therefore, a reduction in lipid supply does not completely reverse the molecular changes associated with lipid oversupply in muscle. Changes in expression of nuclear-encoded mitochondrial genes do not always correlate with changes in insulin sensitivity.
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Relatively short-term reductions in serum fatty acids and intracellular fatty acyl CoA levels mediated by acipimox treatment in healthy humans are associated with reduced expression of nuclear-encoded mitochondrial oxidative genes in parallel with enhanced insulin sensitivity.
“Similarly, relatively short-term reductions in serum fatty acids and intracellular fatty acyl CoA levels mediated by acipimox treatment in healthy humans are associated with reduced expression of nuclear-encoded mitochondrial oxidative genes-in parallel with enhanced insulin sensitivity (294).”
From The role of mitochondria in the pathogenesis of type 2 diabetes (2010) · cites this paper as [294]
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Current literature in diabetes
(2007) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.787
- Authors
- Bajaj, M., Medina-Navarro, R., Suraamornkul, S., Meyer, C., DeFronzo, R. A., & Mandarino, L. J.
- Affiliations
- The University of Texas at San Antonio Health Science Center (US)
- Arizona State University (US)
- ORCID
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 2007-03-01
- Volume
- 56
- Issue
- 3
- Pages
- 743-752
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- OpenAlex
- W2169964856
- Cited by
- 38
- References
- 66
- Citations by year
- 2023: 1 · 2021: 2 · 2020: 2 · 2017: 3 · 2015: 3 · 2014: 2 · 2013: 4 · 2012: 5
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK066483)
- Topics
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- insulin resistance, skeletal muscle, free fatty acids, acipimox, mitochondrial gene expression, PGC-1, extracellular matrix remodeling, collagen, connective tissue growth factor, TGF-β1, glucose disposal, type 2 diabetes, fatty acyl-CoA
- MeSH terms
- Adult, Hypolipidemic Agents, Fatty Acids, Nonesterified, Female, Gene Expression Regulation, Humans, Insulin, Insulin Resistance, Male, Middle Aged, Muscle Proteins, Pyrazines, RNA, Messenger, Free Radical Scavengers, Muscle, Skeletal, Gene Expression Profiling
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