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Discordance between intramuscular triglyceride and insulin sensitivity in skeletal muscle of Zucker diabetic rats after treatment with fenofibrate and rosiglitazone.

AbstractAIM:
Intramyocellular triglyceride (IMTG) correlates with insulin resistance, but there is no clear causal relationship. Insulin resistance and associated hyperinsulinaemia may increase IMTG, via the insulin-regulated transcription factor, sterol regulatory element-binding protein 1 (SREBP-1). PPAR agonists may also affect IMTG via changes in insulin sensitivity, SREBP-1 or other factors.
METHODS:
We examined skeletal muscle IMTG and SREBP-1 expression, and metabolic parameters in Zucker diabetic fatty rats (ZDF) after 25 weeks of PPAR-gamma or PPAR-alpha administration.
RESULTS:
Compared with Zucker lean rats (ZL), untreated ZDF had significantly higher weights, serum glucose, insulin, free fatty acids, total cholesterol and triglycerides. IMTG and SREBP-1c messenger RNA (mRNA) were also higher in untreated ZDF; both were decreased by fenofibrate (FF). Rosiglitazone (Rosi), despite marked improvement in glycaemia, hyperinsulinaemia and hyperlipidaemia, failed to affect SREBP-1 expression, and increased body weight and IMTG. Rosi/FF combination caused less weight gain and no IMTG increase, despite metabolic effects similar to Rosi alone.
CONCLUSIONS:
IMTG and SREBP-1c mRNA are high in the ZDF. FF and Rosi both improved insulin sensitivity but had opposite effects on IMTG. Thus, there was a clear discordance between insulin sensitivity and IMTG with PPAR agonists, indicating that IMTG and insulin sensitivity do not share a simple relationship.
AuthorsK J Nadeau, L B Ehlers, L E Aguirre, J E B Reusch, B Draznin
JournalDiabetes, obesity & metabolism (Diabetes Obes Metab) Vol. 9 Issue 5 Pg. 714-23 (Sep 2007) ISSN: 1462-8902 [Print] England
PMID17697064 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, U.S. Gov't, Non-P.H.S.)
Chemical References
  • Blood Glucose
  • Fatty Acids
  • Hypoglycemic Agents
  • Hypolipidemic Agents
  • Insulin
  • PPAR alpha
  • SREBF1 protein, human
  • Sterol Regulatory Element Binding Protein 1
  • Thiazolidinediones
  • Triglycerides
  • Rosiglitazone
  • Fenofibrate
Topics
  • Animals
  • Blood Glucose (drug effects, metabolism)
  • Fatty Acids (metabolism)
  • Fenofibrate (pharmacology, therapeutic use)
  • Hypoglycemic Agents (pharmacology, therapeutic use)
  • Hypolipidemic Agents (pharmacology, therapeutic use)
  • Insulin (blood)
  • PPAR alpha
  • Rats
  • Rats, Zucker (anatomy & histology, metabolism)
  • Rosiglitazone
  • Sterol Regulatory Element Binding Protein 1
  • Thiazolidinediones (pharmacology, therapeutic use)
  • Triglycerides (metabolism)

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