To clarify roles of
amylin, we investigated metabolic responses to rat amylin-(8-37), a specific
amylin antagonist, in normal and
insulin-resistant,
human growth hormone (hGH)-infused rats. Fasting conscious rats were infused with saline or hGH, each with and without amylin-(8-37) (0.125 mumol/h), over 5.75 h. At 3.75 h, a hyperinsulinemic (100 mU/l) clamp with bolus 2-deoxy-D-[3H]
glucose and [14C]
glucose was started. hGH infusion led to prompt (2- to 3-fold) basal hyperamylinemia (P < 0.02) and
hyperinsulinemia. Amylin-(8-37) reduced plasma
insulin (P < 0.001) and enhanced several measures of whole body and muscle
insulin sensitivity (P < 0.05) in both saline- and hGH-infused rats. Amylin-(8-37) corrected hGH-induced liver
insulin resistance, increased basal plasma
triglycerides and lowered plasma
nonesterified fatty acids in both groups, and reduced muscle
triglyceride and total
long-chain acyl-CoA content in saline-treated rats (P < 0.05). In isolated soleus muscle, amylin-(8-37) blocked
amylin-induced inhibition of
glycogen synthesis but had no effect in the absence of
amylin. Thus 1) hyperamylinemia accompanies
insulin resistance induced by hGH infusion; 2)
amylin-(8-37) increases whole body and muscle
insulin sensitivity and consistently reduces basal
insulin levels in normal and hGH-induced
insulin resistant rats; and 3)
amylin-(8-37) elicits a significant alteration of in vivo lipid metabolism. These findings support a role of
amylin in modulating
insulin action and suggest that this could be mediated by effects on lipid metabolism.