Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 283
Filtrar
1.
Diabetologia ; 54(4): 935-44, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21190014

RESUMO

AIMS/HYPOTHESIS: Insulin action is purportedly modulated by Drosophila tribbles homologue 3 (TRIB3), which in vitro prevents thymoma viral proto-oncogene (AKT) and peroxisome proliferator-activated receptor-γ (PPAR-γ) activation. However, the physiological impact of TRIB3 action in vivo remains controversial. METHODS: We investigated the role of TRIB3 in rats treated with either a control or Trib3 antisense oligonucleotide (ASO). Tissue-specific insulin sensitivity was assessed in vivo using a euglycaemic-hyperinsulinaemic clamp. A separate group was treated with the PPAR-γ antagonist bisphenol-A-diglycidyl ether (BADGE) to assess the role of PPAR-γ in mediating the response to Trib3 ASO. RESULTS: Trib3 ASO treatment specifically reduced Trib3 expression by 70% to 80% in liver and white adipose tissue. Fasting plasma glucose, insulin concentrations and basal rate of endogenous glucose production were unchanged. However, Trib3 ASO increased insulin-stimulated whole-body glucose uptake by ~50% during the euglycaemic-hyperinsulinaemic clamp. This was attributable to improved skeletal muscle glucose uptake. Despite the reduction of Trib3 expression, AKT2 activity was not increased. Trib3 ASO increased white adipose tissue mass by 70% and expression of Ppar-γ and its key target genes, raising the possibility that Trib3 ASO improves insulin sensitivity primarily in a PPAR-γ-dependent manner. Co-treatment with BADGE blunted the expansion of white adipose tissue and abrogated the insulin-sensitising effects of Trib3 ASO. Finally, Trib3 ASO also increased plasma HDL-cholesterol, a change that persisted with BADGE co-treatment. CONCLUSIONS/INTERPRETATION: These data suggest that TRIB3 inhibition improves insulin sensitivity in vivo primarily in a PPAR-γ-dependent manner and without any change in AKT2 activity.


Assuntos
Resistência à Insulina/fisiologia , PPAR gama/metabolismo , Proteínas Quinases/metabolismo , Animais , Compostos Benzidrílicos , Diabetes Mellitus Tipo 2/metabolismo , Modelos Animais de Doenças , Compostos de Epóxi/farmacologia , Técnica Clamp de Glucose , Immunoblotting , Resistência à Insulina/genética , Masculino , Oligonucleotídeos Antissenso/genética , PPAR gama/antagonistas & inibidores , PPAR gama/genética , Proteínas Quinases/genética , Proteínas Serina-Treonina Quinases/antagonistas & inibidores , Ratos , Ratos Sprague-Dawley , Reação em Cadeia da Polimerase Via Transcriptase Reversa
2.
J Cell Biol ; 119(2): 313-24, 1992 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-1400576

RESUMO

To investigate the role of protein kinase C (PKC) in the regulation of insulin secretion, we visualized changes in the intracellular localization of alpha-PKC in fixed beta-cells from both isolated rat pancreatic islets and the pancreas of awake unstressed rats during glucose-induced insulin secretion. Isolated, perifused rat islets were fixed in 4% paraformaldehyde, detergent permeabilized, and labeled with a mAb specific for alpha-PKC. The labeling was visualized by confocal immunofluorescent microscopy. In isolated rat pancreatic islets perifused with 2.75 mM glucose, alpha-PKC immunostaining was primarily cytoplasmic in distribution throughout the beta-cells. In islets stimulated with 20 mM glucose, there was a significant redistribution of alpha-PKC to the cell periphery. This glucose-induced redistribution was abolished when either mannoheptulose, an inhibitor of glucose metabolism, or nitrendipine, an inhibitor of calcium influx, were added to the perifusate. We also examined changes in the intracellular distribution of alpha-PKC in the beta-cells of awake, unstressed rats that were given an intravenous infusion of glucose. Immunocytochemical analysis of pancreatic sections from these rats demonstrated a glucose-induced translocation of alpha-PKC to the cell periphery of the beta-cells. These results demonstrate that the metabolism of glucose can induce the redistribution of alpha-PKC to the cell periphery of beta-cells, both in isolated islets and in the intact animal, and suggest that alpha-PKC plays a role in mediating glucose-induced insulin secretion.


Assuntos
Glucose/farmacologia , Insulina/metabolismo , Ilhotas Pancreáticas/enzimologia , Proteína Quinase C/isolamento & purificação , Animais , Anticorpos Monoclonais , Transporte Biológico , Cálcio/metabolismo , Compartimento Celular , Imunofluorescência , Glucoquinase/antagonistas & inibidores , Técnicas In Vitro , Secreção de Insulina , Ilhotas Pancreáticas/efeitos dos fármacos , Masculino , Manoeptulose/farmacologia , Nitrendipino/farmacologia , Ratos , Ratos Sprague-Dawley , Estimulação Química , Acetato de Tetradecanoilforbol/farmacologia , Fixação de Tecidos
3.
Science ; 248(4962): 1556-9, 1990 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-2360050

RESUMO

Positron emission tomography (PET) was used to measure changes in regional cerebral blood flow of normal subjects, while they were discriminating different attributes (shape, color, and velocity) of the same set of visual stimuli. Psychophysical evidence indicated that the sensitivity for discriminating subtle stimulus changes was higher when subjects focused attention on one attribute than when they divided attention among several attributes. Correspondingly, attention enhanced the activity of different regions of extrastriate visual cortex that appear to be specialized for processing information related to the selected attribute.


Assuntos
Atenção/fisiologia , Discriminação Psicológica/fisiologia , Córtex Visual/fisiologia , Adulto , Nível de Alerta , Circulação Cerebrovascular/fisiologia , Cor , Humanos , Tomografia Computadorizada de Emissão
4.
Science ; 254(5031): 573-6, 1991 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-1948033

RESUMO

The rate of net hepatic glycogenolysis was assessed in humans by serially measuring hepatic glycogen concentration at 3- to 12-hour intervals during a 68-hour fast with 13C nuclear magnetic resonance spectroscopy. The net rate of gluconeogenesis was calculated by subtracting the rate of net hepatic glycogenolysis from the rate of glucose production in the whole body measured with tritiated glucose. Gluconeogenesis accounted for 64 +/- 5% (mean +/- standard error of the mean) of total glucose production during the first 22 hours of fasting. In the subsequent 14-hour and 18-hour periods of the fast, gluconeogenesis accounted for 82 +/- 5% and 96 +/- 1% of total glucose production, respectively. These data show that gluconeogenesis accounts for a substantial fraction of total glucose production even during the first 22 hours of a fast in humans.


Assuntos
Gluconeogênese , Glicogênio Hepático/metabolismo , Fígado/metabolismo , Nitrogênio/urina , Adulto , Glicemia/metabolismo , Isótopos de Carbono , Jejum , Feminino , Glucagon/sangue , Humanos , Hidrocortisona/sangue , Insulina/sangue , Cinética , Espectroscopia de Ressonância Magnética/métodos , Masculino
5.
Science ; 270(5237): 802-5, 1995 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-7481770

RESUMO

Positron emission tomography was used to measure changes in the regional cerebral blood flow of normal people while they searched visual displays for targets defined by color, by motion, or by a conjunction of color and motion. A region in the superior parietal cortex was activated only during the conjunction task, at a location that had previously been shown to be engaged by successive shifts of spatial attention. Correspondingly, the time needed to detect a conjunction target increased with the number of items in the display, which is consistent with the use of a mechanism that successively analyzes each item in the visual field.


Assuntos
Atenção , Lobo Parietal/fisiologia , Reconhecimento Visual de Modelos , Percepção Visual , Circulação Cerebrovascular , Percepção de Cores , Humanos , Percepção de Movimento , Lobo Parietal/irrigação sanguínea , Lobo Parietal/diagnóstico por imagem , Tomografia Computadorizada de Emissão
6.
Science ; 240(4852): 643-6, 1988 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-2896386

RESUMO

Screening for human T-lymphotropic virus type I (HTLV-I) antibodies was performed on sera from 39,898 blood donors at eight blood centers in geographically distinct areas of the United States. Ten donors (0.025 percent) showed evidence of HTLV-I seropositivity by enzyme immunoassays; this was confirmed by protein immunoblot and radioimmunoprecipitation. Seroprevalence rates ranged from 0 to 0.10 percent at the locations sampled, with HTLV-I antibodies found predominantly in donors from the southeastern and southwestern United States. Matched case-control interviews and laboratory studies were performed on five seropositive women and two seropositive men who participated in an identity-linked collection of sera from a subset of 33,893 donors at six of the eight blood centers. Four of the women and both men are black; one woman is Caucasian. Four of the seven seropositive individuals admitted to prior intravenous drug abuse or sexual contact with an intravenous drug user. Sexual contact with native inhabitants of an HTLV-I endemic area was the only identified risk factor for one male. The distribution of HTLV-I antibodies in this U.S. blood donor sample corroborates the previously reported epidemiology of this agent and suggests that additional donor screening measures, including the testing of donated blood for HTLV-I markers, may be necessary to prevent the spread of HTLV-I to transfusion recipients.


Assuntos
Anticorpos Antivirais/análise , Doadores de Sangue , Infecções por Deltaretrovirus/epidemiologia , Deltaretrovirus/imunologia , Adulto , Deltaretrovirus/isolamento & purificação , Infecções por Deltaretrovirus/diagnóstico , Infecções por Deltaretrovirus/transmissão , Feminino , Humanos , Técnicas Imunoenzimáticas , Técnicas de Imunoadsorção , Japão , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Parceiros Sexuais , Transtornos Relacionados ao Uso de Substâncias , Estados Unidos
7.
Science ; 292(5522): 1728-31, 2001 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-11387480

RESUMO

Glucose homeostasis depends on insulin responsiveness in target tissues, most importantly, muscle and liver. The critical initial steps in insulin action include phosphorylation of scaffolding proteins and activation of phosphatidylinositol 3-kinase. These early events lead to activation of the serine-threonine protein kinase Akt, also known as protein kinase B. We show that mice deficient in Akt2 are impaired in the ability of insulin to lower blood glucose because of defects in the action of the hormone on liver and skeletal muscle. These data establish Akt2 as an essential gene in the maintenance of normal glucose homeostasis.


Assuntos
Diabetes Mellitus Tipo 2/metabolismo , Glucose/metabolismo , Resistência à Insulina , Insulina/metabolismo , Proteínas Serina-Treonina Quinases , Proteínas Proto-Oncogênicas/genética , Proteínas Proto-Oncogênicas/metabolismo , Animais , Glicemia/metabolismo , Desoxiglucose/metabolismo , Feminino , Marcação de Genes , Técnica Clamp de Glucose , Teste de Tolerância a Glucose , Homeostase , Insulina/administração & dosagem , Insulina/sangue , Resistência à Insulina/genética , Resistência à Insulina/fisiologia , Ilhotas Pancreáticas/citologia , Ilhotas Pancreáticas/fisiologia , Fígado/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Músculo Esquelético/enzimologia , Músculo Esquelético/metabolismo , Proteínas Proto-Oncogênicas c-akt , Transdução de Sinais
8.
Science ; 164(3883): 1054-6, 1969 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-5769761

RESUMO

Soils from the dry-valley region of Antarctica can be sterile by the usual microbiological criteria and yet contain significant amounts of organic carbon. Examination of one such soil shows that the organic material is finely divided anthracite coal. These findings have significant implications for the biological exploration of Mars.


Assuntos
Carbono/análise , Microbiologia do Solo , Solo/análise , Regiões Antárticas
9.
Neuron ; 21(4): 761-73, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9808463

RESUMO

Functional magnetic resonance imaging (fMRI) and surface-based representations of brain activity were used to compare the functional anatomy of two tasks, one involving covert shifts of attention to peripheral visual stimuli, the other involving both attentional and saccadic shifts to the same stimuli. Overlapping regional networks in parietal, frontal, and temporal lobes were active in both tasks. This anatomical overlap is consistent with the hypothesis that attentional and oculomotor processes are tightly integrated at the neural level.


Assuntos
Atenção/fisiologia , Encéfalo/fisiologia , Movimentos Sacádicos/fisiologia , Adolescente , Adulto , Comportamento/fisiologia , Mapeamento Encefálico , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Vias Neurais/fisiologia , Estimulação Luminosa
10.
Nat Neurosci ; 3(3): 292-7, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10700263

RESUMO

Human ability to attend to visual stimuli based on their spatial locations requires the parietal cortex. One hypothesis maintains that parietal cortex controls the voluntary orienting of attention toward a location of interest. Another hypothesis emphasizes its role in reorienting attention toward visual targets appearing at unattended locations. Here, using event-related functional magnetic resonance (ER-fMRI), we show that distinct parietal regions mediated these different attentional processes. Cortical activation occurred primarily in the intraparietal sulcus when a location was attended before visual-target presentation, but in the right temporoparietal junction when the target was detected, particularly at an unattended location.


Assuntos
Mapeamento Encefálico , Fixação Ocular/fisiologia , Lobo Parietal/fisiologia , Percepção Visual/fisiologia , Adolescente , Adulto , Análise de Variância , Atenção/fisiologia , Sinais (Psicologia) , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Modelos Neurológicos , Lobo Occipital/fisiologia , Estimulação Luminosa , Tempo de Reação , Reprodutibilidade dos Testes , Lobo Temporal/fisiologia , Campos Visuais/fisiologia
11.
J Clin Invest ; 92(6): 2667-74, 1993 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8254023

RESUMO

To evaluate the roles of iatrogenic hypoglycemia and diabetes per se in the pathogenesis of defective hormonal counterregulation against hypoglycemia in insulin-dependent diabetes mellitus (IDDM), nondiabetic, and spontaneously diabetic BB/Wor rats were studied using a euglycemic/hypoglycemic clamp. In nondiabetic rats, recurrent (4 wk) insulin-induced hypoglycemia (mean daily glucose, MDG, 59 mg/dl) dramatically reduced glucagon and epinephrine responses by 84 and 94%, respectively, to a standardized glucose fall from 110 to 50 mg/dl. These deficits persisted for > 4 d after restoring normoglycemia, and were specific for hypoglycemia, with normal glucagon and epinephrine responses to arginine and hypovolemia, respectively. After 4 wk of normoglycemia, hormonal counterregulation increased, with the epinephrine, but not the glucagon response reaching control values. In diabetic BB rats (MDG 245 mg/dl with intermittent hypoglycemia), glucagon and epinephrine counterregulation were reduced by 86 and 90%, respectively. Chronic iatrogenic hypoglycemia (MDG 52 mg/dl) further suppressed counterregulation. Prospective elimination of hypoglycemia (MDG 432 mg/dl) improved, but did not normalize hormonal counterregulation. In diabetic rats, the glucagon defect appeared to be specific for hypoglycemia, whereas deficient epinephrine secretion also occurred during hypovolemia. We concluded that both recurrent hypoglycemia and the diabetic state independently lead to defective hormonal counterregulation. These data suggest that in IDDM iatrogenic hypoglycemia magnifies preexisting counterregulatory defects, thereby increasing the risk of severe hypoglycemia.


Assuntos
Diabetes Mellitus Tipo 1/sangue , Epinefrina/metabolismo , Glucagon/metabolismo , Hipoglicemia/fisiopatologia , Insulina/farmacologia , Animais , Arginina/farmacologia , Glicemia/efeitos dos fármacos , Glicemia/metabolismo , Diabetes Mellitus Tipo 1/tratamento farmacológico , Diabetes Mellitus Tipo 1/fisiopatologia , Epinefrina/sangue , Glucagon/sangue , Homeostase , Hipoglicemia/sangue , Hipoglicemia/induzido quimicamente , Insulina/uso terapêutico , Masculino , Ratos , Ratos Endogâmicos BB , Valores de Referência , Fatores de Tempo
12.
J Clin Invest ; 89(4): 1069-75, 1992 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-1556176

RESUMO

To assess the rate-limiting step in muscle glycogen synthesis in non-insulin-dependent diabetes mellitus (NIDDM), the concentration of glucose-6-phosphate (G6P) was measured by 31P nuclear magnetic resonance (NMR) during a hyperglycemic-hyperinsulinemic clamp. Six subjects with NIDDM and six age weight-matched controls were studied at similar steady-state plasma concentrations of insulin (approximately 450 pmol/liter) and glucose (11 mmol/liter). The concentration of G6P in the gastrocnemius muscle was measured by 31P NMR. Whole-body oxidative and nonoxidative glucose metabolism was determined by the insulin-glucose clamp technique in conjunction with indirect calorimetry. Nonoxidative glucose metabolism which under these conditions is a measure of muscle glycogen synthesis (1990. N. Engl. J. Med. 322:223-228), was 31 +/- 7 mumol/(kg body wt-min) in the normal subjects and 13 +/- 3 mumol/(kg body wt-min) in the NIDDM subjects (P less than 0.05). The concentration of G6P was higher (0.24 +/- 0.02 mmol/kg muscle) in the normal subjects than in the NIDDM subjects (0.17 +/- 0.02, P less than 0.01). Increasing insulin concentrations to insulin 8,500 pmol/liter in four NIDDM subjects restored the glucose uptake rate and G6P concentrations to normal levels. In conclusion, the lower concentration of G6P in the diabetic subjects despite a decreased rate of nonoxidative glucose metabolism is consistent with a defect in muscle glucose transport or phosphorylation reducing the rate of muscle glycogen synthesis.


Assuntos
Diabetes Mellitus Tipo 2/metabolismo , Glucose/metabolismo , Glucofosfatos/análise , Músculos/química , Idoso , Transporte Biológico , Glucose-6-Fosfato , Humanos , Insulina/farmacologia , Espectroscopia de Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Músculos/metabolismo , Fosforilação
13.
J Clin Invest ; 80(2): 387-93, 1987 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-3611353

RESUMO

In order to directly determine the amount of label exchange that occurs in the tricarboxylic cycle from labeled alanine and lactate after the ingestion of a glucose load [1-13C]glucose was administered by continuous intraduodenal infusion to awake catheterized rats to achieve steady state jugular venous glycemia (160 mg/dl) for 180 min. Liver was freeze-clamped at 90 and 180 min, and perchloric acid extracts of the liver were subjected to 13C and 1H nuclear magnetic resonance analysis. Dilution in the oxaloacetate pool was determined by comparing the intrahepatic 13C enrichments of C2, C3 positions of glutamate with the C2, C3 positions of alanine and lactate. In addition steady state flux equations were derived for calculation of relative fluxes through pyruvate dehydrogenase/TCA cycle flux and pyruvate kinase flux/total pyruvate utilization. After glucose ingestion in a 24-h fasted rat direct conversion of glucose was responsible for 34% of glycogen. The intrahepatic dilution factor for labeled pyruvate in the oxaloacetate pool was 2.4. Using this factor, alanine and lactate contributed approximately 55% to glycogen formation. Pyruvate dehydrogenase flux ranged between 24 and 35% of total acetyl-coenzyme A (CoA) production and pyruvate kinase flux relative to total pyruvate utilization was approximately 40%.


Assuntos
Glicogênio/metabolismo , Aminoácidos/sangue , Animais , Glicemia/metabolismo , Ciclo do Ácido Cítrico , Lactatos/sangue , Espectroscopia de Ressonância Magnética , Masculino , Complexo Piruvato Desidrogenase/metabolismo , Piruvato Quinase/metabolismo , Ratos , Vigília
14.
J Clin Invest ; 79(5): 1510-5, 1987 May.
Artigo em Inglês | MEDLINE | ID: mdl-3571496

RESUMO

Insulin resistance is characteristic of the diabetic state. To define the role of hyperglycemia in generation of the insulin resistance, we examined the effect of phlorizin treatment on tissue sensitivity to insulin in partially pancreatectomized rats. Five groups were studied: group I, sham-operated controls; group II, partially pancreatectomized diabetic rats with moderate glucose intolerance; group III, diabetic rats treated with phlorizin to normalize glucose tolerance; group IV, phlorizin-treated controls; and group V, phlorizin-treated diabetic rats restudied after discontinuation of phlorizin. Insulin sensitivity was assessed with the euglyemic hyperinsulinemic clamp technique in awake, unstressed rats. Insulin-mediated glucose metabolism was reduced by approximately 30% (P less than 0.001) in diabetic rats. Phlorizin treatment of diabetic rats completely normalized insulin sensitivity but had no effect on insulin action in controls. Discontinuation of phlorizin in phlorizin-treated diabetic rats resulted in the reemergence of insulin resistance. These data demonstrate that a reduction of beta-cell mass leads to the development of insulin resistance, and correction of hyperglycemia with phlorizin, without change in insulin levels, normalizes insulin sensitivity. These results provide the first in vivo evidence that hyperglycemia per se can lead to the development of insulin resistance.


Assuntos
Diabetes Mellitus Experimental/fisiopatologia , Hiperglicemia/tratamento farmacológico , Resistência à Insulina/efeitos dos fármacos , Florizina/uso terapêutico , Animais , Glicosúria/fisiopatologia , Hiperinsulinismo/fisiopatologia , Masculino , Ratos , Ratos Endogâmicos
15.
J Clin Invest ; 80(4): 1037-44, 1987 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-3308956

RESUMO

We have examined the effect of chronic (4 wk) hyperglycemia on insulin secretion in vivo in an awake, unstressed rat model. Three groups of animals were examined: control, partial (90%) pancreatectomy, and partial pancreatectomy plus phlorizin, in order to normalize plasma glucose levels. Insulin secretion in response to arginine (2 mM), hyperglycemia (+100 mg/dl), and arginine plus hyperglycemia was evaluated. In diabetic compared with control animals three specific alterations were observed: (a) a deficient insulin response, in both first and second phases, to hyperglycemia; (b) an augmented insulin response to the potentiating effect of arginine under basal glycemic conditions; and (c) an inability of hyperglycemia to augment the potentiating effect of arginine above that observed under basal glycemic conditions. Normalization of the plasma glucose profile by phlorizin treatment in diabetic rats completely corrected all three beta cell abnormalities. These results indicate that chronic hyperglycemia can lead to a defect in in vivo insulin secretion which is reversible when normoglycemia is restored.


Assuntos
Hiperglicemia/metabolismo , Insulina/metabolismo , Pâncreas/fisiologia , Animais , Arginina , Glicemia/análise , Peso Corporal , Doença Crônica , Diabetes Mellitus Experimental/metabolismo , Glicosúria/induzido quimicamente , Secreção de Insulina , Ilhotas Pancreáticas/metabolismo , Masculino , Pancreatectomia , Florizina , Ratos , Ratos Endogâmicos
16.
J Clin Invest ; 62(2): 487-91, 1978 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-670404

RESUMO

The first aim of this study was to determine whether the plasma glucose level can regulate hepatic glucose balance in vivo independent of its effects on insulin and glucagon secretion. To accomplish this, glucose was infused into conscious dogs whose basal insulin and glucagon secretion had been replaced by exogenous intraportal insulin and glucagon infusion after somatostatin inhibition of endogenous pancreatic hormone release. The acute induction of hyperglycemia (mean increment of 121 mg/dl) in the presence of basal levels of insulin (7+/-1 muU/ml) and glucagon (76+/-3 pg/ml) resulted in a 56% decrease in net hepatic glucose production but did not cause net hepatic glucose uptake. The second aim of the study was to determine whether a decrease in the plasma glucagon level would modify the effect of glucose on the liver. The above protocol was repeated with the exception that glucagon was withdrawn (83% decrease in plasma glucagon) coincident with the induction of hyperglycemia. Under this circumstance, with the insulin level basal (7+/-1 muU/ml) and the glucagon levels reduced (16+/-2 pg/ml), hyperglycemia (mean increment of 130 mg/dl) promoted marked net hepatic glucose uptake (1.5+/-0.2 mg/kg per min) and glycogen deposition. In conclusion, (a) physiological increments in the plasma glucose concentration, independent of their effects on insulin and glucagon secretion, can significantly reduce net hepatic glucose production in vivo but at levels as high as 230 mg/dl cannot induce net hepatic glucose storage and (b) in the presence of basal insulin the ability of hyperglycemia to stimulate net hepatic glucose storage is influenced by the plasma glucagon concentration.


Assuntos
Glicemia/fisiologia , Glucagon/fisiologia , Glucose/metabolismo , Insulina/fisiologia , Somatostatina/farmacologia , Animais , Cães , Feminino , Glucagon/sangue , Insulina/sangue , Fígado/metabolismo , Glicogênio Hepático/metabolismo , Masculino
17.
J Clin Invest ; 81(5): 1545-55, 1988 May.
Artigo em Inglês | MEDLINE | ID: mdl-3284915

RESUMO

Recent studies have established the existence of substrate cycles in humans, but factors regulating the rate of cycling have not been identified. We have therefore investigated the acute response of glucose/glucose-6P-glucose (glucose) and triglyceride/fatty acid (TG/FA) substrate cycling to the infusion of epinephrine (0.03 microgram/kg.min) and glucagon. The response to a high dose glucagon infusion (2 micrograms/kg.min) was tested, as well as the response to a low dose infusion (5 ng/kg.min), with and without the simultaneous infusion of somatostatin (0.1 microgram/kg.min) and insulin (0.1 mU/kg.min). Additionally, the response to chronic prednisone (50 mg/d) was evaluated, both alone and during glucagon (low dose) and epinephrine infusion. Finally, the response to hyperglycemia, with insulin and glucagon held constant by somatostatin infusion and constant replacement of glucagon and insulin at basal rates, was investigated. Glucose cycling was calculated as the difference between the rate of appearance (Ra) of glucose as determined using 2-d1- and 6,6-d2-glucose as tracers. TG/FA cycling was calculated by first determining the Ra glycerol with d5-glycerol and the Ra FFA with [1-13C]palmitate, then subtracting Ra FFA from three times Ra glycerol. The results indicate that glucagon stimulates glucose cycling, and this stimulatory effect is augmented when the insulin response to glucagon infusion is blocked. Glucagon had minimal effect on TG/FA cycling. In contrast, epinephrine stimulated TG/FA cycling, but affected glucose cycling minimally. Prednisone had no direct effect on either glucose or TG/FA cycling, but blunted the stimulatory effect of glucagon on glucose cycling. Hyperglycemia, per se, had no direct effect on glucose or TG/FA cycling. Calculations revealed that stimulation of TG/FA cycling theoretically amplified the sensitivity of control of fatty acid flux, but no such amplification was evident as a result of the stimulation of glucose cycling by glucagon.


Assuntos
Epinefrina/fisiologia , Ácidos Graxos/metabolismo , Glucagon/fisiologia , Glucose/metabolismo , Triglicerídeos/metabolismo , Adulto , Glicemia/análise , Humanos , Hiperglicemia/metabolismo , Insulina/análise , Prednisona/farmacologia
18.
J Clin Invest ; 76(2): 757-64, 1985 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-4031071

RESUMO

Substrate, or futile cycles, have been hypothesized to be under hormonal control, and important in metabolic regulation and thermogenesis. To define the role of thyroid hormones in the regulation of substrate cycling in glycolysis and gluconeogenesis, we measured rates of cycling in normal (n = 4), hypothyroid (n = 5), and hyperthyroid (n = 5) subjects employing a stable isotope turnover technique. Glucose labeled with deuterium at different positions (2-D1-, 3-D1-, and 6,6-D2-glucose) was given as a primed-constant infusion in tracer doses, and arterialized plasma samples were obtained and analyzed by gas-chromatography mass-spectrometry for the steady state enrichment of glucose that was labeled at the various positions. The rate of appearance (Ra) was then calculated for each isotopic tracer. The difference between the Ra determined by 2-D1-glucose (Ra2) and the Ra determined by 3-D1-glucose (Ra3) represents the substrate cycling rate (SCR) between glucose and glucose-6-phosphate. The difference between the Ra determined by 3-D1-glucose (Ra3) and the Ra determined by 6,6-D2-glucose (Ra6) represents the SCR between fructose-6-phosphate and fructose-1,6-diphosphate. The difference between Ra2 and Ra6 represents the combined SCR of both cycles. In normal subjects (serum thyroxine [T4] = 8.4 +/- 1.2 microgram/dl (all expressions, mean +/- SD), n = 4), the rates of appearance for Ra2, Ra3, and Ra6 were 3.23 +/- 0.56, 2.64 +/- 0.50, and 2.00 +/- 0.27 mg/kg X min, respectively, whereas those in the hypothyroid subjects (T4 = 1.0 +/- 0.8 microgram/dl; n = 5) were 1.77 +/- 0.56 (P less than 0.01), 1.52, 1.57 +/- 0.31 (P less than 0.05) mg/kg X min, respectively. Conversely, the rates of appearance for Ra2 and Ra6 in the hyperthyroid subjects (T4 = 23.9 +/- 3.6 micrograms/dl) were 3.94 +/- 0.43 (P less than 0.05) and 2.54 +/- 0.22 (P less than 0.02), respectively, compared with the normal subjects. On the basis of these data, we noted that the normal subjects had a combined SCR of 1.23 +/- 0.35 mg/kg X min. In contrast, the hypothyroid patients had a significantly decreased combined SCR, 0.20 +/- 0.54 mg/kg X min (P less than 0.02). The hyperthyroid patients had a combined SCR of 1.39 +/- 0.23 mg/kg X min (P less than NS). To determine whether these cycles responded to thyroid hormone treatment, these same hypothyroid subjects were acutely treated for 1 wk with parenteral 50 micrograms/d sodium L-triiodothyronine and chronically with 100-150 micrograms/d L-thyroxine. After 7 d, their mean oxygen consumption rate and carbon dioxide production rate increased significantly from 102+/-13 micromol/kg.min, to 147+/-34 micromol/kg.min (P<0.05), and from 76+/-13 micromol/kg.min to 111+/-19 micromol/kg.min (P<0.05), respectively. The combined SCR (Ra(2)--Ra(6) remained unchanged at 0.07+/-0.37 mg/kg.min. However, after 6 mo of oral L-thyroxine therapy (T(4)=9.5+/-1.4 microgram/kl) the treated hypothyroid patients had increased their combined SCR (Ra(2)--Ra(6)) to 0.86 +/-0.23 mg/kg.min (P<0.02), a value not significantly different from the combined SCR of normal subjects. We conclude that substrate cycling between glucose and glucose-6-phosphate and between fructose-6-phosphate and fructose-1,6-diphosphate occurs in man and is affected by thyroid hormone. Substrate cycles may represent a mechanism by which thyroid hormone alters the sensitivity of certain reactions to metabolic signals.


Assuntos
Gluconeogênese , Glicólise , Hipertireoidismo/metabolismo , Hipotireoidismo/metabolismo , Adulto , Feminino , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Hipertireoidismo/tratamento farmacológico , Hipotireoidismo/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Tiroxina/uso terapêutico , Fatores de Tempo , Tri-Iodotironina/uso terapêutico
19.
J Clin Invest ; 94(6): 2369-76, 1994 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7989593

RESUMO

To determine the effect of insulin-dependent diabetes mellitus (IDDM) on rates and pathways of hepatic glycogen synthesis, as well as flux through hepatic pyruvate dehydrogenase, we used 13C-nuclear magnetic resonance spectroscopy to monitor the peak intensity of the C1 resonance of the glucosyl units of hepatic glycogen, in combination with acetaminophen to sample the hepatic UDP-glucose pool and phenylacetate to sample the hepatic glutamine pool, during a hyperglycemic-hyperinsulinemic clamp using [1-13C]-glucose. Five subjects with poorly controlled IDDM and six age-weight-matched control subjects were clamped at a mean plasma glucose concentration of approximately 9 mM and mean plasma insulin concentrations approximately 400 pM for 5 h. Rates of hepatic glycogen synthesis were similar in both groups (approximately 0.43 +/- 0.09 mumol/ml liver min). However, flux through the indirect pathway of glycogen synthesis (3 carbon units-->-->glycogen) was increased by approximately 50% (P < 0.05), whereas the relative contribution of pyruvate oxidation to TCA cycle flux was decreased by approximately 30% (P < 0.05) in the IDDM subjects compared to the control subjects. These studies demonstrate that patients with poorly controlled insulin-dependent diabetes mellitus have augmented hepatic gluconeogenesis and relative decreased rates of hepatic pyruvate oxidation. These abnormalities are not immediately reversed by normalizing intraportal concentrations of glucose, insulin, and glucagon and may contribute to postprandial hyperglycemia.


Assuntos
Diabetes Mellitus Tipo 1/metabolismo , Glucose/metabolismo , Fígado/metabolismo , Acetaminofen/metabolismo , Adulto , Isótopos de Carbono , Ciclo do Ácido Cítrico , Feminino , Técnica Clamp de Glucose , Glutamina/análogos & derivados , Glutamina/análise , Glutamina/urina , Humanos , Hiperglicemia/metabolismo , Glicogênio Hepático/biossíntese , Espectroscopia de Ressonância Magnética , Masculino , Modelos Biológicos , Fenilacetatos/metabolismo , Complexo Piruvato Desidrogenase/metabolismo , Uridina Difosfato Glucose/análise
20.
J Clin Invest ; 107(2): 181-9, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11160134

RESUMO

Serine/threonine phosphorylation of IRS-1 might inhibit insulin signaling, but the relevant phosphorylation sites are difficult to identify in cultured cells and to validate in isolated tissues. Recently, we discovered that recombinant NH2-terminal Jun kinase phosphorylates IRS-1 at Ser307, which inhibits insulin-stimulated tyrosine phosphorylation of IRS-1. To monitor phosphorylation of Ser307 in various cell and tissue backgrounds, we prepared a phosphospecific polyclonal antibody designated alphapSer307. This antibody revealed that TNF-alpha, IGF-1, or insulin stimulated phosphorylation of IRS-1 at Ser307 in 3T3-L1 preadipocytes and adipocytes. Insulin injected into mice or rats also stimulated phosphorylation of Ser307 on IRS-1 immunoprecipitated from muscle; moreover, Ser307 was phosphorylated in human muscle during the hyperinsulinemic euglycemic clamp. Experiments in 3T3-L1 preadipocytes and adipocytes revealed that insulin-stimulated phosphorylation of Ser307 was inhibited by LY294002 or wortmannin, whereas TNF-alpha-stimulated phosphorylation was inhibited by PD98059. Thus, distinct kinase pathways might converge at Ser307 to mediate feedback or heterologous inhibition of IRS-1 signaling to counterregulate the insulin response.


Assuntos
Fator de Crescimento Insulin-Like I/farmacologia , Insulina/farmacologia , Proteínas Serina-Treonina Quinases/química , Fator de Necrose Tumoral alfa/farmacologia , Animais , Anisomicina/farmacologia , Células CHO , Cricetinae , Antagonistas da Insulina/farmacocinética , Resistência à Insulina , MAP Quinase Quinase 1 , Quinases de Proteína Quinase Ativadas por Mitógeno/metabolismo , Fosfatidilinositol 3-Quinases/metabolismo , Fosforilação/efeitos dos fármacos , Proteínas Serina-Treonina Quinases/metabolismo , Receptor de Insulina , Serina/química , Transdução de Sinais , Tirosina/química
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA