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1 Department of Internal
Medicine,
To examine effects of free fatty acids (FFA) on
insulin-stimulated glucose fluxes, euglycemic hyperinsulinemic (86 pmol · kg
1 · min
1)
clamps were performed for 5 h in conscious rats with
(n = 8) or without
(n = 8) lipid-heparin infusion.
Glucose infusion rate required to maintain euglycemia was not different
between the two groups during the first 2 h of clamps but
became significantly lower with lipid-heparin infusion in the 3rd h and
thereafter. To investigate changes in intracellular glucose metabolism
during lipid-heparin infusion, additional clamps
(n = 8 each) were performed for 1, 2, 3, or 5 h with an infusion of
[3-3H]glucose.
Insulin-stimulated whole body glucose utilization
(Rd), glycolysis, and glycogen synthesis
were estimated on the basis of tracer concentrations in plasma during
the final 40 min of each clamp. Similar to changes in glucose infusion
rate, Rd was not different between the two
groups in the 1st and 2nd h but was significantly lower with
lipid-heparin infusion in the 3rd h and thereafter. Whole body
glycolysis was significantly lower with lipid-heparin infusion in all
time periods, i.e., 1st, 2nd, 3rd, and 5th h of clamps. In contrast,
whole body glycogen synthesis was higher with lipid-heparin infusion in
the 1st and 2nd h but lower in the 5th h. Similarly, accumulation of
[3H]glycogen
radioactivity in muscle glycogen was significantly higher with
lipid-heparin during the 1st and 2nd h but lower during the 3rd and 5th
h. Glucose 6-phosphate (G-6-P)
concentrations in gastrocnemius muscles were significantly higher with
lipid-heparin infusion throughout the clamps. Muscle glycogen synthase
(GS) activity was not altered with lipid-heparin infusion at 1, 2, and
3 h but was significantly lower at 5 h. Thus increased availability of
FFA significantly reduced whole body glycolysis, but compensatory increase in skeletal muscle glycogen synthesis in association with
accumulation of G-6-P masked this
effect, and Rd was not affected in the early
phase (within 2 h) of lipid-heparin infusion. Rd was reduced in the later phase (>2 h) of
lipid-heparin infusion, when glycogen synthesis was reduced in
association with reduced skeletal muscle GS activity.
insulin resistance; glycogen synthesis; glycolysis
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