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1 Garvan Institute of Medical Research, Sydney, New South Wales 2010, Australia; and 2 Diabetes and Metabolism Unit, Boston University Medical Center, Boston, Massachusetts 02118
Chronic glucose
infusion results in hyperinsulinemia and causes lipid accumulation and
insulin resistance in rat muscle. To examine possible mechanisms for
the insulin resistance, alterations in malonyl-CoA and long-chain
acyl-CoA (LCA-CoA) concentration and the distribution of protein kinase
C (PKC) isozymes, putative links between muscle lipids and insulin
resistance, were determined. Cannulated rats were infused
with glucose (40 mg · kg
1 · min
1)
for 1 or 4 days. This increased red quadriceps muscle LCA-CoA content
(sum of 6 species) by 1.3-fold at 1 day and 1.4-fold at 4 days vs.
saline-infused controls (both P < 0.001 vs. control). The concentration of malonyl-CoA was also increased
(1.7-fold at 1 day, P < 0.01, and
2.2-fold at 4 days, P < 0.001 vs.
control), suggesting an even greater increase in cytosolic LCA-CoA. The ratio of membrane to cytosolic PKC-
was increased twofold in the red
gastrocnemius after both 1 and 4 days, suggesting chronic activation.
No changes were observed for PKC-
, -
, and -
. We conclude that
LCA-CoAs accumulate in muscle during chronic glucose infusion,
consistent with a malonyl-CoA-induced inhibition of fatty acid
oxidation (reverse glucose-fatty acid cycle). Accumulation of LCA-CoAs
could play a role in the generation of muscle insulin resistance by
glucose oversupply, either directly or via chronic activation of
PKC-
.
hyperglycemia; hyperinsulinemia; malonyl-CoA; long-chain acyl-CoA
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