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Am J Physiol Endocrinol Metab 280: E562-E569, 2001;
0193-1849/01 $5.00
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Vol. 280, Issue 4, E562-E569, April 2001

Evidence that amylin stimulates lipolysis in vivo: a possible mediator of induced insulin resistance

Ji-Ming Ye1, Megan Lim-Fraser1, Gregory J. Cooney1, Garth J. S. Cooper2, Miguel A. Iglesias1, David G. Watson1, Bernard Choong2, and Edward W. Kraegen1

1 Garvan Institute of Medical Research, St. Vincent's Hospital, Sydney, New South Wales 2010, Australia; and 2 School of Biological Sciences, University of Auckland, Auckland 1, New Zealand

The present study investigated the role of amylin in lipid metabolism and its possible implications for insulin resistance. In 5- to 7-h-fasted conscious rats, infusion of rat amylin (5 nmol/h for 4 h) elevated plasma glucose, lactate, and insulin (P <0.05 vs. control, repeated-measures ANOVA) with peak values occurring within 60 min. Despite the insulin rise, plasma nonesterified fatty acids (NEFA) and glycerol were also elevated (P < 0.001 vs. control), and these elevations (80% above basal) were sustained over the 4-h infusion period. Although unaltered in plasma, triglyceride content in liver was increased by 28% (P < 0.001) with a similar tendency in muscle (18%, P = 0.1). Infusion of the rat amylin antagonist amylin-(8-37) (125 nmol/h) induced opposite basal plasma changes to amylin, i.e., lowered plasma NEFA, glycerol, glucose, and insulin levels (all P < 0.05 vs. control); additionally, amylin-(8-37) blocked amylin-induced elevations of these parameters (P < 0.01). Treatment with acipimox (10 mg/kg), an anti-lipolytic agent, before or after amylin infusion blocked amylin's effects on plasma NEFA, glycerol, and insulin but not on glucose and lactate. We conclude that amylin could exert a lipolytic-like action in vivo that is blocked by and is opposite to effects of its antagonist amylin-(8-37). Further studies are warranted to examine the physiological implications of lipid mobilization for amylin-induced insulin resistance.

amylin antagonist; fatty acids; glucose; acipimox





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