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Departments of 1 Physiology and 2 Medicine, University of Toronto, Toronto M5S 1A8, Canada
The
mechanisms of the impairment in hepatic glucose metabolism
induced by free fatty acids (FFAs) and the importance of FFA oxidation
in these mechanisms remain unclear. FFA-induced peripheral insulin
resistance has been linked to membrane translocation of novel protein
kinase C (PKC) isoforms, but the role of PKC in hepatic insulin
resistance has not been assessed. To investigate the biochemical
pathways that are induced by FFA in the liver and their relation to
glucose metabolism in vivo, we determined endogenous glucose production
(EGP), the hepatic content of citrate (product of acetyl-CoA derived
from FFA oxidation and oxaloacetate), and hepatic PKC isoform
translocation after 2 and 7 h Intralipid + heparin (IH) or
SAL in rats. Experiments were performed in the basal state and during
hyperinsulinemic clamps (insulin infusion rate, 5 mU · kg
1 · min
1). IH
increased EGP in the basal state (P < 0.001) and
during hyperinsulinemia (P < 0.001) at 2 and 7 h.
Also, 7-h infusion of IH induced resistance to the suppressive effect
of insulin on EGP (P < 0.05). Glycerol infusion
(resulting in plasma glycerol levels similar to IH infusion) did not
have any effect on EGP. IH increased hepatic citrate content by
twofold, independent of the insulin levels and the duration of IH
infusion. IH induced hepatic PKC-
translocation from the cytosolic
to membrane fraction in all groups. PKC-
translocation was greater
at 7 compared with 2 h (P < 0.05). In conclusion,
1) increased FFA oxidation may contribute to the FFA-induced
increase in EGP in the basal state and during hyperinsulinemia but is
not associated with FFA-induced hepatic insulin resistance, and
2) the progressive insulin resistance induced by FFA in the
liver is associated with a progressive increase in hepatic PKC-
translocation.
hepatic glucose production; free fatty acid oxidation; hyperinsulinemic-euglycemic clamp
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