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Am J Physiol Endocrinol Metab 292: E549-E560, 2007. First published September 26, 2006; doi:10.1152/ajpendo.00255.2006
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Lipid-induced beta-cell dysfunction in vivo in models of progressive beta-cell failure

Tracy T. Goh,1 Timothy M. Mason,1 Neehar Gupta,1 Abby So,1 Tony K. T. Lam,1 Loretta Lam,1 Gary F. Lewis,2,1 Andrea Mari,3 and Adria Giacca1,2

Departments of 1Physiology and 2Medicine, University of Toronto, Toronto, Ontario, Canada; and 3Institute of Biomedical Engineering, National Research Council, Padua, Italy

Submitted 26 May 2006 ; accepted in final form 19 September 2006

We determined the effect of 48-h elevation of plasma free fatty acids (FFA) on insulin secretion during hyperglycemic clamps in control female Wistar rats (group a) and in the following female rat models of progressive beta-cell dysfunction: lean Zucker diabetic fatty (ZDF) rats, both wild-type (group b) and heterozygous for the fa mutation in the leptin receptor gene (group c); obese (fa/fa) Zucker rats (nonprediabetic; group d); obese prediabetic (fa/fa) ZDF rats (group e); and obese (fa/fa) diabetic ZDF rats (group f). FFA induced insulin resistance in all groups but increased C-peptide levels (index of absolute insulin secretion) only in obese prediabetic ZDF rats. Insulin secretion corrected for insulin sensitivity using a hyperbolic or power relationship (disposition index or compensation index, respectively, both indexes of beta-cell function) was decreased by FFA. The decrease was greater in normoglycemic heterozygous lean ZDF rats than in Wistar controls. In obese "prediabetic" ZDF rats with mild hyperglycemia, the FFA-induced decrease in beta-cell function was no greater than that in obese Zucker rats. However, in overtly diabetic obese ZDF rats, FFA further impaired beta-cell function. In conclusion, 1) the FFA-induced impairment in beta-cell function is accentuated in the presence of a single copy of a mutated leptin receptor gene, independent of hyperglycemia. 2) In prediabetic ZDF rats with mild hyperglycemia, lipotoxicity is not accentuated, as the beta-cell mounts a partial compensatory response for FFA-induced insulin resistance. 3) This compensation is lost in diabetic rats with more marked hyperglycemia and loss of glucose sensing.

free fatty acid; obesity; insulin secretion; hyperglycemic clamp; Zucker diabetic fatty rat



Address for reprint requests and other correspondence: A. Giacca, Dept. of Physiology, Univ. of Toronto, Medical Sciences Bldg., Rm. 3336, Toronto, ON, M5S 1A8 Canada (e-mail: adria.giacca{at}utoronto.ca)




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