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Am J Physiol Endocrinol Metab 292: E1590-E1598, 2007. First published January 30, 2007; doi:10.1152/ajpendo.00669.2006
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Nocturnal free fatty acids are uniquely elevated in the longitudinal development of diet-induced insulin resistance and hyperinsulinemia

Stella P. Kim, Karyn J. Catalano, Isabel R. Hsu, Jenny D. Chiu, Joyce M. Richey, and Richard N. Bergman

Department of Physiology and Biophysics, Keck School of Medicine of the University of Southern California, Los Angeles, California

Submitted 7 December 2006 ; accepted in final form 29 January 2007

Obesity is strongly associated with hyperinsulinemia and insulin resistance, both primary risk factors for type 2 diabetes. It has been thought that increased fasting free fatty acids (FFA) may be responsible for the development of insulin resistance during obesity, causing an increase in plasma glucose levels, which would then signal for compensatory hyperinsulinemia. But when obesity is induced by fat feeding in the dog model, there is development of insulin resistance and a marked increase in fasting insulin despite constant fasting FFA and glucose. We examined the 24-h plasma profiles of FFA, glucose, and other hormones to observe any potential longitudinal postprandial or nocturnal alterations that could lead to both insulin resistance and compensatory hyperinsulinemia induced by a high-fat diet in eight normal dogs. We found that after 6 wk of a high-fat, hypercaloric diet, there was development of significant insulin resistance and hyperinsulinemia as well as accumulation of both subcutaneous and visceral fat without a change in either fasting glucose or postprandial glucose. Moreover, although there was no change in fasting FFA, there was a highly significant increase in the nocturnal levels of FFA that occurred as a result of fat feeding. Thus enhanced nocturnal FFA, but not glucose, may be responsible for development of insulin resistance and fasting hyperinsulinemia in the fat-fed dog model.

obesity; diurnal



Address for reprint requests and other correspondence: R. N. Bergman, Dept. of Physiology and Biophysics, Keck School of Medicine of the Univ. of Southern California, 1333 San Pablo St. MMR 626, Los Angeles, CA 90033 (e-mail: rbergman{at}usc.edu)




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