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Am J Physiol Endocrinol Metab 293: E1045-E1052, 2007. First published July 31, 2007; doi:10.1152/ajpendo.00276.2007
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11beta-HSD1 inhibition improves triglyceridemia through reduced liver VLDL secretion and partitions lipids toward oxidative tissues

Magalie Berthiaume,1 Mathieu Laplante,1 William T. Festuccia,1 Katherine Cianflone,1 Lorraine P. Turcotte,2 Denis R. Joanisse,3 Gunilla Olivecrona,4 Rolf Thieringer,5 and Yves Deshaies1

Faculty of Medicine, 1Laval Hospital Research Center and 3Division of Kinesiology, Department of Social and Preventive Medicine, Laval University, Sainte-Foy, Quebec, Canada; 2Department of Kinesiology, University of Southern California, Los Angeles, California; 4Department of Medical Biochemistry and Biophysics, Umeå University, Umeå, Sweden; and 5Department of External Scientific Affairs, Merck Research Laboratories, Rahway, New Jersey

Submitted 12 May 2007 ; accepted in final form 26 July 2007

Tissue-specific alterations in 11beta-hydroxysteroid dehydrogenase (HSD) type 1 activity, which amplifies glucocorticoid action, are thought to contribute to some of the metabolic complications of obesity. The present study tested whether hypertriglyceridemia is one such complication by investigating the effects of an 11beta-HSD1 inhibitor (compound A, 3 mg·kg–1·day–1, 21 days) on triglyceride (TG) metabolism in a rat model of diet-induced obesity. The dose of compound A used did not affect food intake or final body weight. Compound A improved fasting triglyceridemia (–42%) through a robust reduction (–41%) in hepatic TG secretion rate, without change in plasma TG clearance rate. Uptake of TG-derived fatty acids was, however, increased in oxidative tissues, including red gastrocnemius (+47%), heart (+39%), and brown adipose tissue (BAT, +46%) at the expense of the liver, with a concomitant increase in plasma membrane fatty acid-binding protein. Lipid oxidation products were increased in red gastrocnemius (+35%) and heart (+33%), as were levels of uncoupling protein 1 mRNA in BAT (+48%), and carnitine palmitoyltransferase 1 activity tended to be increased in some oxidative tissues. These findings demonstrate that pharmacological inhibition of 11beta-HSD1 at a dose that does not affect food intake improves triglyceridemia by reducing hepatic very low density lipoprotein-TG secretion, with a shift in the pattern of TG-derived fatty acid uptake toward oxidative tissues, in which lipid accumulation is prevented by increased lipid oxidation.

11beta-hsd1 inhibitor; glucocorticoids; diet-induced obesity; triglycerides; lipid metabolism; lipid partitioning; lipid oxidation



Address for reprint requests and other correspondence: Y. Deshaies, Laval Hospital Research Center, Faculty of Medicine, Laval Univ., 2725 Ch Sainte-Foy, QC, Canada G1V 4G5 (e-mail: yves.deshaies{at}phs.ulaval.ca)




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