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Laboratoire de Physiopathologie de la Nutrition, Centre National de la Recherche Scientifique UMR 7059, Université Paris 7, Paris, France
Submitted 27 May 2004 ; accepted in final form 2 September 2004
| ABSTRACT |
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2A-adrenoreceptor agonist, thus suggesting the involvement of a low sympathetic tone in insulin hypersecretion in response to glucose in HF rats. In conclusion, the HF diet rapidly results in an increased GIIS, at least in part related to a decreased sympathetic tone, which can be the first step of a cascade of events leading to impaired glucose homeostasis. insulin secretion and hepatic sensitivity
From studies performed on different animal models, it appeared that high-fat (HF) diet-related overweight induces an increase in plasma triglyceride (TG) concentration (6, 10, 11, 30) and/or TG ectopic storage (5, 10), a situation that may produce lipotoxicity at both pancreatic (3) and peripheral levels (10). On the other hand, it has been proposed that diet-induced dysfunction of the autonomic nervous system could also be an important component of premetabolic syndrome states (reviewed in Refs. 23 and 24). For example, Levin (28) showed that there was a reduced norepinephrine (NE) turnover in organs, including the brain, in obesity-prone rats before any increase in body weight. Furthermore, the high prevalence of obesity and type 2 diabetes in the Pima Indian community might be the consequence of a "thrifty genotype," including a low sympathetic activity (40).
In the present study, normal Wistar rats were submitted to a HF diet to study its short- and long-term effects on insulin secretion and action. We found that HF rats rapidly displayed insulin hypersecretion in response to glucose and hepatic insulin resistance (after 2 days of diet), followed by glucose intolerance (7 days) and the loss of pancreatic hypersecretion of insulin (2 mo). Furthermore, we aimed to test whether the HF diet could induce alterations in central nervous system (CNS) activity, focusing only on the very beginning of the diet (2nd day) when the alteration of insulin secretion and action appeared. Indeed, dyslipidemia is often associated with autonomic nervous system dysfunction (29, 47), and it has been previously shown that a decreased sympathetic tone could be partially responsible in insulin hypersecretion in response to glucose (31).
| MATERIALS AND METHODS |
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Food intake. Daily food intake was measured by weighing the pellets and the HF diet between 9:00 and 10:00 AM.
Glucose-induced insulin secretion. Insulin secretion in response to glucose was investigated every day after the beginning of the diet during the 1st wk, then every week during the remaining 7 wk. Briefly, a single dose of glucose was injected intraperitoneally (1 g/kg body wt) in rats deprived of food for 4 h. Blood samples were drawn from caudal vessels at time 0, 5, 10, 15, 20, 30, and 60 min after glucose injection. Glycemia was immediately measured using a glucose analyzer (Roche Diagnostics, Meylan, France). Plasma was then removed and stored at 20°C until RIA of insulin.
To appreciate the possible involvement of changes in sympathetic activity in the control of insulin secretion after 2 days of diet, glucose- induced insulin secretion (GIIS) was also studied in the presence of an
2A-adrenoreceptor agonist, oxymetazoline (Sigma Chemical, St. Louis, MO). The insulin response was tested in the presence of 0.1, 1, 10, and 1,000 pmol oxymetazoline/kg body wt, injected intraperitoneally 5 min before glucose loading. We measured the insulinogenic index from time 0 (glucose load) to time 60 min (end of the test). The time points were 0, 5, 10, 15, 20, 30, and 60 min. Each concentration corresponded to a different group of rats.
Glucose turnover rate. Measurements were performed in the basal state and during euglycemic-hyperinsulinemic clamps. Rats deprived of food for 4 h were anesthetized with pentobarbital sodium (50 mg/kg ip). A catheter was inserted in the right jugular vein for blood sampling. Infusions (insulin, labeled and unlabeled glucose) were carried out using butterfly needles that were inserted in the saphenous vein.
A priming dose of [3-3H]glucose (5 µCi) was injected through the saphenous vein at 50 min, followed by a continuous infusion at a rate of 0.2 µCi/min throughout the study. Blood samples were drawn at 15, 10, and 0 min during the basal period and at time 70, 80, and 90 min during the steady-state euglycemic clamp for glucose disposal rate evaluation.
Euglycemic-hyperinsulinemic clamps. Before insulin infusion, two sets of blood samples were drawn for determinations of basal blood glucose, plasma insulin, and nonesterified fatty acid (NEFA) levels. A priming dose of insulin (20 mU Actrapid; Novo, Copenhagen, Denmark) dissolved in isotonic saline was injected through a saphenous vein followed by a continuous infusion of insulin (0.4 U·kg1·h1) at a constant rate of 20 µl/min.
During clamps, blood was sampled by caudal vessels every 5 min to determine glycemia and to adjust the rate of unlabeled glucose infusion to maintain euglycemia (glycemia between 4.5 and 6 mM). The euglycemic clamp was attained within 3040 min and maintained for 40 min thereafter. Steady-state specific glucose radioactivity and plasma glucose and insulin concentrations were determined during the last 20 min of the clamp.
Analytic methods. Blood glucose was determined using a glucose analyzer (Roche Diagnostics). For the assay of [3-3H]glucose radioactivity, blood samples were deproteinized with Ba(OH)2 and ZnSO4, and the supernatant was evaporated to dryness at 50°C to remove tritiated water. The dry residue was dissolved in 0.5 ml of water to which 10 ml of Aqualuma plus scintillation solution were added (Lumac LSC, Groningen, The Netherlands), and radioactivity was determined in a Packard Tri-Carb 460C liquid scintillation system. Plasma insulin was determined by an RIA kit (DiaSorin, Les Ullis, France). NEFA concentrations were measured using an enzymatic assay (NEFA-C test; Wako Chemicals).
Glucose kinetics and expression of the data. In the basal steady state, the rate of glucose appearance (Ra, rate of appearance, reflecting hepatic glucose production) was equal to the glucose disposal rate (Rd, rate of disappearance, reflecting glucose utilization). Rd was calculated according to the formula Rd = Ra = [3-3H]glucose infusion rate [disintegrations·min1 (dpm)·min1] divided by blood glucose specific activity (dpm/mg), during the last 20 min of the glucose clamp (5070 min after the onset of insulin infusion). Results are given as means ± SE.
Pancreas, liver, and brain NE turnover.
We used the synthesis inhibition method by Brodie et al. (8). At 2 h after lights on, rats were injected with
-methyl-DL-p-tyrosine, a tyrosine hydroxylase inhibitor (250 mg/kg ip; Sigma) that prevents the conversion of tyrosine to dihydroxyphenylalanine (DOPA), the rate-limiting step of catecholamine synthesis. Next, 3 h after this injection, one group of rats (time 3 h) was killed, and pancreas, liver, and whole brain were rapidly removed and frozen in liquid nitrogen. The other group (time 6 h) received an additional 125 mg/kg ip
-methyl-DL-p-tyrosine. These rats were killed 3 h later, and the organs were also removed and frozen. Another group (time 0 h) of rats was not injected with the inhibitor; these rats were killed at the beginning of the experiment to determine the basal level of NE concentration, NE0, expressed as nanograms per gram of organ. Because the concentration of NE ([NE]) in tissues declined exponentially after blockade of NE synthesis, we could obtain from the slope of the line of log[NE] vs. time k, the rate constant of NE efflux (expressed in h1). The product of k and NE0 will give the rate of NE efflux, which is equal to the rate of NE synthesis and will be called turnover rate (TR, expressed in ng·g1·h1; for details, see Ref. 8) . Organ NE levels were determined using HPLC with a C18 reverse-phase column (150 x 2 mm Beckman column packed with Ultrasphere ODS C18, 5 µm average particle size) and electrochemical detection (Kontron 402) after alumina extraction. Calibration curves were made with spiked plasma or homogenate. Recoveries were calculated on the basis of peak heights measured by an integrator (Shimazu, Kyoto, Japan).
Liver analysis: glycogen and TG contents.
Liver (
0.2 g) was ground in distilled water with Ultraturax (ice-cold procedure), and then TG were assayed in the homogenate using the commercial kit "GPO trinder" (Sigma Diagnostic). Glycogen was also measured in the homogenate using the method of Roehrig and Allred (42); it was hydrolyzed by amyloglucosidase treatment without preliminary extraction, and glucose was dosed by a colorimetric method using glucose oxidase.
Microdialysis procedure. A detailed description of surgical and technical procedures has been given previously (43). Briefly, at least 5 days before the experiment, the animal was placed in a stereotaxic frame (Kopf Instruments). A guide cannula was implanted to insert the microdialysis probe with its upper part in the paraventricular nucleus (PVN) of the hypothalamus and the lower part in the ventromedial hypothalamus (VMH). The coordinates of the guide tip were (according to the atlas of Paxinos and Watson; Ref. 37a) 1.9 mm posterior to bregma, 0.5 mm lateral, and 7 mm ventral to the dura. The dialysis probe protruded 2 mm beyond the guide tube, and its tip reached a point 9 mm ventral to bregma. The guide cannula and the venous catheter were fixed to the skull with stainless steel screws and dental cement.
On the day of the experiment, a system of tubing connected to a two-channel swivel placed on the beam allowed infusion of fluid in the probe and sampling. The flow rate (2 µl/min) allowed the collection of 30-µl samples every 15 min. The dialysis probe was inserted through the guide at 9:00 AM, and the infusion was performed with a Ringer-type solution containing 147 mM Na+, 2.3 mM Ca2+, 4 mM K+, and 155.6 mM Cl. The first microdialysis samples were taken 4 h after insertion of the probe; this delay is necessary to achieve stable catecholamine levels. After four 15-min baseline samples were collected, the rats were subjected to an intraperitoneal glucose injection (1 g/kg body wt). Sampling was carried on every 15 min after the injection during at least 3 h.
Measurement of hypothalamic NE. The dialysates were analyzed by means of reverse-phase liquid chromatography with electrochemical detection (Decade; Antec) at a potential of 750 mV. The chromatographic system consisted of a 20-µl sample loop leading to a 10-cm column (Colochrom) with a 3.2-mm internal diameter and 3 µm C18 packing. The mobile phase consisted of an acetate buffer containing 100 µM EDTA, 1 mM octanesulfonic acid, and 4% vol/vol acetonitrile at pH 3.1. This system allowed detection of NE at a sensitivity of 0.1 nA and separation of it from the other monoaminergic compounds.
The mean NE levels of the four baseline samples (before the glucose injection) were calculated for each animal. The percentage of variation relative to the basal levels was calculated for each animal ateach time point. The results were then expressed as means of percentage of baseline ± SE.
Statistical analysis. Statistical analyses were performed using a two-factor repeated-measures ANOVA. Comparison between control and HF rats was assessed by a nonpaired Student's t-test. P < 0.05 was chosen as statistical significance.
| RESULTS |
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I/
G) was 2.5-fold higher in HF rats vs. control after 2 days of diet, which expresses insulin hypersecretion in response to glucose (also shown in Fig. 1, A and B). In HF rats, the injection of oxymetazoline significantly reduced insulin secretion in response to glucose in a dose-dependant manner:
I/
G was reduced by 24% vs. the basal value in the presence of 0.1 pmol/kg oxymetazoline and significantly reduced by 65, 74, and 93% in the presence of 1, 10 and 1,000 pmol/kg, respectively. In contrast, in control rats,
I/
G remained unchanged when animals were given 0.1, 1, and 10 pmol/kg oxymetazoline, whereas it was reduced by 74% in the presence of 1,000 pmol/kg.
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1,500 pM (basal plasma insulin concentration in both groups was
250 pM). The insulin-induced increase in glucose utilization (i.e., Rd) was similar in chow-fed and HF rats (Fig. 3A); in contrast, the decrease in hepatic glucose production (i.e., Ra) was attenuated in HF rats compared with controls (Fig. 3B). Therefore, hepatic insulin resistance was present as early as after 2 days of HF diet and persisted throughout the study (data not shown).
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Tissue NE turnover. In pancreas and brain, there was a significant increase in NE0 in HF rats and a slight increase (not significant) in liver (Table 2). The fractional turnover constant (k) was twofold decreased in pancreas and liver of HF rats, which indicated a twofold increase in NE half-life in these organs, whereas it remained constant in the whole brain. The TR was calculated by multiplying NE0 and k. It reached significance only in brain, since in liver and pancreas these parameters were varying in opposite ways (Table 2).
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20 pg/20 µl). During the 30 min after the intraperitoneal glucose injection (1 g/kg body wt), we observed a drastic decrease (78 ± 3%) in extracellular NE concentration in the chow-fed group (Fig. 4), whereas the decrease was much smaller in HF rats (26 ± 5%). This discrepancy between groups could indicate changes in nervous activity of neurons in the VMH/PVN area.
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| DISCUSSION |
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Because some studies showed that exaggerated insulin secretion can be the first step of a cascade of events leading to an impaired insulin secretion and glucose homeostasis (3, 16), and finally to type 2 diabetes (15), we then decided to focus on day 2 of the HF diet, when insulin hypersecretion in response to glucose and hepatic insulin resistance appeared, i.e., the key period for the further deterioration of glucose homeostasis. Increased TG storage in the liver was probably the main change responsible for this feature, since accumulation of lipid esterification products has been shown to play an important role in the setting of hepatic insulin resistance (25, 27, 48), and several studies showed that hepatic insulin resistance could be reversed by a decrease in TG content (27). We observed a lower glycogen storage in our model, which is consistent with studies indicating that glycogen storage is inversely correlated with TG storage in liver of insulin-resistant HF rats (25). Because there was no increase in circulating FFA in HF rats throughout the diet, insulin hypersecretion observed after 2 days could be interpreted as a response to an increased insulin demand, caused by hepatic insulin resistance (49), rather than a direct effect of fatty acid on the
-cell. Modifications of basal NE content in pancreas and k in both liver and pancreas could also account for alterations in insulin secretion and efficiency on the liver (2), as a reflection of sympathetic nervous changes. Moreover, an increase in basal NE content is often associated with diabetes (1). Another interesting finding from our study was a change in central noradrenergic activity in HF rats, put in evidence by a lower decrease in NE extracellular concentration in response to glucose stimulus (microdialysis study) and an increase in brain NE turnover, after 2 days of diet. Because both the pancreas (2) and target organs of insulin are richly innervated and controlled by the autonomic nervous system (reviewed in Refs. 36 and 37), whose fibers are emerging from the VMH area (26), we postulated that the modifications of PVN/VMH noradrenergic activity could result in a decreased sympathetic tone involved in
-cell hyperresponsiveness. Consistent with this hypothesis, it has already been shown that a decrease in the sympathetic tone was responsible, at least in part, for insulin hypersecretion in rats infused with lipids (31). Because it is well established that the NE released by the postsynaptic nerve exerts its inhibitory effect on insulin secretion through
2A-adrenoreceptors (2, 4), we used oxymetazoline, an
2A-adrenoreceptor agonist, to overcome the postulated decrease in sympathetic tone. With the use of increasing amounts of oxymetazoline,
-cell hyperresponsiveness was progressively blunted in HF rats; the dose of 1 pmol/kg oxymetazoline completely normalized their GIIS compared with controls, clearly indicating the involvement of a low sympathetic activity in the high insulin response in HF rats. Because
2A-adrenoreceptors are present not only on the
-cell membrane but also in some hypothalamic areas (12), it can be hypothesized that this low activity may be of peripheral and/or central origin. The normalization of insulin secretion with oxymetazoline was associated with a higher glycemia profile, thus attesting that the higher GIIS in HF rats was necessary to compensate liver insulin resistance. In control rats, the lower doses of oxymetazoline had no detectable effect on GIIS. The likely decrease in sympathetic tone in HF rats could per se account for the islet hypersensitivity to oxymetazoline in HF rats, consistent with studies reporting interrelationships between autonomic nervous system activity and the expression of adrenergic receptors in humans (19, 45, 53) and dogs (50).
Because there was no increase in plasma FFA or TG, a local increase in the hypothalamic area was also unlikely. To explain central nervous modifications, we could hypothesize that high dietary fat intake triggered modifications of nervous and/or hormonal signals from peripheral organs to brain (17, 2123). Indeed, it has been shown that afferent inputs from the liver and the gastrointestinal tract, as well as from peptides such as CCK, are transmitted through the vagus nerve and sympathetic fibers to the nucleus of the solitary tract and hypothalamus where they are integrated (32, 44). Because such a mechanism is implicated in the regulation of feeding, one could hypothesize that it could also be more broadly implicated in the regulation of insulin secretion and action. In addition, glucose sensors have been detected in the portal vein (9, 18), lipid sensors could exist and mediate to the brain the modifications induced by the HF diet. Consistent with this idea, it has been shown that a jejunum administration of linoleic acid increased the activity of neurons in the PVN of the hypothalamus (38) through the increase of hepatic vagal afferent activity (39). Among the hormonal signals from periphery to brain that could also trigger CNS modifications, ghrelin, a gut hormone acting on the hypothalamus to regulate food intake (20, 35, 52) and reported to inhibit insulin secretion (41, 51), could be a candidate. We found that the concentration of plasma ghrelin was decreased in HF rats after 2 and 7 days of diet, when insulin hypersecretion in response to glucose was observed; in contrast, after 2 mo of diet, there was no difference in plasmatic ghrelin concentration between HF rats vs. controls, and no more insulin hypersecretion. These findings are thus consistent with the involvement of ghrelin on the regulation of pancreatic insulin secretion.
In conclusion, Wistar rats submitted to a HF diet rapidly displayed a dysregulation of insulin secretion and action, accompanied with CNS activity modifications and independently of a peripheral increase of TG or FFA. Glucose intolerance set in during the 1st wk of the diet and worsened, while insulin hypersecretion in response to glucose decreased. Thus this model could be convenient for the study of diet-induced insulin resistance and glucose intolerance, especially to evaluate by which mechanisms a dietary lipid overload could act on CNS activity and dysregulate glucose homeostasis by this indirect way.
| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
| REFERENCES |
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-adrenergic responsiveness is decreased and SNS activity is increased in older humans. Am J Physiol Endocrinol Metab 266: E717E724, 1994.
-cell responsiveness to glucose. J Clin Invest 103: 413419, 1999.[Web of Science][Medline]
-adrenergic responses in older humans. Am J Physiol Endocrinol Metab 260: E599E607, 1991.
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