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Am J Physiol Endocrinol Metab 289: E30-E39, 2005. First published February 8, 2005; doi:10.1152/ajpendo.00251.2004
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Hormone-sensitive lipase knockout mice have increased hepatic insulin sensitivity and are protected from short-term diet-induced insulin resistance in skeletal muscle and heart

So-Young Park,1 Hyo-Jeong Kim,1 Shupei Wang,4 Takamasa Higashimori,1 Jianying Dong,1 Yoon-Jung Kim,1 Gary Cline,1 Hong Li,4 Marc Prentki,5 Gerald I. Shulman,1,2,3 Grant A. Mitchell,4 and Jason K. Kim1

1Department of Internal Medicine, Section of Endocrinology and Metabolism, 2Department of Cellular and Molecular Physiology, and the 3Howard Hughes Medical Institute, Yale University School of Medicine, New Haven, Connecticut; and 4Ste-Justine Hospital and 5Centre Hospitalier de l’Université de Montreal, University of Montreal, Montreal, Canada

Submitted 14 June 2004 ; accepted in final form 7 February 2005

Insulin resistance in skeletal muscle and heart plays a major role in the development of type 2 diabetes and diabetic heart failure and may be causally associated with altered lipid metabolism. Hormone-sensitive lipase (HSL) is a rate-determining enzyme in the hydrolysis of triglyceride in adipocytes, and HSL-deficient mice have reduced circulating fatty acids and are resistant to diet-induced obesity. To determine the metabolic role of HSL, we examined the changes in tissue-specific insulin action and glucose metabolism in vivo during hyperinsulinemic euglycemic clamps after 3 wk of high-fat or normal chow diet in awake, HSL-deficient (HSL-KO) mice. On normal diet, HSL-KO mice showed a twofold increase in hepatic insulin action but a 40% decrease in insulin-stimulated cardiac glucose uptake compared with wild-type littermates. High-fat feeding caused a similar increase in whole body fat mass in both groups of mice. Insulin-stimulated glucose uptake was reduced by 50–80% in skeletal muscle and heart of wild-type mice after high-fat feeding. In contrast, HSL-KO mice were protected from diet-induced insulin resistance in skeletal muscle and heart, and these effects were associated with reduced intramuscular triglyceride and fatty acyl-CoA levels in the fat-fed HSL-KO mice. Overall, these findings demonstrate the important role of HSL on skeletal muscle, heart, and liver glucose metabolism.

glucose metabolism; lipid metabolism; high-fat feeding; insulin action; triglyceride



Address for reprint requests and other correspondence: J. K. Kim, Yale Univ. School of Medicine, Dept. of Internal Medicine, Section of Endocrinology and Metabolism, The Anlyan Center, S269C, 300 Cedar St., PO Box 208020, New Haven, CT 06520-8020 (e-mail: jason.k.kim{at}yale.edu)




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