ADIPOCYTE BETA-ADRENOCEPTOR SENSITIVITY INFLUENCES PLASMA-LIPID LEVELS

被引:24
作者
ARNER, P [1 ]
WAHRENBERG, H [1 ]
LONNQVIST, F [1 ]
ANGELIN, B [1 ]
机构
[1] KAROLINSKA INST, HUDDINGE UNIV HOSP, RES CTR, S-14186 HUDDINGE, SWEDEN
来源
ARTERIOSCLEROSIS AND THROMBOSIS | 1993年 / 13卷 / 07期
关键词
ADIPOCYTES; BETA-ADRENERGIC RECEPTORS; PLASMA LIPIDS;
D O I
10.1161/01.ATV.13.7.967
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Catecholamine stimulation of lipolysis through adipocyte beta-adrenoceptors is of major importance for the regulation of lipid mobilization from adipose tissue. The influence of adipocyte beta-receptor sensitivity as assessed by an isoprenaline bioassay on circulating lipid levels was investigated in 46 healthy and drug-free subjects. Beta-Receptor sensitivity was inversely related to total plasma triglycerides (r = -.62), very low density lipoprotein cholesterol (VLDL-C) (r = -.56), VLDL triglycerides (r = -.52), and apolipoprotein B (r = -.41). These relationships remained significant after adjustment for age, sex, body mass index, waist/hip ratio, fat cell volume, and circulating levels of insulin, noradrenaline, and adrenaline. Beta-Receptor sensitivity accounted for 40% of the variance in total plasma triglycerides. Beta-Receptor subtype sensitivity and binding capacity were also determined in fat cells using terbutaline (beta2) and dobutamine (beta1) bioassays and radioligand binding. Multiple regression analysis revealed that terbutaline sensitivity correlated inversely with total plasma triglycerides, apolipoprotein B, VLDL-C, and VLDL triglycerides (partial r from -.56 to -.42), but there was no correlation between dobutamine sensitivity and blood lipids (partial r from .05 to .18) or between receptor binding and blood lipids (partial r from .01 to .28). Thus, the lipolytic beta-receptor sensitivity in fat cells appears to play a hitherto-unrecognized role for lipoprotein metabolism, in particular that of VLDL. This relationship is receptor-subtype specific, particularly involving beta2-receptors, and seems to be localized to a postreceptor step in lipolysis regulation. Low sensitivity may be of importance for the development of hypertriglyceridemia.
引用
收藏
页码:967 / 972
页数:6
相关论文
共 35 条
[1]   PATHOPHYSIOLOGY OF HYPERLIPIDEMIA IN DIABETES-MELLITUS [J].
ABBATE, SL ;
BRUNZELL, JD .
JOURNAL OF CARDIOVASCULAR PHARMACOLOGY, 1990, 16 :S1-S7
[2]   THE EFFECTS OF ANTIHYPERTENSIVE DRUGS ON SERUM-LIPIDS AND LIPOPROTEINS .2. NON-DIURETIC DRUGS [J].
AMES, RP .
DRUGS, 1986, 32 (04) :335-357
[3]   ADRENERGIC REGULATION OF LIPOLYSIS INSITU AT REST AND DURING EXERCISE [J].
ARNER, P ;
KRIEGHOLM, E ;
ENGFELDT, P ;
BOLINDER, J .
JOURNAL OF CLINICAL INVESTIGATION, 1990, 85 (03) :893-898
[4]  
ARNER P, 1990, J PHARMACOL EXP THER, V254, P284
[5]  
ARNER P, 1982, J LIPID RES, V23, P422
[6]   PLASMA TRIGLYCERIDE AND CORONARY HEART-DISEASE [J].
AUSTIN, MA .
ARTERIOSCLEROSIS AND THROMBOSIS, 1991, 11 (01) :2-14
[7]  
BJORNTORP P, 1991, INT J OBESITY, V15, P67
[8]  
Carlson K, 1973, J Clin Pathol Suppl (Assoc Clin Pathol), V5, P32
[9]   FATTY-ACID INCORPORATION INTO HUMAN ADIPOSE-TISSUE IN HYPERTRIGLYCERIDEMIA [J].
CARLSON, LA ;
WALLDIUS, G .
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION, 1976, 6 (03) :195-211
[10]   THE TRIGLYCERIDE ISSUE - A VIEW FROM FRAMINGHAM [J].
CASTELLI, WP .
AMERICAN HEART JOURNAL, 1986, 112 (02) :432-437