PERIPHERAL GLUCOSE-UPTAKE AND SKELETAL-MUSCLE GLUT4 CONTENT IN MAN - EFFECT OF INSULIN AND FREE FATTY-ACIDS

被引:15
作者
HANDBERG, A
VAAG, A
BECKNIELSEN, H
VINTEN, J
机构
[1] Institute of Medical Physiology B, Panum Institute, Copenhagen
[2] Department of Endocrinology, University Hospital of Odense, Odense
关键词
EUGLYCEMIC HYPERINSULINEMIC CLAMP; GLUCOSE TRANSPORTER; MUSCLE ADIPOSE TISSUE; GLUCOSE UPTAKE; LIPID INFUSION;
D O I
10.1111/j.1464-5491.1992.tb01854.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To investigate the relationship between glucose uptake and the content of the insulin regulatable glucose transporter, GLUT4, in skeletal muscle at near physiological insulin concentrations in vivo, we measured the effect of a 3h euglycemic insulin-infusion (40 mU m-2 min-1) on glucose uptake and skeletal muscle GLUT4 content in lo healthy subjects. We found no correlation (r almost-equal-to 0.1) between individual muscle GLUT4 content and insulin-stimulated glucose uptake. Mean GLUT4 content in skeletal muscle was reduced by 19 +/- 6.3 % (mean +/- SE, p < 0.02) after insulin infusion. However, when the same subjects were made insulin resistant by infusion of lipid, as evidenced by a reduction of 16 +/- 7.2 % (mean +/- SE, p < 0.05), in insulin-stimulated glucose uptake, the effect of insulin on GLUT4 content was attenuated and no change in GLUT4 content was observed. Our results show that the total content of skeletal muscle GLUT4 is a poor predictor for in vivo response to near physiological insulin concentrations in healthy human subjects.
引用
收藏
页码:605 / 610
页数:6
相关论文
共 32 条
[1]  
DeFronzo RA, Ferrannini E., Hendler R., Feiig P., Wahren J., Regulation of splanchnic and peripheral glucose uptake insulin and hyperglycemia in man, Diabetes, 32, pp. 32-45, (1983)
[2]  
Garvey TW, Huecksteadt TP, Birnbaum MJ., Pretranslational suppression of an insulin‐responsive glucose transporter in rats with diabetes mellitus, Science, 245, pp. 60-63, (1989)
[3]  
James DE, Strube M., Mueckler M., Molecular cloning and characterization of an insulin‐regulatable glucose transporter, Nature, 338, pp. 83-87, (1989)
[4]  
Ramlal T., Rastogi S., Vranic M., Klip A., Decrease in glucose transporter number in skeletal muscle of mildly diabetic (streptozotocin‐treated) rats, Endocrinology, 125, pp. 890-897, (1989)
[5]  
Fukomoto H., Kayano T., Buse JM, Edwards Y., Pilch PF, Bell GI, Et al., Cloning and characterization of the major insulin‐responsive glucose transporter expressed in human skeletal muscle and other insulin‐responsive tissues, J Biol Chem, 264, pp. 7776-7779, (1989)
[6]  
Charron M., Brosius FC, Alper S., Lodish HF., A glucose transport protein expressed predominately in insulin‐responsive tissues, Proc Natl Acad Sci USA, 86, pp. 2535-2539, (1989)
[7]  
Cushman SW, Wardzala LJ., Potential mechanisms of insulin action on glucose transport in the isolated rat adipose cell: apparent translocation of intracellular transport systems to the plasma membrane, J Biol Chem, 253, pp. 4758-4762, (1980)
[8]  
Suzuki K., Kono T., Evidence that insulin causes translocation of glucose transport activity to the plasma membrane from an intracellular storage site, Proc Natl Acad Sci USA, 77, pp. 2542-2545, (1980)
[9]  
Vinten J., Petersen LN, Sonne B., Galbo H., Effect of physical training on glucose transporters in fat cell fractions, Biochim Biophys Acta, 841, pp. 223-227, (1985)
[10]  
Wardzala LJ, Jeanrenaud B., Potential mechanism of insulin action on glucose transport in the isolated rat diaphragm, J Biol Chem, 256, pp. 7090-7093, (1981)