运动对ApoE基因敲除小鼠骨骼肌PPAR-α及脂代谢的影响
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
目的:建立高脂饮食诱导ApoE敲基因小鼠胰岛素抵抗模型;观察运动对血脂、血糖、骨骼肌过氧化物酶体增殖物激活受体-α(peroxisome proliferator-activated receptor, PPAR-α)、脂酰辅酶A氧化酶(acyl-CoA oxidasel, Acyl)、烯酰辅酶A水解酶/L-3羟-CoA脱氢酶(enoyl-CoA-hydratase and 3-hydroxyacyl-CoA dehydrogenase, Enoy)mRNA表达的影响,探讨运动改善小鼠胰岛素抵抗的可能机制。
     方法:将20只雄性ApoE基因敲除小鼠随机分为:高脂静止组(n=10)和高脂运动组(n=10)。高脂运动组,予以高脂饮食并运动训练12周。高脂静止组除不进行运动干预外,余处理同高脂运动组。另外C57BL/6J小鼠(n=8)作为正常对照组,常规饮食喂养12周。干预12周后,腹腔麻醉,摘眼球取静脉血。测定总胆固醇(TC)、甘油三脂(TG)、游离脂肪酸(FFA)、高密度脂蛋白胆固醇(HDL)、低密度脂蛋白胆固醇(LDL),空腹胰岛素(FIN),空腹葡萄糖(FPG)水平,并计算胰岛素抵抗指数(Homa-IRI),以确定胰岛素抵抗模型成功的建立。迅速取下双侧腓肠肌,一侧备电镜下观察分析超微结构,另一侧备测PCR。采用RT-PCR方法检测骨骼肌组织中过氧化物酶体增殖物激活受体-α(PPAR-α)、脂酰辅酶A氧化酶(Acyl)、烯酰辅酶A水解酶/L-3羟-CoA脱氢酶双(Enoy)mRNA。
     结果:①与正常对照组相比较,高脂静止组FIN、FPG和Homa-IRI水平明显升高(P<0.01);与高脂静止组相比较,高脂运动组FIN、FPG和Homa-IRI明显降低(P分别<0.05、0.01、0.01)。②与正常对照组相比较,高脂静止组TC、LDL、FFA水平明显升高(P<0.01)。与高脂静止组相比较,高脂运动组TC、LDL、FFA水平明显降低(P分别<0.05、0.05、0.01),HDL水平明显升高(P<0.05)。③高脂静止组:线粒体水肿,肌膜下水肿、内肌原纤维间水肿,见肌溶解灶。高脂运动组:肌细胞形态结构基本正常。肌原纤维间轻度水肿。肌纤维排列整齐,未见肌溶解、肌膜下水肿等病理征象。④干预12周后,高脂静止组与正常对照组相比较,PPAR-α、Acyl和Enoy mRNA表达明显减少(P<0.01);高脂运动组与高脂静止组相比较,PPAR-α、Acyl和Enoy mRNA表达明显增加(P<0.01)。
     结论:1、运动可以明显改善ApoE基因敲除小鼠胰岛素抵抗。2、运动上调骨骼肌组织PPAR-α表达、进而上调Acyl与Enoy的表达,使脂肪酸氧化作用增强,改善脂代谢,从而减轻胰岛素抵抗,可能是运动改善ApoE基因敲除小鼠胰岛素抵抗的机制之一
OBJECTIVES:To establish a model of ApoE knockout mice with insulin resistance induced by high fat diet, and explore the possible mechanisms that swimming training could improve insulin resistance by examining on the concentrations of serum free fatty acid(FFA) and glucose, and the mRNA expression of peroxisome proliferator-activated receptor(PPAR-α), acyl-CoA oxidase1 (ACYL), enoy-CoA-hydratase and 3-hydroxyacyl-CoA dehydrogenase (ENOY) in the skeletal muscle,
     METHODS:Twenty male ApoE knockout mice were randomly divided into two groups:the high-fat diet group (HFD, n=10)and the high-fat diet group with exercise training (HFD+Ex, n=10). The HFD group were fed with high-fat diet, which was identical to the HFD+Ex group except 12 weeks'swimming training. And as the control group, ten healthy male C57BL/6j(ND,n=8) mice were fed with normal diet for 12 weeks. After 12 weeks intervention, the mice were sacrificed. Serum insulin and glucose were determined, and Homa-IRI was calculated to certain the establishment of insulin resistance. Serum total cholesterol (TC), trigiyceride (TG), high-density lipoprotein cholesterol (HDL),low-density liporeotein cholesterol (LDL) and free fatty acid (FFA) were determined. The bilateral gastrocnemiuses were cut for analyzing ultrastructure of sketletal muscle by the transmission electron microscope and measuring the mRNA expression of PPAR-a, ACYL and ENOY in skeletal muscle by reverse transcription polymerase chain reaction(RT-PCR).
     RESULTS:①Compared with the ND group, fasting glucose, insulin and Homa-IRI of the HFD group were significantly higher (P<0.01). Compared with the HFD group, fasting insulin, glucose and HOMA-IR of the HFD+Ex group were significantly lower (P<0.05,0.01,0.01)。②Compared with the ND group,TC, LDL, FFA of HFD group were significantly higher (P<0.01). Compared with the HFD group, TC, LDL and FFA of the HFD+Ex group were significantly lower (P<0.05,0.05, 0.01), while HDL was significantly higher (p<0.05).③The transmission electron microscope showed that the myofibrils of ND group remained intergrity, the structure of sarcomere weas intact and clear.; HFD group appeared the sarcolemma edema, mitochondrial swelling, focal myocytolysis and edema within myofibrils, while HFD+Ex group reveresed pathological changes of the above.④Compared with the ND group, the mRNA expression of PPAR-a, ACYL and ENOY of the HFD group were significantly deceased(P<0.01); Compared with the HFD group, the mRNA expression of the above in the HFD+Ex group were significantly increased(P<0.01).
     CONCLUSION:①Swimming training could improve insulin resistance of ApoE knockout mice.②Swimming training could improve insulin resistance possibly through upregulating the expression of PPAR-a, ACYL and ENOY mRNA.
引文
[1]China has world's highest number of diabetics:report." PHYSorg.com.15 Nov 2010.http://www.physorg.com/news/2010-11-china-world-highest-diabetics.html
    [2]Bloomgarden, Z.T. Insulin resistance concepts. Diabetes Care.2007.30 (5): 1320-6.
    [3]Bloomgarden, Z.T. Insulin resistance, dyslipidemia, and cardiovascular disease. Diabetes Care.2007.30(8):2164-70.
    [4]Bachmann OP, Dahl DB, Brechtel K, et al. Effects of intravenous and dietary lipid challenge on intramyocellular lipid content and the relation with insulin sensitivity in humans. Diabetes 2001; 50(11):2579-2584.
    [5]Stannard SR, Thompson MW, Fairbairn K, et al. Fasting for 72 h increases intramyocellular lipid content in nondiabetic, physically fit men. Am J Physiol Endocrinol Metab 2002; 283(6):E1185-E1191.
    [6]Eaton S.Bartlete K.pourfarzamM. Mammalian.mitochondrial P-oxidation. Biochem.j 1996.320:345-57.
    [7]Hashimoto T.peroxisomalβ-oxidation enzymes.Neurochem.Res.1996:24: 551-63.
    [8]T. Aoyama, J. M. Peters, N. Iritani et al., "Altered constitutive expression of fatty acid-metabolizing enzymes in mice lacking the peroxisome proliferator-activated receptora (PPARa)," Journal of Biological Chemistry,1998.10(273). 5678-5684.
    [9]Machann J, Haring H, Schick F, et al. Intramyocellular lipids and insulin resistance. Diabetes Obes Metab 2004; 6(4):239-248.
    [10]J. Berger and D. E. Moller, "The mechanisms of action of PPARs," Annual Review of Medicine,2002.53:409-435.
    [11]S. Kersten, B. Desvergne, and W. Wahli, "Roles of PPARS in health and disease," Nature,2000.405(6785):421-424.
    [12]DE FAIRE U, ERICSSON CG, GRIP L, et al:Secondary preventive potential of lipid-lowering drugs. The Bezafibrate Coronary Atherosclerosis Intervention Trial (BECAIT). Eur Heart J.1996.17 (Suppl F):37-42.
    [13]IDZIOR-WALUS B:Fibrate influence on lipids and insulin resistance in patients with metabolic syndrome (in Polish).Przegl Lek.2001.58(10):924-927.
    [14]Christian Frφsig and Erik A. Richter.et al.Improved Insulin Sensitivity After Exercise:Focus on Insulin Signaling.2009. obesity.Volume 17 supplement 3:S15-20.
    [15]Kiens, Bente.Skeletal Muscle Lipid Metabolism in Exercise and Insulin Resistance.Physiol Rev 2006.86(1):205-243.
    [16]Bastie CC, Hajri T, Drover VA, Grimaldi PA, and Abumrad NA. CD36 in myocyte channels fatty acids to a lipase-accessible triglyceride pool that is related to cell lipid and insulin responsiveness. Diabetes 2004.53(9):2209-2216.
    [17]Chibalin, A.V., Yu, M., Ryder, J.W. et al. Exercise-induced changes in expression and activity of proteins involved in insulin signal transduction in skeletal muscle:differential effects on insulin-receptor substrates 1 and 2. Proc Natl Acad Sci U S A.2000.97(1):38-43.
    [18]Bavenholm PN, Pigon J, Saha AK, et.al. Fatty acid oxidation and the regulation of malonyl-CoA in human muscle. Diabetes.2000.49(7):1078-1083.
    [19]徐丽英.游泳训练对胰岛素抵抗大鼠IL-6和PPAR-γ的影响.[硕士学位论文]长沙:中南大学.2007.
    [20]宁采亭.运动对胰岛素抵抗大鼠瘦素受体表达和组织脂酶活性的影响.[硕士学位论文]长沙:中南大学.2007.
    [21]冯彦景.游泳训练对胰岛素抵抗小鼠PPAR-γ及糖代谢的影响.[硕士学位论文]长沙:中南大学.2010.
    [22]孙垂华.游泳训练对ApoE基因敲除小鼠PPAR-γ及脂代谢的影响.[硕士学位论文]长沙:中南大学.2010.
    [23]Phillips, J.W., Barringhaus, K.G., Sanders, J.M., et al. Rosiglitazone reduces the accelerated neointima formation after arterial injury in a mouse injury model of type 2 diabetes. Circulation.2003.108(16):1994-1999.
    [24]Reddick, R.L., Zhang, S.H., and Maeda, N. Atherosclerosis in mice lacking apo E. Evaluation of lesional development and progression. Arterioscler Thromb. 1994.14(1):141-7.
    [25]Pellegrin, M., Berthelot, A., Houdayer, C., et al. New insights into the vascular mechanisms underlying the beneficial effect of swimming training on the endothelial vasodilator function in apolipoprotein E-deficient mice. Atherosclerosis.2007.190(1):35-42.
    [26]Ploug, T., Stallknecht, B.M., Pedersen, O., et al. Effect of endurance training on glucose transport capacity and glucose transporter expression in rat skeletal muscle. Am J Physiol.1990.259(6 Pt 1):E778-86.
    [27]Freimann, S., Scheinowitz, M., Yekutieli, D., et al. Prior exercise training improves the outcome of acute myocardial infarction in the rat. Heart structure, function, and gene expression. J Am Coll Cardiol.2005.45(6):931-8.
    [28]Bonora, E., Targher, G., Alberiche, M., et al. Homeostasis model assessment closely mirrors the glucose clamp technique in the assessment of insulin sensitivity:studies in subjects with various degrees of glucose tolerance and insulin sensitivity. Diabetes Care.2000.23(1):57-63.
    [29]Dresner A, Laurent D, MarcucciM, et al. Effects of free fatty acids on glucose transport and IRS-1-associated phosphatidylinositol 3-kinase activity. J Clin Invest 1999;103(2):253-9.
    [30]Griffin ME, Marcucci MJ, Cline GW, Bell K, Barucci N, Lee D, et al.Free fatty acid-induced insulin resistance is associated with activation of protein kinase C theta and alterations in the insulin signaling cascade.Diabetes 1999; 48 (6):1270-4.
    [31]Morino K, Petersen KF, Dufour S, Befroy D, Frattini J, Shatzkes N, et al. Reduced mitochondrial density and increased IRS-1 serine phosphorylation in muscle of insulin-resistant offspring of type 2 diabetic parents. J Clin Invest 2005;115(12):3587-93.
    [32]Savage DB, Petersen KF, Shulman GI. Disordered lipid metabolism and the pathogenesis of insulin resistance. Physiol Rev 2007;87(2):507-20.
    [33]Yu C, Chen Y, Cline GW, Zhang D, Zong H, Wang Y, et al. Mechanism by which fatty acids inhibit insulin activation of insulin receptor substrate-1 (IRS-1)-associated phosphatidylinositol 3-kinase activity in muscle. J Biol Chem 2002;277(52):50230-6.
    [34]卜石,杨文英,王听,等.长期高脂饲养对大鼠葡萄糖刺激的胰岛素分泌的影响.中华内分泌代谢杂志.2003.19(1):25-28.
    [35]Chadwick, W.A., Roux, S., van de Venter, M., et al. Anti-diabetic effects of Sutherlandia frutescens in Wistar rats fed a diabetogenic diet. J Ethnopharmacol. 2007.109(1):121-7.
    [36]Reddick, R.L., Zhang, S.H., and Maeda, N. Atherosclerosis in mice lacking apo E. Evaluation of lesional development and progression. Arterioscler Thromb. 1994.14(1):141-7.
    [37]Pellegrin, M., Berthelot, A., Houdayer, C., et al. New insights into the vascular mechanisms underlying the beneficial effect of swimming training on the endothelial vasodilator function in apolipoprotein E-deficient mice. Atherosclerosis.2007.190(1):35-42.
    [38]Calkin, A.C., Forbes, J.M., Smith, C.M., et al. Rosiglitazone attenuates atherosclerosis in a model of insulin insufficiency independent of its metabolic effects. Arteriosclerosis Thrombosis and Vascular Biology.2005.25(9): 1903-1909.
    [39]Rolo AP, Gomes AP, Palmeira CM.et,al. Regulation of mitochondrial biogenesis in metabolic syndrome. Curr Drug Targets.2011 Jun 1; 12(6):872-8.
    [40]Baroni M G. Arca M, Sentineli F, et al. The G972R variant of the insulin receptor substrate — 1(IRS—1)gene, body fat distribution and insulin—resistance[J]. Diabetologia,2001,44(3):367—372.
    [41]Schaffer JE. Lipotoxicity:when tissues overeat. Curr Opin Lipidol 2003; 14 (3):281-7.
    [42]Bachmann OP, Dahl DB, Brechtel K, et al. Effects of intravenous and dietary lipid challenge on intramyocellular lipid content and the relation with insulin sensitivity in humans. Diabetes 2001; 50:2579-2584.
    [43]Kim Y B, Peroni O D, Franke T F, et al. Divergent regu lation of Aktl and Akt2 isoforms in insulin target tissues of obese Zucker rats[J]. Diabetes,2000,49(5): 847—856.
    [44]Ryder J W, Yang J, Galuska D, et al. Use of a novel impermeable biotinylated photolabeling reagent to assess insulin·-and hypoxia·-stimulated cell surface GLUT4 content in skeletal muscle from type 2 diabetic patients[J]. Diabetes, 2000,49(4):647—654.
    [45]Clapham J C, Coulthard V H, Moore G B. Concordant mRNA expression of UCP3, but not UCP2, with mitochondfial thioesterase—1 in brown adipose tissue and skeletal muscle in ob/ob diabetic mice[J]. Biochem Biophys Res Commun,2001.287(5):1058—1062.
    [46]Cooney GJ, Thompson AL, Furler SM,et al. Muscle long-chain acyl CoA esters and insulin resistance. Ann N Y Acad Sci.2002;967:196-207.
    [47]McGarry JD, Mills SE, Long CS, Foster DW. Observations on the affinity for carnitine,and malonyl-CoA sensitivity, of carnitine palmitoyltransferase I in animal and human tissues:demonstration of the presence of malonyl-CoA in non-hepatic tissues of the rat. Biochem J.1983;214(1):21-28.
    [48]Forman B, Tontonoz P, Chen J,et al.15-Deoxy-delta 12,14-prostaglandin J2 is a ligand for the adipocyte determination factor PPAR gamma. Cell.1995; 83(5): 803-12.
    [49]Solomon TP, Sistrun SN, Krishnan RK, et al. Exercise and diet enhance fat oxidation and reduce insulin resistance in older obese adults. J Appl Physiol 2008; 104(5):1313-1319.
    [50]Bruce CR, Thrush AB, Mertz VA, et al.Endurance training in obese humans improves glucose tolerance and mitochondrial fatty acid oxidation and alters muscle lipid content. Am J Physiol Endocrinol Metab.2006;291:E99-E107.
    [51]Kiens B, Kristiansen S, Jensen P, et al.Membrane associated fatty acid binding protein (FABPpm) in human skeletal muscle is increased by endurance training.Biochem Biophys Res Commun.1997;231(2):463-465
    [52]Talanian JL, Galloway SD, Heigenhauser GJ, et al. Two weeks of high-intensity aerobic interval training increases the capacity for fat oxidation during exercise in women. J Appl Physiol.2007;102(4):1439-1447.
    [53]Bloomgarden ZT. Insulin resistance, dyslipidemia, and cardiovascular disease[J]. Diabetes Care.2007,30(8):2164·2170.
    [54]J.C.Corton, C. Bocos, E. S. Moreno,A.Merritt, R. C.et,al. "Peroxisome proliferators alter the expression of estrogen-metabolizing enzymes," Biochimie. 1997.79(2-3):151-162.
    [55]Itani SI, Ruderman NB, Schmieder F, et al. Lipid-induced insulin resistance in human muscle is associated with changes in diacylglycerol,protein kinase C, and IkappaB-alpha. Diabetes 2002;51(7):2005-11.
    [56]S. Kersten, B. Desvergne, and W. Wahli, "Roles of PPARS in health and disease," Nature,2000.405(6785):421-424.
    [57]S. Behar, D. Brunner, E. Kaplinsky, L. Mandelzweig,et,al. "Secondary prevention by raising HDL cholesterol and reducing triglycerides in patients with coronary artery disease:the bezafibrate infarction prevention (BIP) study,"Circulation,2000.102(1):21-27.
    [58]C. Dreyer, G. Krey, H. Keller, F. Givel, G. Helftenbein, et,al. "Control of the peroxisomal β-oxidation pathway by a novel family of nuclear hormone receptors," Cell.1992.68(5):879-887.
    [59]J.C.Corton, C. Bocos, E. S. Moreno,A.Merritt, R. C.et,al. "Peroxisome proliferators alter the expression of estrogen-metabolizing enzymes," Biochimie. 1997.79(2-3):151-162.
    [60]K. Alvares, C. Fan, S. S. Dadras et al., "An upstream region of the enoyl-oenzyme A hydratase/3-hydroxyacyl- coenzyme A dehydrogenase gene directs luciferase expression in liver in response to peroxisome proliferators in transgenic mice,"Cancer Research.1994.54(9):2303-2306.
    [1]Schaffer JE. Lipotoxicity:when tissues overeat. Curr Opin Lipidol 2003; 14(3):281-7.
    [2]Wilson PW, D'Agostino RB, Sullivan L, et al.Overweight and obesity as determinants of cardiovascular risk:the Framingham experience. Arch Intern Med 2002; 162(16):1867-72.
    [3]Cheng L, Ding G, Qin Q, et al. Cardiomyocyterestricted peroxisome proliferator-activated receptor-delta deletion perturbs myocardial fatty acid oxidation and leads to cardiomyopathy. Nat Med 2004;10(11):1245-50.
    [4]Shulman GI. Cellular mechanisms of insulin resistance. J Clin Invest 2000;106(2):171-6.
    [5]Schrauwen-Hinderling VB, Schrauwen P, Hesselink MK, et al. The increase in intramyocellular lipid content is a very early response to training. J Clin Endocrinol Metab 2003;88(4):1610-6.
    [6]Wendling PS, Peters SJ, Heigenhauser GJ, et al. Variability of triacylglycerol content in human skeletal muscle biopsy samples. J Appl Physiol 1996;81(3):1150-5.
    [7]Jacob S, Machann J, Rett K, et al. Association of increased intramyocellular lipid content with insulin resistance in lean nondiabetic offspring of type 2 diabetic subjects.Diabetes 1999;48(5):1113-9.
    [8]Goodpaster BH, He J, Watkins S, et al. Skeletal muscle lipid content and insulin resistance:evidence for a paradox in endurancetrained athletes. J Clin Endocrinol Metab 2001;86(12):5755-61.
    [9]Thamer C, Machann J, Bachmann O, et al. Intramyocellular lipids: anthropometric determinants and relationships with maximal aerobic capacity and insulin sensitivity. J Clin Endocrinol Metab 2003;88(4):1785-91.
    [10]Vogt M, Puntschart A, Howald H, et al. Effects of dietary fat on muscle substrates,metabolism, and performance in athletes. Med Sci Sports Exerc 2003;35(6):952-60.
    [11]Hulver MW, Berggren JR, Cortright RN, et al. Skeletal muscle lipid metabolism with obesity. Am J Physiol Endocrinol Metab 2003;284(4):E741-7.
    [12]Stannard SR, Thompson MW, Fairbairn K, et al. Fasting for 72 h increases intramyocellular lipid content in nondiabetic,physically fit men. Am J Physiol Endocrinol Metab 2002;283(6):E1185-91.
    [13]Schrauwen-Hinderling VB, van Loon LJ, Koopman R, et al. Intramyocellular lipid content is increased after exercise in nonexercising human skeletal muscle. J Appl Physiol 2003;95(6):2328-32.
    [14]Kelley DE, Mandarino LJ. Fuel selection in human skeletal muscle in insulin resistance:a reexamination. Diabetes 2000;49(5):677-83.
    [15]Itani SI, Ruderman NB, Schmieder F, et al. Lipid-induced insulin resistance in human muscle is associated with changes in diacylglycerol,protein kinase C, and IkappaB-alpha. Diabetes 2002;51(7):2005-11.
    [16]Morino K, Petersen KF, Dufour S, et al. Reduced mitochondrial density and increased IRS-1 serine phosphorylation in muscle of insulin-resistant offspring of type 2 diabetic parents. J Clin Invest 2005;115(12):3587-93.
    [17]Solomon TP, Sistrun SN, Krishnan RK, et al. Exercise and diet enhance fat oxidation and reduce insulin resistance in older obese adults. J Appl Physiol 2008; 104(5):1313-1319.
    [18]Thamer C, Machann J, Bachmann O, et al. Intramyocellular lipids: anthropometric determinants and relationships with maximal aerobic capacity and insulin sensitivity. J Clin Endocrinol Metab 2003; 88(4):1785-1791.
    [19]Machann J, Haring H, Schick F, et al. Intramyocellular lipids and insulin resistance. Diabetes Obes Metab 2004; 6(4):239-248.
    [20]Stefan N, Kantartzis K, Machann J, et al. Identification and characterization of metabolically benign obesity in humans. Arch Intern Med 2008; 168(15):1609-1616.
    [21]Hertzel AV, Smith LA, Berg AH, et al. Lipid metabolism and adipokine levels in fatty acid-binding protein null and transgenic mice. Am J Physiol Endocrinol Metab 2006; 290(5):E814-E823.
    [22]Pelsers MM, Tsintzas K, Boon H, et al. Skeletal muscle fatty acid transporter protein expression in type 2 diabetes patients compared with overweight, sedentary men and age-matched, endurance-trained cyclists. Acta Physiol (Oxf) 2007; 190(3):209-219.
    [23]Liu L, Zhang Y, Chen N, et al. Upregulation of myocellular DGAT1 augments triglyceride synthesis in skeletal muscle and protects against fat-induced insulin resistance. J Clin Invest 2007; 117(6):1679-1689.
    [24]Brehm A, Krssak M, Schmid AI, et al. Increased lipid availability impairs insulinstimulated ATP synthesis in human skeletal muscle. Diabetes 2006; 55(1):136-140.
    [25]Szendroedi J, Schmid AI, Chmelik M, et al. Muscle mitochondrial ATP synthesis and glucose transport/phosphorylation in type 2 diabetes. PloS Med 2007; 4(5):e154.
    [26]Reuben A. Alcohol and the liver. Current Opinion in Gastroenterology 2007; 23(3):283-91.
    [27]Jimba S, Nakagami T, Takahashi M,et al. Prevalence of non-alcoholic fatty liver disease and its association with impaired glucose metabolism in Japanese adults. Diabet Med 2005;22(9):1141-5.
    [28]Unger RH. Lipotoxic diseases. Annu Rev Med 2002;53:319-36.
    [29]Yki-Jarvinen H. Fat in the liver and insulin resistance. Annals of Medicine 2005;37(5):347-56.
    [30]Marchesini G, Marzocchi R, Agostini F, et al. Nonalcoholic fatty liver disease and the metabolic syndrome. Curr Opin Lipidol 2005; 16(4):421-7.
    [31]McCuskey RS, Ito Y, Robertson GR, et al. Hepatic microvascular dysfunction during evolution of dietary steatohepatitis in mice. Hepatology 2004;40(2):386-93.
    [32]Lieber CS, Leo MA, Mak KM, et al. Model of nonalcoholic steatohepatitis. Am J Clin Nutr 2004;79(3):502-9.
    [33]Samuel VT, Liu ZX, Qu X, et al. Mechanismof hepatic insulin resistance in non-alcoholic fatty liver disease. J Biol Chem 2004;279(31):32345-53.
    [34]Westerbacka J, Lammi K, Hakkinen AM,et al. Dietary fat content modifies liver fat in overweight nondiabetic subjects. J Clin Endocrinol Metab 2005; 90 (5):2804-9.
    [35]Videla LA, Rodrigo R, Araya J, et al. Oxidative stress and depletion of hepatic long-chain polyunsaturated fatty acids may contribute to nonalcoholic fatty liver disease. Free Radic Biol Med 2004;37(9):1499-507.
    [36]Delarue J, LeFoll C, Corporeau C,et al. N-3 long chain polyunsaturated fatty acids:a nutritional tool to prevent insulin resistance associated to type 2 diabetes and obesity? Reprod Nutr Dev 2004;44(3):289-99.
    [37]CapanniM, Calella F, BiaginiMR, et al. Prolonged n-3 polyunsaturated fatty acid supplementation ameliorates hepatic steatosis in patients with non-alcoholic fatty liver disease:a pilot study. Aliment Pharmacol Ther 2006;23(8):1143-51.
    [38]DonnellyKL, Smith CI. Schwarzenberg SJ, et al.Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease. J Clin Invest 2005:115(5):1343-51.
    [39]Hui JM, Hodge A, Farrell GC, et al. Beyond insulin resistance in NASH: TNF-alpha or adiponectin? Hepatology 2004;40(1):46-54.
    [40]Xu A, Wang Y, Keshaw H, et al. The fat-derived hormone adiponectin alleviates alcoholic and nonalcoholic fatty liver diseases in mice. J Clin Invest 2003; 112 (1):91-100.
    [41]JM, Linfoot P, Dare D, et al. Hepatic de novo lipogenesis in normoinsulinemic and hyperinsulinemic subjects consuming high-fat,low-carbohydrate and low-fat, high-carbohydrate isoenergetic diets. Am J Clin Nutr 2003;77(1):43-50.
    [42]Hudgins LC, Hellerstein MK, Seidman CE, et al. Relationship between carbohydrate-induced hypertriglyceridemia and fatty acid synthesis in lean and obese subjects. J Lipid Res 2000;41(4):595-604.
    [43]Hudgins LC, Hellerstein M, Seidman C, et al.Human fatty acid synthesis is stimulated by a eucaloric low fat, high carbohydrate diet. J Clin Invest 1996;97(9):2081-91.
    [44]Savage DB, Petersen KF, Shulman GI. Disordered lipid metabolism and the pathogenesis of insulin resistance. Physiol Rev 2007;87(2):507-20.
    [45]Shimomura I, Bashmakov Y, Horton JD. Increased levels of nuclear SREBP-lc associated with fatty livers in two mouse models of diabetes mellitus. J Biol Chem 1999;274(42):30028-32.
    [46]Shimano H, Horton JD, Shimomura I, et al. Isoform lc of sterol regulatory element binding protein is less active than isoform la in livers of transgenic mice and in cultured cells. J Clin Invest 1997;99(5):846-54.
    [47]Yahagi N, Shimano H, Hasty AH, et al.Absence of sterol regulatory element-binding protein-1 (SREBP-1) ameliorates fatty livers but not obesity or insulin resistance in Lep(ob)/Lep(ob) mice. J Biol Chem 2002;277(22):19353-7.
    [48]Machann J, Thamer C, Schnoedt B,et al. Hepatic lipid accumulation in healthy subjects:a comparative study using spectral fat-selective MRI and volume-localized 1H-MR spectroscopy.Magn Reson Med 2006;55(4):913-7.
    [49]Tiikkainen M, Bergholm R, Vehkavaara S, et al. Effects of identical weight loss on body composition and features of insulin resistance in obese women with high and low liver fat content. Diabetes 2003;52(3):701-7.
    [50]Petersen KF, Dufour S, Befroy D, et al.Reversal of nonalcoholic hepatic steatosis, hepatic insulin resistance, and hyperglycemia by moderate weight reduction in patients with type 2 diabetes. Diabetes 2005;54(3):603-8.
    [51]Sato F, Tamura Y, Watada H,et al.Effects of diet-induced moderate weight reduction on intrahepatic and intramyocellular triglycerides and glucose metabolism in obese subjects.J Clin Endocrinol Metab 2007;92(8):3326-9.
    [52]Bajaj M, Suraamornkul S, Pratipanawatr T, et al. Pioglitazone reduces hepatic fat content and augments splanchnic glucose uptake in patients with type 2 diabetes. Diabetes 2003;52(6):1364-70.
    [53]Lieber CS. Cytochrome P-4502E1:its physiological and pathological role. Physiol Rev 1997;77(2):517-44.
    [54]Raucy JL, Lasker JM, Kraner JC, et al.Induction of cytochrome P450ⅡE1 in the obese overfed rat. Mol Pharmacol 1991;39(3):275-80.
    [55]Emery MG, Fisher JM, Chien JY, et al. CYP2E1 activity before and after weight loss in morbidly obese subjects with nonalcoholic fatty liver disease. Hepatology 2003;38(2):428-35.
    [56]Teschke R, Moreno F, Petrides AS. Hepatic microsomal ethanol oxidizing system (MEOS):respective roles of ethanol and carbohydrates for the enhanced activity after chronic alcohol consumption. Biochem Pharmacol 1981; 30(13):1745-51.
    [57]Pessayre D, Mansouri A, Fromenty B. Nonalcoholic steatosis and steatohepatitis. V. Mitochondrial dysfunction in steatohepatitis. Am J Physiol Gastrointest Liver Physiol 2002;282(2):G 193-9.
    [58]Ronti T, Lupattelli G, Mannarino E. The endocrine function of adipose tissue:an update. Clin Endocrinol (Oxf) 2006;64(4):355-65.
    [59]Crespo J, Cayon A, Fernandez-Gil P, et al. Gene expression of tumor necrosis factor alpha and TNF-receptors, p55 and p75, in nonalcoholic steatohepatitis patients.Hepatology 2001;34(6):1158-63.
    [60]YinM,WheelerMD, Kono H, Bradford BU, et al. Essential role of tumor necrosis factor alpha in alcohol-induced liver injury in mice. Gastroenterology 1999; 117 (4):942-52.
    [61]Hsiao PJ, Hsieh TJ, Kuo KK, et al. Pioglitazone retrieves hepatic antioxidant DNA repair in a mice model of high fat diet. BMC Mol Biol 2008; 9:82.
    [62]Bujanda L, Hijona E, Larzabal M, et al. Resveratrol inhibits nonalcoholic fatty liver disease in rats. BMC Gastroenterol 2008; 8:40.
    [63]Mantena SK. King AL, Andringa KK, et al. Mitochondrial dysfunction and oxidative stress in the pathogenesis of alcohol- and obesity-induced fatty liver diseases. Free Radic Biol Med 2008; 44(7):1259-1272.
    [64]Sanyal AJ, Campbell-Sargent C, Mirshahi F, et al. Nonalcoholic steatohepatitis: association of insulin resistance and mitochondrial abnormalities. Gastroentero-logy 2001; 120(5):1183-1192.
    [65]Cortez-Pinto H, Chatham J, Chacko VP, et al. Alterations in liver ATP homeostasis in human nonalcoholic steatohepatitis:a pilot study. JAMA 1999; 282(17):1659-1664.
    [66]Sack MN, Rader TA, Park S, et al. Fatty acid oxidation enzyme gene expression is downregulated in the failing heart.Circulation 1996;94(11):2837-42.
    [67]Sharma S, Adrogue JV, Golfman L, et al. Intramyocardial lipid accumulation in the failing human heart resembles the lipotoxic rat heart. Faseb J 2004; 18(14): 1692-700.
    [68]Chiu HC, Kovacs A, Ford DA, et al. A novel mouse model of lipotoxic cardiomyopathy. J Clin Invest 2001;107(7):813-22.
    [69]Zhou YT, Grayburn P, Karim A,et al. Lipotoxic heart disease in obese rats: implications for human obesity. Proc Natl Acad Sci U S A 2000;97(4):1784-9.
    [70]Bjorkegren J, Veniant M, Kim SK, et al. Lipoprotein secretion and triglyceride stores inthe heart. J Biol Chem 2001;276(42):38511-7.
    [71]Dewald O, Sharma S, Adrogue J, et al. Downregulation of peroxisome proliferator-activated receptor-alpha gene expression in a mouse model of ischemic cardiomyopathy is dependent on reactive oxygen species and prevents lipotoxicity. Circulation 2005;112(3):407-15.
    [72]Lee Y, Naseem RH, Duplomb L,et al. Hyperleptinemia prevents lipotoxic cardiomyopathy in acyl CoA synthase transgenic mice. Proc Natl Acad Sci U S A 2004;101(37):13624-9.
    [73]Nielsen LB, Bartels ED, Bollano E. Overexpression of apolipoprotein B in the heart impedes cardiac triglyceride accumulation and development of cardiac dysfunction in diabetic mice. J Biol Chem 2002;277(30):27014-20.
    [74]Finck BN, Han X, Courtois M, et al. A critical role for PPARalpha-mediated lipotoxicity in the pathogenesis of diabetic cardiomyopathy:modulation by dietary fat content. Proc Natl Acad Sci U S A 2003; 100(3):1226-31.
    [75]Schick F, Eismann B, Jung WI,et al.Comparison of localized proton NMR signals of skeletal muscle and fat tissue in vivo:two lipid compartments in muscle tissue. Magn Reson Med 1993;29(2):158-67.
    [76]Szczepaniak LS, Dobbins RL, Metzger GJ, et al. Myocardial triglycerides and systolic function in humans:in vivo evaluation by localized proton spectroscopy and cardiac imaging. Magn Reson Med 2003;49(3):417-23.
    [77]Reingold JS, McGavock JM, Kaka S, et al. Determination of triglyceride in the human myocardium by magnetic resonance spectroscopy:reproducibility and sensitivity of the method. Am J Physiol Endocrinol Metab 2005;289(5):E935-9.
    [78]van der Meer RW, Hammer S, Lamb HJ, et al. Effects of short-term high-fat, high-energy diet on hepatic and myocardial triglyceride content in healthy men. J Clin Endocrinol Metab 2008; 93(7):2702-2708.
    [79]van der Meer RW, Rijzewijk LJ, Diamant M, et al. The ageing male heart: myocardial triglyceride content as independent predictor of diastolic function.Eur Heart J 2008; 29(12):1516-1522.
    [80]Kankaanpaa M, Lehto HR, Parkka JP, et al. Myocardial triglyceride content and epicardial fat mass in human obesity:relationship to left ventricular function and serum free fatty acid levels. J Clin Endocrinol Metab 2006;91 (11):4689-95.
    [81]Poitout V. Beta-cell lipotoxicity:burning fat into heat? Endocrinology 2004; 145 (8):3563-5.
    [82]Carpentier A, Mittelman SD, Bergman RN, et al.Prolonged elevation of plasma free fatty acids impairs pancreatic beta-cell function in obese nondiabetic humans but not in individuals with type 2 diabetes. Diabetes 2000;49(3):399-408.
    [83]Kovanlikaya A, Mittelman SD,Ward A,et al. Obesity and fat quantification in lean tissues using three-point Dixon MR imaging. Pediatr Radiol 2005;35 (6):601-7.
    [84]Bollheimer LC, Skelly RH, Chester MW,et al.Chronic exposure to free fatty acid reduces pancreatic beta cell insulin content by increasing basal insulin secretion that is not compensated for by a corresponding increase in proinsulin biosynthesis translation. J Clin Invest 1998; 101 (5):1094-101.
    [85]Clark JB, Palmer CJ, Shaw WN. The diabetic Zucker fatty rat. Proc Soc Exp Biol Med 1983; 173 (1):68-75.
    [86]McGarry JD. Banting lecture 2001:dysregulation of fatty acid metabolism in the etiology of type 2 diabetes. Diabetes 2002;51 (1):7-18.
    [87]Matsui J, Terauchi Y, Kubota N, et al. Pioglitazone reduces islet triglyceride content and restores impaired glucose-stimulated insulin secretion in heterozygous peroxisome proliferator- activated receptor-gamma-deficient mice on a high-fat diet.Diabetes 2004;53 (11):2844-54.
    [88]Ritz-Laser B, Meda P, Constant I, et al. Glucose-induced preproinsulin gene expression is inhibited by the free fatty acid palmitate. Endocrinology 1999; 140 (9):4005-14.
    [89]Lameloise N, Muzzin P, Prentki M, et al.Uncoupling protein 2:a possible link between fatty acid excess and impaired glucose-induced insulin secretion? Diabetes 2001;50 (4):803-9.
    [90]Branstrom R, Leibiger IB, Leibiger B,et al. Long chain coenzyme A esters activate the pore-forming subunit (Kir6.2) of the ATP-regulated potassium channel. J Biol Chem 1998;273 (47):31395-400.
    [91]Liang Y, Buettger C, Berner DK, et al. Chronic effect of fatty acids on insulin release is not through the alteration of glucose metabolism in a pancreatic beta-cell line (beta HC9). Diabetologia 1997;40:1018-27.
    [92]El-Assaad W, Buteau J, Peyot ML, et al.Saturated fatty acids synergize with elevated glucose to cause pancreatic beta-cell death. Endocrinology 2003; 144 (9):4154-63.
    [93]Maedler K, Oberholzer J, Bucher P,et al.Monounsaturated fatty acids prevent the deleterious effects of palmitate and high glucose on human pancreatic beta-cell turnover and function.Diabetes 2003;52 (3):726-33.
    [94]Oakes ND, Bell KS, Furler SM, et al.Diet-induced muscle insulin resistance in rats is ameliorated by acute dietary lipid withdrawal or a single bout of exercise: parallel relationship between insulin stimulation of glucose uptake and suppression of long-chain fatty acyl-CoA. Diabetes 1997;46 (12):2022-8.
    [95]王从容,杨锡让,刘亚兵等.耐力训练对饮食性肥胖大鼠胰岛素作用的影响[J].中国运动医学杂志,1998,17(1):16—19.
    [96]Dohm GL. Sinha MK, CaroJF. Insulin receptor binding and protein kinase activity in muscles of trained rats[M]. Am J physiol 1,1987,252(2 Pt 1): E170—175.
    [97]贾伟平.胰岛素抵抗与受体[J].第二军医大学学报,2003,24(5):528.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700