抵抗素
内科学
内分泌学
脂肪细胞
胰岛素
胰岛素抵抗
葡萄糖摄取
二甲双胍
2型糖尿病
化学
脂肪组织
生物
糖尿病
医学
脂肪因子
作者
Rustam Rea,Richard Donnelly
标识
DOI:10.1111/j.1463-1326.2005.00477.x
摘要
Aim: The adipocyte‐secreted hormone resistin has been implicated in obesity‐induced insulin resistance and type 2 diabetes, but pharmacological and dietary factors that regulate resistin gene expression and the effects of resistin on cellular glucose uptake in muscle have not been clearly defined. Methods: Expression of resistin mRNA was studied in differentiated 3T3‐L1 adipocytes by using real‐time semiquantitative reverse transcription‐polymerase chain reaction. The effects of resistin on insulin‐stimulated and insulin‐independent 2‐deoxyglucose uptake were evaluated in L6 muscle cells. Results: Insulin 1 µ m and rosiglitazone 10 µ m markedly reduced resistin mRNA expression (relative to the control gene TF2D) by 4.7‐fold (p < 0.05) and 5.3‐fold (p < 0.02), respectively. Similar reductions in resistin mRNA were demonstrated with metformin 100 µ m (6.2‐fold reduction, p < 0.02) and oleic acid 100 µ m (3.9‐fold reduction, p < 0.03). Resistin 1 µ m significantly reduced maximum insulin‐stimulated 2‐deoxyglucose uptake in L6 cells from 634 to 383% (relative to 100% for control, p < 0.001), and co‐administration of rosiglitazone had no effect on resistin‐induced insulin resistance. In the absence of insulin, however, resistin increased glucose uptake dose‐dependently (e.g., 1.75‐fold at 5 µ m , p < 0.001) via a mitogen‐activated protein kinase‐dependent pathway. Conclusions: These results demonstrate that various glucose‐lowering therapies and oleic acid reduce resistin gene expression in isolated adipocytes, and that resistin impairs insulin‐stimulated glucose uptake in skeletal muscle‐derived cells.
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