Circulating triacylglycerols but not pancreatic fat associate with insulin secretion in healthy humans

Loss of adequate insulin secretion for the prevailing insulin resistance is critical for the development of type 2 diabetes and has been suggested to result from circulating lipids (triacylglycerols [TG] or free fatty acids) and/or adipocytokines or from ectopic lipid storage in the pancreas. This s...

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Veröffentlicht in:Metabolism, clinical and experimental clinical and experimental, 2018-04, Vol.81, p.113-125
Hauptverfasser: Nowotny, Bettina, Kahl, Sabine, Klüppelholz, Birgit, Hoffmann, Barbara, Giani, Guido, Livingstone, Roshan, Nowotny, Peter J., Stamm, Valerie, Herder, Christian, Tura, Andrea, Pacini, Giovanni, Hwang, Jong-Hee, Roden, Michael
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container_title Metabolism, clinical and experimental
container_volume 81
creator Nowotny, Bettina
Kahl, Sabine
Klüppelholz, Birgit
Hoffmann, Barbara
Giani, Guido
Livingstone, Roshan
Nowotny, Peter J.
Stamm, Valerie
Herder, Christian
Tura, Andrea
Pacini, Giovanni
Hwang, Jong-Hee
Roden, Michael
description Loss of adequate insulin secretion for the prevailing insulin resistance is critical for the development of type 2 diabetes and has been suggested to result from circulating lipids (triacylglycerols [TG] or free fatty acids) and/or adipocytokines or from ectopic lipid storage in the pancreas. This study aimed to address whether circulating lipids, adipocytokines or pancreatic fat primarily associates with lower insulin secretion. Nondiabetic persons (n=73), recruited from the general population, underwent clinical examinations, fasting blood drawing to measure TG and adipocytokines and oral glucose tolerance testing (OGTT) to assess basal and dynamic insulin secretion and sensitivity indices. Magnetic resonance imaging and 1H-magnetic resonance spectroscopy were used to measure body fat distribution and ectopic fat content in liver and pancreas. In age-, sex- and BMI-adjusted analyses, total and high-molecular-weight adiponectin were the strongest negative predictors of fasting beta-cell function (BCF; β=−0.403, p=0.0003 and β=−0.237, p=0.01, respectively) and adaptation index (AI; β=−0.210, p=0.006 and β=−0.133, p=0.02, respectively). Circulating TG, but not pancreatic fat content, related positively to BCF (β=0.375, p
doi_str_mv 10.1016/j.metabol.2017.12.005
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This study aimed to address whether circulating lipids, adipocytokines or pancreatic fat primarily associates with lower insulin secretion. Nondiabetic persons (n=73), recruited from the general population, underwent clinical examinations, fasting blood drawing to measure TG and adipocytokines and oral glucose tolerance testing (OGTT) to assess basal and dynamic insulin secretion and sensitivity indices. Magnetic resonance imaging and 1H-magnetic resonance spectroscopy were used to measure body fat distribution and ectopic fat content in liver and pancreas. In age-, sex- and BMI-adjusted analyses, total and high-molecular-weight adiponectin were the strongest negative predictors of fasting beta-cell function (BCF; β=−0.403, p=0.0003 and β=−0.237, p=0.01, respectively) and adaptation index (AI; β=−0.210, p=0.006 and β=−0.133, p=0.02, respectively). Circulating TG, but not pancreatic fat content, related positively to BCF (β=0.375, p&lt;0.0001) and AI (β=0.192, p=0.003). Similar results were obtained for the disposition index (DI). 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Similar results were obtained for the disposition index (DI). 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subjects Adiponectin
Adiponectin - blood
Aged
Fatty acids
Fatty Acids, Nonesterified - blood
Female
Humans
Insulin - metabolism
Insulin Resistance
Insulin Secretion
Insulin secretion in vivo
Insulin-Secreting Cells - physiology
Lipids - physiology
Male
Middle Aged
Pancreatic fat
Triacylglycerols
Triglycerides - blood
title Circulating triacylglycerols but not pancreatic fat associate with insulin secretion in healthy humans
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