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November 14, 2014Arteriosclerosis Thrombosis and Vascular Biology54 citationsOpen Access

Lipolysis, and Not Hepatic Lipogenesis, Is the Primary Modulator of Triglyceride Levels in Streptozotocin-Induced Diabetic Mice

FWFlorian WilleckeHeart and Diabetes Center North Rhine-WestphaliaDSDiego ScerboUniversity of IowaPNPrabhakara R. NagareddyThe Ohio State University Wexner Medical Center

Key Result

Insulin deficiency in diabetic mice caused hypertriglyceridemia by decreasing peripheral lipolysis and postprandial triglyceride clearance, rather than increasing hepatic triglyceride production.

Structured PICO

Does insulin deficiency cause hypertriglyceridemia via increased hepatic lipogenesis or decreased peripheral lipolysis in diabetic mice?

P
Population
Streptozotocin-induced diabetic mice and heterozygous lipoprotein lipase knockout mice
I
Intervention
Streptozotocin-induced insulin deficiency
O
Outcome
Plasma triglyceride levels and postprandial triglycerides clearancesurrogate

In diabetic mice, hypertriglyceridemia is driven by decreased peripheral lipolysis rather than increased hepatic triglyceride production.

Abstract

OBJECTIVE: Diabetic hypertriglyceridemia is thought to be primarily driven by increased hepatic de novo lipogenesis. However, experiments in animal models indicated that insulin deficiency should decrease hepatic de novo lipogenesis and reduce plasma triglyceride levels. APPROACH AND RESULTS: To address the discrepancy between human data and genetically altered mouse models, we investigated whether insulin-deficient diabetic mice had triglyceride changes that resemble those in diabetic humans. Streptozotocin-induced insulin deficiency increased plasma triglyceride levels in mice. Contrary to the mouse models with impaired hepatic insulin receptor signaling, insulin deficiency did not reduce hepatic triglyceride secretion and de novo lipogenesis-related gene expression. Diabetic mice had a marked decrease in postprandial triglycerides clearance, which was associated with decreased lipoprotein lipase and peroxisome proliferator-activated receptor α mRNA levels in peripheral tissues and decreased lipoprotein lipase activity in skeletal muscle, heart, and brown adipose tissue. Diabetic heterozygous lipoprotein lipase knockout mice had markedly elevated fasting plasma triglyceride levels and prolonged postprandial triglycerides clearance. CONCLUSIONS: Insulin deficiency causes hypertriglyceridemia by decreasing peripheral lipolysis and not by an increase in hepatic triglycerides production and secretion.

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Cite This Study

Willecke et al. (2014) studied Diabetic hypertriglyceridemia. Streptozotocin-induced insulin deficiency was evaluated on Plasma triglyceride levels and clearance. Insulin deficiency in diabetic mice caused hypertriglyceridemia by decreasing peripheral lipolysis and postprandial triglyceride clearance, rather than increasing hepatic triglyceride production.

synapsesocial.com/papers/6a0ec300aa1655e5fb22c337https://doi.org/10.1161/atvbaha.114.304615
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Postheparin Plasma Lipoprotein Lipase and Hepatic Lipase in Diabetes Mellitus: Relationship to Plasma Triglyceride Metabolism1977 · 193 citations
  2. 2Triglyceride‐rich lipoproteins in non‐insulin‐dependent diabetes mellitus: post‐prandial metabolism and relation to premature atherosclerosis1996 · 124 citations
  3. 3Why Do Low-Fat High-Carbohydrate Diets Accentuate Postprandial Lipemia in Patients With NIDDM?1995 · 121 citations
  4. 4Lipoprotein lipase activity in skeletal muscle is related to insulin sensitivity.1991 · 215 citations
  5. 5Release of Clearing Factor Lipase (Lipoprotein Lipase) in Vivo and from Isolated Perfused Hearts of Alloxan Diabetic Rats1972 · 22 citations