作者: Douglas Paddon-Jones , Elena Volpi , Blake B. Rasmussen , Robert R. Wolfe , Ulf C. Holmbäck
DOI: 10.1172/JCI15715
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摘要: Physiological hyperglycemia with hyperinsulinemia reduces fat oxidation in skeletal muscle. The mechanism responsible for this decrease human muscle is not known and may contribute to the development of insulin resistance. We hypothesized that transfer long-chain fatty acids (LCFAs) into mitochondria via carnitine palmitoyltransferase-1 (CPT-1) inhibited by increased malonyl coenzyme A (malonyl-CoA) (a potent inhibitor CPT-1) during hyperinsulinemia. studied six healthy subjects after an overnight fast induced 5-hour period Muscle acid was calculated using stable isotope methodology combined blood sampling from femoral artery vein one leg. functional CPT-1 activity assessed concurrently infusing LCFA tracer a CPT-independent medium-chain tracer. biopsies were obtained vastus lateralis periods fasting Hyperglycemia decreased oxidation, but had no effect on uptake or across Malonyl-CoA concentration significantly 0.13 ± 0.01 0.35 0.07 nmol/g conclude increases malonyl-CoA, inhibits activity, shunts away toward storage