吡格列酮对脂质灌注大鼠糖代谢和PPAR-γ表达的影响

目的：探讨吡格列酮 (Pio) 对游离脂肪酸诱导的胰岛素抵抗大鼠糖代谢和PPAR-γ表达的影响。方法:采用扩展正糖钳夹实验和［3-3H］标记葡萄糖示踪技术，观察了4 h脂质灌注导致大鼠血浆游离脂肪酸（FFA）升高引起糖代谢和脂肪组织PPAR-γ表达变化及Pio处理后的影响。 结果:在钳夹稳态期，对照组（N组）血浆FFA水平明显降低，而脂质灌注组（L组）和吡格列酮+脂质组（P/L组）FFA水平明显升高。 P/L组葡萄糖输注率(GIR)较N组明显降低（P<0.01）, 而L组又明显低于P/L组（P<0.01）；N组和P/L组肝糖输出 (HGP) 与基础值相比被明显抑制达85%（均P<0.01），在L组，胰岛素对HGP的抑制作用受到明显障碍（仅抑制8.7%）。L组和P/L组葡萄糖清除率（GRd）明显低于N组（P<0.01）。P/L组脂肪组织PPAR-γ表达明显增加。 结论:脂质灌注诱导了大鼠胰岛素抵抗。吡格列酮干预使大鼠脂肪组织PPAR-γ表达明显增加，并抑制了内源性肝糖产生，从而部分逆转了脂质诱导的胰岛素抵抗。

Effect of pioglitazone on glucose metabolism and PPAR - γ expression in lipid - infused rats

AIM: To investigate the effect of pioglitazone (Pio) on glucose metabolism and peroxisome proliferators-activated receptor (PPAR)-γ expression in free fatty acid (FFA) -induced insulin resistance in rats. METHODS: A hyperinsulinaemic-euglycaemic clamp and ［3-3H］-glucose tracing technique were used in awake rats. Glucose metabolism in vivo and PPAR-γ in adipose tissue expression were assessed with elevation FFA by lipid infusion over 4 h in rats pretreated with or without Pio.RESULTS: During steady-state of clamp, there was a significant increase in plasma FFA in two lipid-infused groups, compared to control rats (P<0.01). The glucose infusion rates (GIR) in Pio-treated rats (P/L group), compared with controls, were significantly reduced ［(20.6±0.4) mg·kg^-1·min^-1 vs (33.6±0.6)mg·kg^-1· min^-1, P<0.01］, whereas the GIR was lower in the lipid group (L group) than that in the P/L group［(12.6±0.8) mg·kg^-1·min^-1 vs (20.6±0.4) mg·kg^-1·min^-1, P<0.01］. The hepatic glucose production (HGP) was significantly suppressed (85%) ［(18.3±2.1)mg· kg^-1·min^-1 (basal) vs (2.7±2.4)mg· kg^-1·min^-1, and (17.5±2.6) mg· kg^-1·min^-1 vs (2.6±1.0)mg· kg^-1·min^-1］, all P<0.01 during clamp in control and P/L groups. The suppressive effect of insulin on HGP was significantly blunted in L group［(17.3±2.1)mg· kg^-1·min^-1 vs (15.8±1.5)mg· kg^-1·min^-1］. The rate of glucose disappearance (GRd) was significantly reduced in two lipid-infused rats compared with controls［(26.6±1.6)mg· kg^-1·min^-1 and (23.2±0.9)mg· kg^-1·min^-1 vs (37.7±2.6)mg·kg^-1·min^-1,P<0.01］. The PPAR-γ expression of adipose tissue in P/L group was significantly upregulated. CONCLUSION: Lipid-infusion induces an acute insulin-resistance in vivo. Pio treatment upregulates the PPAR-γ of adipose tissue and suppresses HGP. Pio can protect partly against lipid-induced insulin resistance.