Insulin resistance induced by growth hormone is linked to lipolysis and associated with suppressed pyruvate dehydrogenase activity in skeletal muscle: a 2x2 factorial, randomised, crossover study in human individuals
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Insulin resistance induced by growth hormone is linked to lipolysis and associated with suppressed pyruvate dehydrogenase activity in skeletal muscle : a 2x2 factorial, randomised, crossover study in human individuals. / Hjelholt, Astrid J.; Charidemou, Evelina; Griffin, Julian L.; Pedersen, Steen B.; Gudiksen, Anders; Pilegaard, Henriette; Jessen, Niels; Møller, Niels; Jørgensen, Jens O. L.
I: Diabetologia, Bind 63, Nr. 12, 2020, s. 2641-2653.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Insulin resistance induced by growth hormone is linked to lipolysis and associated with suppressed pyruvate dehydrogenase activity in skeletal muscle
T2 - a 2x2 factorial, randomised, crossover study in human individuals
AU - Hjelholt, Astrid J.
AU - Charidemou, Evelina
AU - Griffin, Julian L.
AU - Pedersen, Steen B.
AU - Gudiksen, Anders
AU - Pilegaard, Henriette
AU - Jessen, Niels
AU - Møller, Niels
AU - Jørgensen, Jens O. L.
PY - 2020
Y1 - 2020
N2 - Aims/hypothesisGrowth hormone (GH) causes insulin resistance that is linked to lipolysis, but the underlying mechanisms are unclear. We investigated if GH-induced insulin resistance in skeletal muscle involves accumulation of diacylglycerol (DAG) and ceramide as well as impaired insulin signalling, or substrate competition between fatty acids and glucose.MethodsNine GH-deficient male participants were randomised and examined in a 2x2 factorial design with and without administration of GH and acipimox (an anti-lipolytic compound). As-treated analyses were performed, wherefore data from three visits from two patients were excluded due to incorrect GH administration. The primary outcome was insulin sensitivity, expressed as the AUC of the glucose infusion rate (GIR(AUC)), and furthermore, the levels of DAGs and ceramides, insulin signalling and the activity of the active form of pyruvate dehydrogenase (PDHa) were assessed in skeletal muscle biopsies obtained in the basal state and during a hyperinsulinaemic-euglycaemic clamp (HEC).ResultsCo-administration of acipimox completely suppressed the GH-induced elevation in serum levels of NEFA (GH versus GH+acipimox, p
AB - Aims/hypothesisGrowth hormone (GH) causes insulin resistance that is linked to lipolysis, but the underlying mechanisms are unclear. We investigated if GH-induced insulin resistance in skeletal muscle involves accumulation of diacylglycerol (DAG) and ceramide as well as impaired insulin signalling, or substrate competition between fatty acids and glucose.MethodsNine GH-deficient male participants were randomised and examined in a 2x2 factorial design with and without administration of GH and acipimox (an anti-lipolytic compound). As-treated analyses were performed, wherefore data from three visits from two patients were excluded due to incorrect GH administration. The primary outcome was insulin sensitivity, expressed as the AUC of the glucose infusion rate (GIR(AUC)), and furthermore, the levels of DAGs and ceramides, insulin signalling and the activity of the active form of pyruvate dehydrogenase (PDHa) were assessed in skeletal muscle biopsies obtained in the basal state and during a hyperinsulinaemic-euglycaemic clamp (HEC).ResultsCo-administration of acipimox completely suppressed the GH-induced elevation in serum levels of NEFA (GH versus GH+acipimox, p
KW - Acipimox
KW - Ceramides
KW - Diacylglycerols
KW - Fatty acids
KW - Growth hormone
KW - Insulin resistance
KW - Insulin signalling
KW - Pyruvate dehydrogenase activity
KW - FREE FATTY-ACIDS
KW - ADIPOSE-TISSUE
KW - GLUCOSE DISPOSAL
KW - METABOLISM
KW - SENSITIVITY
KW - ACTIVATION
KW - MECHANISMS
KW - EXPRESSION
KW - 3-KINASE
KW - FOREARM
U2 - 10.1007/s00125-020-05262-w
DO - 10.1007/s00125-020-05262-w
M3 - Journal article
C2 - 32945898
VL - 63
SP - 2641
EP - 2653
JO - Diabetologia
JF - Diabetologia
SN - 0012-186X
IS - 12
ER -
ID: 249582020