Similar insulin regulation of splanchnic FFA and VLDL-TG in men with nonalcoholic hepatic steatosis and steatohepatitis

Autor: Jeyanthini Risikesan, Sara Heebøll, Indumathi Kumarathas, Esben Søndergaard, Rakel F. Johansen, Steffen Ringgaard, Niels K. Aagaard, Thomas D. Sandahl, Gerda E. Villadsen, Lars C. Gormsen, Jan Frystyk, Michael D. Jensen, Henning Grønbæk, Søren Nielsen
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Lipid Research, Vol 65, Iss 7, Pp 100580- (2024)
Druh dokumentu: article
ISSN: 0022-2275
DOI: 10.1016/j.jlr.2024.100580
Popis: This study aimed to determine whether obese men with nonalcoholic fatty liver disease (NAFLD) display differences between those with simple steatosis versus steatohepatitis (NASH) in splanchnic and hepatic FFA and VLDL-triglycerides (VLDL-TG) balances. The study involved 17 obese men with biopsy-proven NAFLD (9 with NASH and 8 with simple steatosis). We used hepatic vein catheterization in combination with [3H]palmitate and [14C]VLDL-TG tracers to measure splanchnic palmitate and VLDL-TG uptake and release rates during basal and hyperinsulinemic conditions. Indocyanine green was used to measure splanchnic plasma flow. Splanchnic palmitate uptake was similar in the two groups and significantly reduced during hyperinsulinemia (NASH: 62 (48–77) versus 38 (18–58) μmol/min; simple steatosis: 62 (46–78) versus 45 (25–65) μmol/min, mean (95% CI), basal versus clamp periods, respectively, P = 0.02 time-effect). Splanchnic palmitate release was also comparable between groups and nonsignificantly diminished during hyperinsulinemia. The percent palmitate delivered to the liver originating from visceral adipose tissue lipolysis was similar and unchanged by hyperinsulinemia. Splanchnic uptake and release of VLDL-TG were similar between groups. Hyperinsulinemia suppressed VLDL-TG release (P
Databáze: Directory of Open Access Journals