High oxidative capacity due to chronic exercise training attenuates lipid-induced insulin resistance

Diabetes. 2012 Oct;61(10):2472-8. doi: 10.2337/db11-1832. Epub 2012 Jul 10.

Abstract

Fat accumulation in skeletal muscle combined with low mitochondrial oxidative capacity is associated with insulin resistance (IR). Endurance-trained athletes, characterized by a high oxidative capacity, have elevated intramyocellular lipids, yet are highly insulin sensitive. We tested the hypothesis that a high oxidative capacity could attenuate lipid-induced IR. Nine endurance-trained (age = 23.4 ± 0.9 years; BMI = 21.2 ± 0.6 kg/m(2)) and 10 untrained subjects (age = 21.9 ± 0.9 years; BMI = 22.8 ± 0.6 kg/m(2)) were included and underwent a clamp with either infusion of glycerol or intralipid. Muscle biopsies were taken to perform high-resolution respirometry and protein phosphorylation/expression. Trained subjects had ~32% higher mitochondrial capacity and ~22% higher insulin sensitivity (P < 0.05 for both). Lipid infusion reduced insulin-stimulated glucose uptake by 63% in untrained subjects (P < 0.05), whereas this effect was blunted in trained subjects (29%, P < 0.05). In untrained subjects, lipid infusion reduced oxidative and nonoxidative glucose disposal (NOGD), whereas trained subjects were completely protected against lipid-induced reduction in NOGD, supported by dephosphorylation of glycogen synthase. We conclude that chronic exercise training attenuates lipid-induced IR and specifically attenuates the lipid-induced reduction in NOGD. Signaling data support the notion that high glucose uptake in trained subjects is maintained by shuttling glucose toward storage as glycogen.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Emulsions / pharmacology
  • Exercise / physiology*
  • Fat Emulsions, Intravenous / pharmacology
  • Humans
  • Insulin / metabolism
  • Insulin Resistance / physiology*
  • Lipid Metabolism / drug effects
  • Lipid Metabolism / physiology
  • Male
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / metabolism*
  • Oxidation-Reduction / drug effects
  • Phospholipids / pharmacology
  • Phosphorylation
  • Physical Endurance / physiology*
  • Signal Transduction / physiology
  • Soybean Oil / pharmacology
  • Young Adult

Substances

  • Emulsions
  • Fat Emulsions, Intravenous
  • Insulin
  • Phospholipids
  • soybean oil, phospholipid emulsion
  • Soybean Oil