Lack of effect of an acute ileal perfusion of short-chain fatty acids on glucose metabolism in healthy men

Am J Physiol. 1996 Jul;271(1 Pt 1):E199-204. doi: 10.1152/ajpendo.1996.271.1.E199.

Abstract

Dietary fiber intake is associated with several beneficial effects on carbohydrate metabolism. Some authors have speculated that this improvement may be due to short-chain fatty acids (SCFA) produced by the colonic fermentation of dietary fibers. To test this hypothesis, six healthy men aged 26 +/- 2 (SE) yr with a body mass index of 20.9 +/- 0.7 received on three occasions an 18-h ileal perfusion infused at a flow rate of 3.3 ml/min, containing either 90 mmol/l of SCFA (60% acetate, 25% propionate, and 15% butyrate) (A), SCFA during the first 12 h and then a saline solution (A/S), or a saline solution (S). Basal hepatic glucose production (BHGP), insulin sensitivity (3-step euglycemic-hyperinsulinic clamp), and erythrocyte insulin binding (EIB) were studied 12 h after the beginning of the ileal perfusion. There was no change in BHGP or insulin sensitivity. However, maximal EIB was significantly different: 7.1 +/- 0.1 (A), 6.8 +/- 0.1 (A/S), vs. 6.5 +/- 0.1% (S) (P = 0.03). We conclude that acute administration of SCFA does not significantly alter glucose metabolism in healthy subjects.

MeSH terms

  • Acetates / metabolism
  • Adult
  • Blood / metabolism
  • Diet
  • Fatty Acids, Nonesterified / metabolism
  • Fatty Acids, Volatile / pharmacology*
  • Glucose / metabolism*
  • Glucose Clamp Technique
  • Humans
  • Ileum / metabolism*
  • Liver / metabolism
  • Male
  • Perfusion
  • Receptor, Insulin / metabolism
  • Reference Values
  • Time Factors

Substances

  • Acetates
  • Fatty Acids, Nonesterified
  • Fatty Acids, Volatile
  • Receptor, Insulin
  • Glucose