Evidence that amylin stimulates lipolysis in vivo: a possible mediator of induced insulin resistance

Am J Physiol Endocrinol Metab. 2001 Apr;280(4):E562-9. doi: 10.1152/ajpendo.2001.280.4.E562.

Abstract

The present study investigated the role of amylin in lipid metabolism and its possible implications for insulin resistance. In 5- to 7-h-fasted conscious rats, infusion of rat amylin (5 nmol/h for 4 h) elevated plasma glucose, lactate, and insulin (P <0.05 vs. control, repeated-measures ANOVA) with peak values occurring within 60 min. Despite the insulin rise, plasma nonesterified fatty acids (NEFA) and glycerol were also elevated (P < 0.001 vs. control), and these elevations (80% above basal) were sustained over the 4-h infusion period. Although unaltered in plasma, triglyceride content in liver was increased by 28% (P < 0.001) with a similar tendency in muscle (18%, P = 0.1). Infusion of the rat amylin antagonist amylin-(8-37) (125 nmol/h) induced opposite basal plasma changes to amylin, i.e., lowered plasma NEFA, glycerol, glucose, and insulin levels (all P < 0.05 vs. control); additionally, amylin-(8-37) blocked amylin-induced elevations of these parameters (P < 0.01). Treatment with acipimox (10 mg/kg), an anti-lipolytic agent, before or after amylin infusion blocked amylin's effects on plasma NEFA, glycerol, and insulin but not on glucose and lactate. We conclude that amylin could exert a lipolytic-like action in vivo that is blocked by and is opposite to effects of its antagonist amylin-(8-37). Further studies are warranted to examine the physiological implications of lipid mobilization for amylin-induced insulin resistance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amyloid / blood
  • Amyloid / pharmacology*
  • Amyloid / physiology
  • Animals
  • Blood Glucose / analysis
  • Hypolipidemic Agents / pharmacology
  • Insulin / blood
  • Insulin Resistance / physiology
  • Islet Amyloid Polypeptide
  • Lactic Acid / blood
  • Lipids / blood
  • Lipolysis / drug effects*
  • Liver / drug effects
  • Liver / metabolism
  • Male
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / metabolism
  • Peptide Fragments / pharmacology
  • Pyrazines / pharmacology
  • Rats
  • Rats, Wistar
  • Triglycerides / metabolism

Substances

  • Amyloid
  • Blood Glucose
  • Hypolipidemic Agents
  • Insulin
  • Islet Amyloid Polypeptide
  • Lipids
  • Peptide Fragments
  • Pyrazines
  • Triglycerides
  • amylin (8-37)
  • Lactic Acid
  • acipimox