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Iwen, K.A.* ; Scherer, T.* ; Heni, M. ; Sayk, F.* ; Wellnitz, T.* ; Machleidt, F.* ; Preissl, H. ; Häring, H.-U. ; Fritsche, A. ; Lehnert, H.* ; Büttner, C.* ; Hallschmid, M.

Intranasal insulin suppresses systemic but not subcutaneous lipolysis in healthy humans.

J. Clin. Endocrinol. Metab. 99, E246-E251 (2014)
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Context: Insulin infused into the central nervous system of rats suppresses lipolysis in white adipose tissue, indicating a role of brain insulin in regulating systemic lipid metabolism. Objective: We investigated whether central nervous insulin delivery suppresses lipolysis in healthy humans. Design: Placebo-controlled, balanced within-subject comparisons were performed in both a main and an independent corroborative experiment. Setting/Participants/Intervention: Two groups of healthy volunteers were examined at the German University Clinics of Lübeck and Tübingen, respectively, with molecular analyses taking place at Mount Sinai, USA. The 14 healthy male subjects of the main study and the 22 women and 5 men of the corroborative study each received 160 IU of human insulin intranasally. Main outcome measures: In the main study, we measured systemic levels of free fatty acids (FFA), triglycerides and glycerol and the rate of appearance of deuterated glycerol (Ra glycerol) as an estimate of lipolysis before and after intranasal insulin administration. We also analyzed expression of key lipolytic enzymes in subcutaneous fat biopsies and measured blood glucose and glucoregulatory hormones. In the corroborative study, FFA concentrations were assessed before and after intranasal insulin administration. Results: In the main experiment, intranasal insulin suppressed circulating FFA concentrations and lipolysis (Ra glycerol) in the absence of significant changes in circulating insulin levels. Lipolytic protein expression in subcutaneous adipose tissue was not affected. The corroborative study confirmed that intranasal insulin lowers systemic FFA concentrations. Conclusions: Our findings indicate that brain insulin controls systemic lipolysis in healthy humans by predominantly acting on non-subcutaneous adipose tissue.  
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Adipose-tissue Lipolysis; Human Brain; Lipogenesis; Glucose; Fat; Metabolism; White
ISSN (print) / ISBN 0021-972X
e-ISSN 1945-7197
Journal Journal of Clinical Endocrinology & Metabolism, The
Quellenangaben Volume: 99, Issue: 2, Pages: E246-E251 Article Number: , Supplement: ,
Publisher Endocrine Society
Publishing Place Bethesda, Md.
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Diabetes Research and Metabolic Diseases (IDM)
German Center for Diabetes Reseach (DZD)