2005
DOI: 10.1152/ajpendo.00430.2004
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Colonic fermentation from lactulose inhibits lipolysis in overweight subjects

Abstract: One of the strategies to prevent insulin resistance is to reduce circulating free fatty acids (FFA). The aim of this study is to assess the effect of an oral lactulose load on fatty acid metabolism in overweight subjects. Eight overweight subjects received a primed constant intravenous infusion of [1-(13)C]acetate and of [1,1,2,3,3-(2)H(5)]glycerol for 9 h. After 3 h of tracer infusion, patients ingested 30 g lactulose, or saline solution. Arterialized blood samples were collected every 20 min. Basal plasma co… Show more

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Cited by 48 publications
(35 citation statements)
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“…SCFA may modulate insulin sensitivity by reducing fatty acid flux (38)(39)(40). Feeding fermentable fiber reduces serum FFA concentrations (41)(42)(43). In the present study, sows fed the KF diet had an increase in plasma concentrations of acetic acid, butyric acid, and total SCFA and a decrease in the plasma concentration of FFA.…”
Section: Discussionsupporting
confidence: 50%
“…SCFA may modulate insulin sensitivity by reducing fatty acid flux (38)(39)(40). Feeding fermentable fiber reduces serum FFA concentrations (41)(42)(43). In the present study, sows fed the KF diet had an increase in plasma concentrations of acetic acid, butyric acid, and total SCFA and a decrease in the plasma concentration of FFA.…”
Section: Discussionsupporting
confidence: 50%
“…Increased IL-6 and decreased adiponectin concentrations from an excess of adipose tissue may have a convergent increased effect on FFA (Esposito et al, 2003a) that affects insulin sensitivity negatively (Trowell, 1975). Soluble fibre is fermented by anaerobic bacteria in the colon to short-chain fatty acids (Cummings and Englyst, 1987) including acetate, which inhibits serum FFA release from adipocytes (Scheppach et al, 1988;Ferchaud-Roucher et al, 2005), resulting in an increased insulin sensitivity (Trowell, 1975). It is possible that the resultant lower insulin levels can reduce the amount of IL-6 produced as shown in vitro (Vicennati et al, 2002) and in vivo (Krogh-Madsen et al, 2004) and thus subsequently CRP.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, it has been demonstrated in human studies that elevating the fermentable fibre component of the diet raises SCFA levels in the peripheral blood (61,(91)(92)(93) , particularly concentrations of acetate. Circulating SCFA have been shown to interact with different peripheral organ and tissue sites.…”
Section: Scfa and Leptin Secretionmentioning
confidence: 99%