1974
DOI: 10.1172/jci107625
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Glucose Metabolism and the Response to Insulin by Human Adipose Tissue in Spontaneous and Experimental Obesity

Abstract: A B S T R A C T [1-"C]glucose oxidation to C02 and conversion into glyceride by adipose tissue from nonobese and obese subjects has been studied in vitro in the presence of varying medium glucose and insulin concentrations as functions of adipose cell size, the composition of the diet, and antecedent weight gain or loss.Increasing

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Cited by 88 publications
(33 citation statements)
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“…An increase in size and hypoxia, along with a reduced membrane translocation of GLUT4 and an increased expression of perilipin, was observed in VAT adipocytes isolated from the HFD rabbits. Indeed, not only the total mass of AT conveys a metabolic risk, but the size of adipocytes is also important, being positively associated with insulin resistance (Jacobsson & Smith 1972, Salans et al 1974. Findings regarding the normalization of insulin resistance after weight loss, associated with a reduction in adipose cell size (Salans et al 1968), further corroborate this concept.…”
Section: Discussionmentioning
confidence: 96%
“…An increase in size and hypoxia, along with a reduced membrane translocation of GLUT4 and an increased expression of perilipin, was observed in VAT adipocytes isolated from the HFD rabbits. Indeed, not only the total mass of AT conveys a metabolic risk, but the size of adipocytes is also important, being positively associated with insulin resistance (Jacobsson & Smith 1972, Salans et al 1974. Findings regarding the normalization of insulin resistance after weight loss, associated with a reduction in adipose cell size (Salans et al 1968), further corroborate this concept.…”
Section: Discussionmentioning
confidence: 96%
“…Again, this has been recognised for many years in both humans [1,6,31,32] and rodents [33], usually by comparing cells from lean and obese individuals. Even within an individual, however, smaller cells are more insulin-sensitive than are larger cells [34].…”
Section: Discussionmentioning
confidence: 99%
“…A major site of insulin action for carbohydrate utilization is the liver (Felig and Wahren, 1971;Wahren and Felig, 1974); another site may be adipose tissue, as shown by the fact that isocaloric high carbohydrate diets enhance the effects of insulin on glucose metabolism in human adipose tissue (Salans et al, 1974). It therefore seems reasonable to suppose that increased sensitivity to endogenous insulin during overfeeding with carbohydrate selectively accelerates the rate of esterification and FFA utilization in human adipose tissue.…”
Section: Discussionmentioning
confidence: 99%
“…Obesity in man is experimentally induced by an excess caloric intake (Salans et al, 1974). However, the mechanism whereby human adipose tissue accumulates its triglyceride content as the cells become enlarged has not been precisely defined.…”
Section: Introductionmentioning
confidence: 99%