2009
DOI: 10.2337/db09-1297
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Insulin Acutely Inhibits Intestinal Lipoprotein Secretion in Humans in Part by Suppressing Plasma Free Fatty Acids

Abstract: OBJECTIVEIntestinal lipoprotein production has recently been shown to be increased in insulin resistance, but it is not known whether it is regulated by insulin in humans. Here, we investigated the effect of acute hyperinsulinemia on intestinal (and hepatic) lipoprotein production in six healthy men in the presence and absence of concomitant suppression of plasma free fatty acids (FFAs).RESEARCH DESIGN AND METHODSEach subject underwent the following three lipoprotein turnover studies, in random order, 4–6 week… Show more

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Cited by 87 publications
(84 citation statements)
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“…The mechanism underlying this effect remains unclear, but it is compatible with the idea that prolonged exposure to high levels of circulating FFAs increases enterocyte TG content, leading to the inhibition of SREBP expression and the adaptive repression of intestinal de novo lipogenesis and lipid absorption. transition and postprandial hyperglycemia coupled with GLP-1 has been shown to stimulate ␤ -cell insulin secretion, which in turn may acutely suppress lipoprotein assembly and secretion in the liver and the intestine ( 40 ). Therefore, the discrepancies between our fi ndings in nondiabetic insulin-resistant subjects and the fi ndings of the studies performed in diabetics could be related to the presence of relative insulin insuffi ciency along with resistance in diabetic subjects that could stimulate MTP expression.…”
Section: Intestinal Protein Levels Assessed By Lc-ms/mscontrasting
confidence: 54%
“…The mechanism underlying this effect remains unclear, but it is compatible with the idea that prolonged exposure to high levels of circulating FFAs increases enterocyte TG content, leading to the inhibition of SREBP expression and the adaptive repression of intestinal de novo lipogenesis and lipid absorption. transition and postprandial hyperglycemia coupled with GLP-1 has been shown to stimulate ␤ -cell insulin secretion, which in turn may acutely suppress lipoprotein assembly and secretion in the liver and the intestine ( 40 ). Therefore, the discrepancies between our fi ndings in nondiabetic insulin-resistant subjects and the fi ndings of the studies performed in diabetics could be related to the presence of relative insulin insuffi ciency along with resistance in diabetic subjects that could stimulate MTP expression.…”
Section: Intestinal Protein Levels Assessed By Lc-ms/mscontrasting
confidence: 54%
“…The postprandial exercise also transiently mitigated the suppression of FFA after the ingestion of the cookie. It is known that insulin acutely suppresses the lipoprotein production from both endogenous and exogenous sources, which may be caused by an insulinmediated suppression of circulating FFAs and also the direct effects of insulin (16,17).…”
Section: Discussionmentioning
confidence: 99%
“…Insulin-mediated suppression involves the activation of phosphatidylinositide-3-kinase by the insulin receptor transduced through insulin receptor substrates; a process that correlates with the translocation of activated phosphatidylinositide-3-kinase to intracellular membranes [311]. Insulin-induced suppression of intestinal lipoprotein secretion is both direct and indirect through suppression of circulating free fatty acids [312].…”
Section: Hormones and Lipid Metabolismmentioning
confidence: 99%