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Journal of Lipid Research, Vol. 49, 2038-2044, September 2008 Blocking VLDL secretion causes hepatic steatosis but does not affect peripheral lipid stores or insulin sensitivity in mice
* Gladstone Institute of Cardiovascular Disease, University of California, San Francisco, CA 94158 Published, JLR Papers in Press, June 1, 2008. This work was supported by the Swiss National Science Foundation, by a fellowship award from the American Heart Association, Western States Affiliate, and by l'association de Langue Francaise pour l'Etude du Diabete et des Maladies Metaboliques (ALFEDIAM).
1 To whom correspondence should be addressed. e-mail: kaori.minehira{at}unil.ch The liver secretes triglyceride-rich VLDLs, and the triglycerides in these particles are taken up by peripheral tissues, mainly heart, skeletal muscle, and adipose tissue. Blocking hepatic VLDL secretion interferes with the delivery of liver-derived triglycerides to peripheral tissues and results in an accumulation of triglycerides in the liver. However, it is unclear how interfering with hepatic triglyceride secretion affects adiposity, muscle triglyceride stores, and insulin sensitivity. To explore these issues, we examined mice that cannot secrete VLDL [due to the absence of microsomal triglyceride transfer protein (Mttp) in the liver]. These mice exhibit markedly reduced levels of apolipoprotein B-100 in the plasma, along with reduced levels of triglycerides in the plasma. Despite the low plasma triglyceride levels, triglyceride levels in skeletal muscle were unaffected. Adiposity and adipose tissue triglyceride synthesis rates were also normal, and body weight curves were unaffected. Even though the blockade of VLDL secretion caused hepatic steatosis accompanied by increased ceramides and diacylglycerols in the liver, the mice exhibited normal glucose tolerance and were sensitive to insulin at the whole-body level, as judged by hyperinsulinemic euglycemic clamp studies. Normal hepatic glucose production and insulin signaling were also maintained in the fatty liver induced by Mttp deletion. Thus, blocking VLDL secretion causes hepatic steatosis without insulin resistance, and there is little effect on muscle triglyceride stores or adiposity.
Supplementary key words microsomal triglyceride transfer protein triglyceride-rich lipoprotein fatty liver insulin resistance obesity de novo lipogenesis ceramide diacylglycerol Abbreviations: apo, apolipoprotein; DGAT2, acyl-CoA:diacylglycerol acyltransferase 2; FPLC, fast protein liquid chromatography; Mttp, the gene for microsomal triglyceride transfer protein; PEPCK, phosphoenolpyruvate carboxykinase; pI-pC, polyinosinic-polycytidylic ribonucleic acid
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