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Fat oxidation, fitness and skeletal muscle expression of oxidative/lipid metabolism genes in South asians: implications for insulin resistance?
MedLine Citation:
PMID:  21152018     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: South Asians are more insulin resistant than Europeans, which cannot be fully explained by differences in adiposity. We investigated whether differences in oxidative capacity and capacity for fatty acid utilisation in South Asians might contribute, using a range of whole-body and skeletal muscle measures.
METHODOLOGY/PRINCIPAL FINDINGS: Twenty men of South Asian ethnic origin and 20 age and BMI-matched men of white European descent underwent exercise and metabolic testing and provided a muscle biopsy to determine expression of oxidative and lipid metabolism genes and of insulin signalling proteins. In analyses adjusted for age, BMI, fat mass and physical activity, South Asians, compared to Europeans, exhibited; reduced insulin sensitivity by 26% (p = 0.010); lower VO(2max) (40.6±6.6 vs 52.4±5.7 ml.kg(-1).min(-1), p = 0.001); and reduced fat oxidation during submaximal exercise at the same relative (3.77±2.02 vs 6.55±2.60 mg.kg(-1).min(-1) at 55% VO(2max), p = 0.013), and absolute (3.46±2.20 vs 6.00±1.93 mg.kg(-1).min(-1) at 25 ml O(2).kg(-1).min(-1), p = 0.021), exercise intensities. South Asians exhibited significantly higher skeletal muscle gene expression of CPT1A and FASN and significantly lower skeletal muscle protein expression of PI3K and PKB Ser473 phosphorylation. Fat oxidation during submaximal exercise and VO(2max) both correlated significantly with insulin sensitivity index and PKB Ser473 phosphorylation, with VO(2max) or fat oxidation during exercise explaining 10-13% of the variance in insulin sensitivity index, independent of age, body composition and physical activity.
CONCLUSIONS/SIGNIFICANCE: These data indicate that reduced oxidative capacity and capacity for fatty acid utilisation at the whole body level are key features of the insulin resistant phenotype observed in South Asians, but that this is not the consequence of reduced skeletal muscle expression of oxidative and lipid metabolism genes.
Authors:
Lesley M L Hall; Colin N Moran; Gillian R Milne; John Wilson; Niall G Macfarlane; Nita G Forouhi; Narayanan Hariharan; Ian P Salt; Naveed Sattar; Jason M R Gill
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Publication Detail:
Type:  Journal Article     Date:  2010-12-01
Journal Detail:
Title:  PloS one     Volume:  5     ISSN:  1932-6203     ISO Abbreviation:  PLoS ONE     Publication Date:  2010  
Date Detail:
Created Date:  2010-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101285081     Medline TA:  PLoS One     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e14197     Citation Subset:  IM    
Affiliation:
Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.
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