Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2008-11-5
pubmed:abstractText
Elevated plasma triglyceride/free fatty acid (FFA) levels and insulin resistance may promote atherosclerosis through endothelial activation (ie, increased expression of intercellular adhesion molecule 1 [ICAM-1]/vascular adhesion molecule 1 [VCAM-1], and endothelin-1 [ET-1]) in patients with the metabolic syndrome, but this has never been directly tested. The authors measured endothelial activation and insulin sensitivity (euglycemic insulin clamp with [3-(3)H]-glucose) after a 4-day low-dose lipid infusion that elevated plasma FFA to levels observed in the metabolic syndrome in 20 lean, non-diabetic insulin-resistant subjects with a strong family history of type 2 diabetes mellitus (FH(+)) and 10 insulin-sensitive volunteers without a family history of type 2 diabetes mellitus (FH(-)). Low-dose lipid infusion reduced insulin sensitivity by approximately 25% in insulin-sensitive FH(-)controls but did not worsen preexisting insulin resistance in FH(+). Low-dose lipid infusion elevated plasma ICAM and VCAM levels similarly in both groups (approximately 12%-18%; P<.01 vs baseline), while plasma ET-1 levels increased more in FH(+)vs FH(-)(46% vs 10%; P=.005). Increased plasma FFA levels closely correlated with elevated ICAM (r=0.60; P<.01), VCAM, and ET-1 levels (r=0.39 and r=0.42, respectively; P<.05). Low-dose lipid infusion induces endothelial activation in both lean insulin-resistant (FH(+)) and insulin-sensitive (FH(-)) healthy patients, regardless of changes in insulin sensitivity. These results prove that even a modest lipid oversupply may be sufficient to trigger a deleterious endothelial response.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1559-4564
pubmed:author
pubmed:issnType
Print
pubmed:volume
3
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
141-6
pubmed:meshHeading
pubmed-meshheading:18983329-Adult, pubmed-meshheading:18983329-Biological Markers, pubmed-meshheading:18983329-Blood Glucose, pubmed-meshheading:18983329-Dose-Response Relationship, Drug, pubmed-meshheading:18983329-Endothelin-1, pubmed-meshheading:18983329-Endothelium, Vascular, pubmed-meshheading:18983329-Female, pubmed-meshheading:18983329-Follow-Up Studies, pubmed-meshheading:18983329-Glucose Tolerance Test, pubmed-meshheading:18983329-Humans, pubmed-meshheading:18983329-Infusions, Intravenous, pubmed-meshheading:18983329-Insulin Resistance, pubmed-meshheading:18983329-Intercellular Adhesion Molecule-1, pubmed-meshheading:18983329-Lipids, pubmed-meshheading:18983329-Male, pubmed-meshheading:18983329-Metabolic Syndrome X, pubmed-meshheading:18983329-Prognosis, pubmed-meshheading:18983329-Reference Values, pubmed-meshheading:18983329-Vascular Cell Adhesion Molecule-1
pubmed:year
2008
pubmed:articleTitle
Chronic low-dose lipid infusion in healthy patients induces markers of endothelial activation independent of its metabolic effects.
pubmed:affiliation
Division of Diabetes, University of Texas Health Science Center, San Antonio, TX 78284-3900, USA.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, Non-P.H.S., Research Support, N.I.H., Extramural