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Insulin secretion induced by palmitate--a process fully dependent on glucose concentration
A R Carpinelli1, M C Picinato, E Stevanato
1Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, Av. Prof Lineu Prestes, 1524, 05508.900 São Paulo, Brazil. angelo@fisio.icb.usp.br
Diabetes & Metabolism
|April 12, 2003
Summary
Palmitate
Area of Science:
- Metabolic regulation of insulin secretion
- Pancreatic islet cell function
- Lipid metabolism and glucose homeostasis
Background:
- Insulin secretion is tightly regulated by nutrient availability, including glucose and fatty acids.
- The role of palmitate, a common fatty acid, in modulating insulin secretion under varying glucose conditions requires further elucidation.
- Understanding these interactions is crucial for comprehending metabolic disorders like type 2 diabetes.
Purpose of the Study:
- To investigate the dose-dependent effect of palmitate on insulin secretion from pancreatic islets.
- To examine how glucose concentration influences palmitate's impact on insulin release and cellular metabolism.
- To explore the metabolic pathways, including glucose and palmitate oxidation and lipid synthesis, involved in this interplay.
Main Methods:
- Incubation of pancreatic islets with 0.1 mM palmitate at varying glucose concentrations (5.6 and 16.7 mM).
- Measurement of insulin secretion levels.
- Quantification of glucose and palmitate oxidation rates using radiolabeled tracers ([U-14C]-glucose and [U-14C]-palmitate).
- Analysis of [U-14C]-palmitate incorporation into various lipid and phospholipid fractions.
Main Results:
- At 5.6 mM glucose, palmitate significantly reduced insulin release (80%) and glucose oxidation (52%).
- At 16.7 mM glucose, palmitate increased insulin release (49%) and had no effect on glucose oxidation.
- Palmitate incorporation into phospholipids, particularly phosphatidylcholine (PC) and phosphatidic acid (PA), increased with higher glucose concentrations, correlating with enhanced insulin secretion.
Conclusions:
- Palmitate's effect on insulin secretion is glucose-dependent, shifting from inhibitory at low glucose to stimulatory at high glucose.
- At low glucose, palmitate may divert metabolic intermediates from glucose oxidation towards lipid synthesis, potentially lowering ATP levels and inhibiting insulin release.
- At high glucose, sufficient glycolytic flux supports both energy production and lipid synthesis, with increased PC and PA production potentially mediating enhanced insulin secretion.