Exercise-induced fall in insulin and increase in fat metabolism during prolonged muscular work

The role of the exercise-induced fall in insulin in fat metabolism was studied in dogs during 150 min of treadmill exercise alone (controls) or with insulin clamped at basal levels by an intraportal infusion to prevent the normal fall in insulin concentration (ICs). To counteract the suppressive effect of insulin on glucagon release, glucagon was supplemented by an intraportal infusion in ICs. In all dogs, catheters were placed in a carotid artery and in the portal and hepatic veins for sampling and in the vena cava and the splenic vein for infusion purposes. Glucose levels were clamped in ICs to recreate the glycemic response evident in controls. In controls, insulin fell by 7 +/- 1 microU/ml but was unchanged from basal levels in ICs (0 +/- 2 microU/ml). Glucagon, norepinephrine, epinephrine, and cortisol rose similarly in controls and ICs. Arterial free-fatty acid (FFA) levels rose by 644 +/- 126 mu eq/L in controls but did not increase in ICs (-12 +/- 148 mu eq/L). Arterial glycerol levels rose by 337 +/- 43 and 183 +/- 19 microM in controls and ICs. Hepatic FFA delivery and fractional extraction increased by 17 +/- 3 and 0.06 +/- 0.02 mumol.kg-1.min-1, respectively, in controls. In ICs, hepatic FFA delivery increased by only 1 +/- 2 mumol.kg-1.min-1, whereas hepatic fractional extraction fell slightly (-0.03 +/- 0.03). Consequently, net hepatic FFA uptake rose by 4.8 +/- 1.5 mumol.kg-1.min-1 in controls but decreased slightly in ICs (-0.5 +/- 1.1 mumol.kg-1.min-1).(ABSTRACT TRUNCATED AT 250 WORDS)