Acute dietary fat intake initiates alterations in energy metabolism and insulin resistance

  • Elisa Alvarez Hernández
  • , Sabine Kahl
  • , Anett Seelig
  • , Paul Begovatz
  • , Martin Irmler
  • , Yuliya Kupriyanova
  • , Bettina Nowotny
  • , Peter Nowotny
  • , Christian Herder
  • , Cristina Barosa
  • , Filipa Carvalho
  • , Jan Rozman
  • , Susanne Neschen
  • , John G. Jones
  • , Johannes Beckers
  • , Martin Hrabě De Angelis
  • , Michael Roden*
  • *Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

169 Citations (Scopus)

Abstract

BACKGROUND. Dietary intake of saturated fat is a likely contributor to nonalcoholic fatty liver disease (NAFLD) and insulin resistance, but the mechanisms that initiate these abnormalities in humans remain unclear. We examined the effects of a single oral saturated fat load on insulin sensitivity, hepatic glucose metabolism, and lipid metabolism in humans. Similarly, initiating mechanisms were examined after an equivalent challenge in mice. METHODS. Fourteen lean, healthy individuals randomly received either palm oil (PO) or vehicle (VCL). Hepatic metabolism was analyzed using in vivo 13C/31P/1H and ex vivo 2H magnetic resonance spectroscopy before and during hyperinsulinemiceuglycemic clamps with isotope dilution. Mice underwent identical clamp procedures and hepatic transcriptome analyses. RESULTS. PO administration decreased whole-body, hepatic, and adipose tissue insulin sensitivity by 25%, 15%, and 34%, respectively. Hepatic triglyceride and ATP content rose by 35% and 16%, respectively. Hepatic gluconeogenesis increased by 70%, and net glycogenolysis declined by 20%. Mouse transcriptomics revealed that PO differentially regulates predicted upstream regulators and pathways, including LPS, members of the TLR and PPAR families, NF-κB, and TNF-related weak inducer of apoptosis (TWEAK). CONCLUSION. Saturated fat ingestion rapidly increases hepatic lipid storage, energy metabolism, and insulin resistance. This is accompanied by regulation of hepatic gene expression and signaling that may contribute to development of NAFLD.

Original languageEnglish
Pages (from-to)695-708
Number of pages14
JournalJournal of Clinical Investigation
Volume127
Issue number2
DOIs
Publication statusPublished - 1 Feb 2017
Externally publishedYes

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