Plasma lipid profiling of tissue-specific insulin resistance in human obesity

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Birgitta W van der Kolk, Nicole Vogelzangs, Johan W E Jocken, Armand Valsesia, Thomas Hankemeier, Arne Astrup, Wim H M Saris, Ilja C W Arts, Marleen M J van Greevenbroek, Ellen E Blaak, DiOGenes consortium

Background/Objectives: Obesity-associated insulin resistance (IR) may develop in multiple organs, representing different aetiologies towards cardiometabolic diseases. This study aimed to identify distinct plasma lipid profiles in overweight/obese individuals who show muscle-IR and/or liver-IR.

Subjects/Methods: Baseline data of the European multicenter DiOGenes project were used (n = 640; 401 women, nondiabetic BMI: 27-45 kg/m2). Muscle insulin sensitivity index (MISI) and hepatic insulin resistance index (HIRI) were derived from a 5-point oral glucose tolerance test. The 140 plasma lipids were quantified by liquid chromatography-mass spectrometry. Linear mixed models were used to evaluate associations between MISI, HIRI and plasma lipids.

Results: MISI was comparable between sexes while HIRI and triacylglycerol (TAG) levels were lower in women than in men. MISI was associated with higher lysophosphatidylcholine (LPC) levels (standardized (std)β = 0.126; FDR-p = 0.032). Sex interactions were observed for associations between HIRI, TAG and diacylglycerol (DAG) lipid classes. In women, but not in men, HIRI was associated with higher levels of TAG (44 out of 55 species) and both DAG species (stdβ: 0.139-0.313; FDR-p < 0.05), a lower odd-chain/even-chain TAG ratio (stdβ = -0.182; FDR-p = 0.005) and a lower very-long-chain/long-chain TAG ratio (stdβ = -0.156; FDR-p = 0.037).

Conclusions: In overweight/obese individuals, muscle insulin sensitivity is associated with higher plasma LPC concentrations. Women have less hepatic IR and lower TAG than men. Nevertheless, hepatic IR is associated with higher plasma TAG and DAG concentrations and a lower abundance of odd-chain and very-long-chain TAG in women, but not in men. This suggests a more pronounced worsening of plasma lipid profile in women with the progression of hepatic IR.

OriginalsprogEngelsk
TidsskriftInternational Journal of Obesity
Vol/bind43
Sider (fra-til)989-998
Antal sider10
ISSN0307-0565
DOI
StatusUdgivet - 2019

Bibliografisk note

CURIS 2019 NEXS 157

ID: 202940954