Circulating palmitoleate strongly and independently predicts insulin sensitivity in humans
N Stefan, K Kantartzis, N Celebi, H Staiger… - Diabetes …, 2010 - Am Diabetes Assoc
Diabetes care, 2010•Am Diabetes Assoc
OBJECTIVE We investigated whether palmitoleate, which prevents insulin resistance in
mice, predicts insulin sensitivity in humans. RESEARCH DESIGN AND METHODS The
fasting fatty acid pattern in the plasma free fatty acid (FFA) fraction was determined in 100
subjects at increased risk for type 2 diabetes. Insulin sensitivity was estimated during an oral
glucose tolerance test (OGTT) at baseline and after 9 months of lifestyle intervention and
measured during the euglycemic-hyperinsulinemic clamp (n= 79). RESULTS Circulating …
mice, predicts insulin sensitivity in humans. RESEARCH DESIGN AND METHODS The
fasting fatty acid pattern in the plasma free fatty acid (FFA) fraction was determined in 100
subjects at increased risk for type 2 diabetes. Insulin sensitivity was estimated during an oral
glucose tolerance test (OGTT) at baseline and after 9 months of lifestyle intervention and
measured during the euglycemic-hyperinsulinemic clamp (n= 79). RESULTS Circulating …
OBJECTIVE
We investigated whether palmitoleate, which prevents insulin resistance in mice, predicts insulin sensitivity in humans.
RESEARCH DESIGN AND METHODS
The fasting fatty acid pattern in the plasma free fatty acid (FFA) fraction was determined in 100 subjects at increased risk for type 2 diabetes. Insulin sensitivity was estimated during an oral glucose tolerance test (OGTT) at baseline and after 9 months of lifestyle intervention and measured during the euglycemic-hyperinsulinemic clamp (n = 79).
RESULTS
Circulating palmitoleate (OGTT:F ratio = 8.2, P = 0.005; clamp:F ratio = 7.8, P = 0.007) but not total FFAs (OGTT:F ratio = 0.6, P = 0.42; clamp:F ratio = 0.7, P = 0.40) correlated positively with insulin sensitivity, independently of age, sex, and adiposity. High baseline palmitoleate predicted a larger increase in insulin sensitivity. For 1-SD increase in palmitoleate, the odds ratio for being in the highest versus the lowest tertile of adjusted change in insulin sensitivity was 2.35 (95% CI 1.16–5.35).
CONCLUSIONS
Circulating palmitoleate strongly and independently predicts insulin sensitivity, suggesting that it plays an important role in the pathophysiology of insulin resistance in humans.
Am Diabetes Assoc