Peroxisome proliferator-activated receptor gamma agonism modifies the effects of growth hormone on lipolysis and insulin sensitivity.

Abstract:

CONTEXT:Peroxisome proliferator-activated receptor gamma (PPAR-gamma) agonists such as thiazolidinediones (TZDs) improve insulin sensitivity in type 2 diabetes mellitus (T2DM) through effects on fat metabolism whereas GH stimulates lipolysis and induces insulin resistance. OBJECTIVE:To evaluate the impact of TZDs on fat metabolism and insulin sensitivity in subjects exposed to stable GH levels. DESIGN:A randomized, placebo-controlled, double-blind parallel-group study including 20 GH-deficient patients on continued GH replacement therapy. The patients were studied before and after 12 weeks. INTERVENTION:Patients received either pioglitazone 30 mg (N = 10) or placebo (N = 10) once daily for 12 weeks. RESULTS:Adiponectin levels almost doubled during pioglitazone treatment (P = 0.0001). Pioglitazone significantly decreased basal free fatty acid (FFA) levels (P = 0.02) and lipid oxidation (P = 0.02). Basal glucose oxidation rate (P = 0.004) and insulin sensitivity (P = 0.03) improved in the patients who received pioglitazone treatment. The change in insulin-stimulated adiponectin level after pioglitazone treatment was positively correlated to the change in insulin-stimulated total glucose disposal (R = 0.69, P = 0.04). CONCLUSION:The impact of GH on lipolysis and insulin sensitivity can be modified by administration of TZDs.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Krag MB,Nielsen S,Guo Z,Pedersen SB,Schmitz O,Christiansen JS,Jørgensen JO

doi

10.1111/j.1365-2265.2008.03231.x

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

452-61

issue

3

eissn

0300-0664

issn

1365-2265

pii

CEN3231

journal_volume

69

pub_type

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