Brain glucose metabolism controls the hepatic secretion of triglyceride-rich lipoproteins

Nat Med. 2007 Feb;13(2):171-80. doi: 10.1038/nm1540. Epub 2007 Feb 4.

Abstract

Increased production of very low-density lipoprotein (VLDL) is a critical feature of the metabolic syndrome. Here we report that a selective increase in brain glucose lowered circulating triglycerides (TG) through the inhibition of TG-VLDL secretion by the liver. We found that the effect of glucose required its conversion to lactate, leading to activation of ATP-sensitive potassium channels and to decreased hepatic activity of stearoyl-CoA desaturase-1 (SCD1). SCD1 catalyzed the synthesis of oleyl-CoA from stearoyl-CoA. Curtailing the liver activity of SCD1 was sufficient to lower the hepatic levels of oleyl-CoA and to recapitulate the effects of central glucose administration on VLDL secretion. Notably, portal infusion of oleic acid restored hepatic oleyl-CoA to control levels and negated the effects of both central glucose and SCD1 deficiency on TG-VLDL secretion. These central effects of glucose (but not those of lactate) were rapidly lost in diet-induced obesity. These findings indicate that a defect in brain glucose sensing could play a critical role in the etiology of the metabolic syndrome.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Blotting, Western
  • Brain / metabolism*
  • DNA Primers
  • Dose-Response Relationship, Drug
  • Glucose / metabolism*
  • Insulin / pharmacology
  • Insulin Resistance / physiology
  • Lipoproteins, VLDL / metabolism*
  • Liver / drug effects
  • Liver / metabolism*
  • Male
  • Metabolic Syndrome / metabolism*
  • Obesity / metabolism*
  • Oxamic Acid / pharmacology
  • Rats
  • Rats, Sprague-Dawley
  • Sodium Lactate / pharmacology
  • Somatostatin / pharmacology
  • Stearoyl-CoA Desaturase / metabolism
  • Triglycerides / blood

Substances

  • DNA Primers
  • Insulin
  • Lipoproteins, VLDL
  • Triglycerides
  • Somatostatin
  • Stearoyl-CoA Desaturase
  • Glucose
  • Oxamic Acid
  • Sodium Lactate