دورية أكاديمية

Increased lipolysis after infusion of acylated ghrelin:a randomized, double-blinded placebo-controlled trial in hypopituitary patients

التفاصيل البيبلوغرافية
العنوان: Increased lipolysis after infusion of acylated ghrelin:a randomized, double-blinded placebo-controlled trial in hypopituitary patients
المؤلفون: Lauritzen, Esben Stistrup, Jorgensen, Jens Otto Lunde, Møller, Niels, Nielsen, Soren, Vestergaard, Esben Thyssen
المصدر: Lauritzen , E S , Jorgensen , J O L , Møller , N , Nielsen , S & Vestergaard , E T 2020 , ' Increased lipolysis after infusion of acylated ghrelin : a randomized, double-blinded placebo-controlled trial in hypopituitary patients ' , Clinical Endocrinology , vol. 93 , no. 6 , pp. 672-677 . https://doi.org/10.1111/cen.14290Test
سنة النشر: 2020
المجموعة: Aarhus University: Research
مصطلحات موضوعية: acyl ghrelin, acylated ghrelin, ghrelin, lipolysis, palmitate turnover, GROWTH-HORMONE, SECRETION, INSULIN, CORTISOL, GLYCEROL, PEPTIDE, GLUCOSE
الوصف: Context Acylated ghrelin increases growth hormone (GH) and adrenocorticotrophic hormone (ACTH) secretion from the anterior pituitary gland. Additionally, it increases free fatty acid levels independently of GH and ACTH, but the impact of ghrelin on fatty acid turnover has not been determined. This study was designed to test whether acylated ghrelin directly increases the turnover rate of fatty acids. Design Eight hypopituitary patients on stable replacement with GH and hydrocortisone were included in a randomized, double-blinded, placebo-controlled crossover study including two study days: (a) infusion of acylated ghrelin and (b) infusion of saline. The study day comprised a basal period (t = 0-120 minutes) and a hyperinsulinaemic-euglycemic clamp period (t = 120-300 minutes). Whole-body lipolysis was estimated att = 90-120 andt = 270-300 minutes with a palmitate isotope dilution technique. Results Infusion of acylated ghrelin resulted in 10 times increased total ghrelin area under the curve (AUC) levels in the basal period and 15 times increased AUC levels in the clamp period compared with saline infusion (P <.001). GH(AUC)levels were largely unaffected by ghrelin compared to saline infusion during both the basal and clamp period, but cortisol(AUC)levels increased by 15% after ghrelin compared to saline infusion in the basal period (P = .03). Palmitate turnover was increased by 43% in the basal period (difference: 77 (20) mu mol/min,P = .01) and unchanged in the clamp period (difference 0.9 (17) mu mol/min,P = 1.0) after ghrelin compared to saline infusion. Conclusions Our results support the hypothesis that pharmacological levels of acylated ghrelin directly activate lipolysis at the whole-body level.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1111/cen.14290
الإتاحة: https://doi.org/10.1111/cen.14290Test
https://pure.au.dk/portal/da/publications/increased-lipolysis-after-infusion-of-acylated-ghrelinTest(c623a042-b257-43c8-9cf3-dae8c72d3c90).html
http://www.scopus.com/inward/record.url?scp=85088877446&partnerID=8YFLogxKTest
حقوق: info:eu-repo/semantics/restrictedAccess
رقم الانضمام: edsbas.B6053A76
قاعدة البيانات: BASE