Abstract
Adiponectin is an important vascular protective substance whose levels are reduced
in states of insulin resistance. The relationships between plasma insulin levels and
adiponectin are not fully understood, and it is not known whether it is the elevated
circulating levels of insulin or insulin resistance that directly affects adiponectin
levels. The present study evaluates the direct effect of chronic hyperinsulinemia
on plasma adiponectin levels. Male Sprague–Dawley rats were treated with insulin (n=15)
administered by a sustained-release implant or were given a sham implantation (n=10)
as a control group. Body weight, systolic blood pressure, plasma glucose, triglycerides,
insulin, and adiponectin were measured at baseline and after 20 and 40 d of treatment.
Insulin-treated rats and controls showed a similar increase in body weight. The insulin-treated
group had a significant increase in plasma insulin levels and a decrease in plasma
glucose levels compared with the sham group, with no change in blood pressure or triglyceride
levels. Adiponectin levels remained unchanged despite the significant increase in
insulin levels. High circulating insulin levels do not affect plasma adiponectin levels.
These results support the concept that the primary defect that results in insulin
resistance and hyperinsulinemia is responsible for the altered plasma adiponectin
levels in the metabolic syndrome and type 2 diabetes.
Key words
adiponectin - insulin - Sprague-Dawley rats
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Correspondence
Dr. Y. Kamari
Hypertension Unit, Internal Medicine D
C. Sheba Medical Center
52621 Tel Hashomer
Israel
Phone: +972/3/530 26 24
Fax: +972/3/535 54 28
Email: yehuda.kamari@sheba.health.gov.il