Mechanism of fat-induced hepatic gluconeogenesis: effect of metformin

Am J Physiol Endocrinol Metab. 2001 Aug;281(2):E275-82. doi: 10.1152/ajpendo.2001.281.2.E275.

Abstract

High-fat feeding has been shown to cause hepatic insulin resistance. The aims of this study were to investigate the biochemical steps responsible for enhanced gluconeogenesis as a result of increased dietary fat intake and the site or sites at which the antihyperglycemic agent metformin acts to inhibit this process. Male Hooded Wistar rats were fed either a standard chow diet (5% fat by weight) or a high-fat diet (60% fat by weight) for 14 days with or without metformin. Total endogenous glucose production and gluconeogenesis were determined using [6-(3)H]glucose and [U-(14)C]alanine, respectively. Gluconeogenic enzyme activity and, where appropriate, protein and mRNA levels were measured in liver tissues. The high-fat diet increased endogenous glucose production (21.9 +/- 4.4 vs. 32.2 +/- 4.8 micromol x kg(-1) x min(-1), P < 0.05) and alanine gluconeogenesis (4.5 +/- 0.9 vs. 9.6 +/- 1.9 micromol x kg(-1) x min(-1), P < 0.05). Metformin reduced both endogenous glucose production (32.2 +/- 4.8 vs. 16.1 +/- 2.1 micromol x kg(-1) x min(-1), P < 0.05) and alanine gluconeogenesis (9.6 +/- 1.9 vs. 4.7 +/- 0.8 micromol x kg(-1) x min(-1), P < 0.05) after high-fat feeding. These changes were reflected in liver fructose-1,6-bisphosphatase protein levels (4.5 +/- 0.9 vs. 9.6 +/- 1.9 arbitrary units, P < 0.05 chow vs. high-fat feeding; 9.5 +/- 1.9 vs. 4.7 +/- 0.8 arbitrary units, P < 0.05 high fat fed in the absence vs. presence of metformin) but not in changes to the activity of other gluconeogenic enzymes. There was a significant positive correlation between alanine gluconeogenesis and fructose-1,6-bisphosphatase protein levels (r = 0.56, P < 0.05). Therefore, excess supply of dietary fat stimulates alanine gluconeogenesis via an increase in fructose-1,6-bisphosphatase protein levels. Metformin predominantly inhibits alanine gluconeogenesis by preventing the fat-induced changes in fructose-1,6-bisphosphatase levels.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Alanine / metabolism
  • Animals
  • Blood Glucose / drug effects
  • Body Weight / drug effects
  • Dietary Fats / metabolism*
  • Dietary Fats / pharmacology
  • Fatty Acids, Nonesterified / blood
  • Fructose-Bisphosphatase / metabolism
  • Gluconeogenesis / drug effects*
  • Gluconeogenesis / physiology*
  • Glucose / biosynthesis
  • Glucose-6-Phosphatase / metabolism
  • Glycogen / metabolism
  • Hypoglycemic Agents / administration & dosage*
  • Insulin / blood
  • Liver / drug effects
  • Liver / metabolism*
  • Male
  • Metformin / administration & dosage*
  • Phosphoenolpyruvate Carboxykinase (GTP) / metabolism
  • Rats
  • Rats, Wistar

Substances

  • Blood Glucose
  • Dietary Fats
  • Fatty Acids, Nonesterified
  • Hypoglycemic Agents
  • Insulin
  • Glycogen
  • Metformin
  • Fructose-Bisphosphatase
  • Glucose-6-Phosphatase
  • Phosphoenolpyruvate Carboxykinase (GTP)
  • Glucose
  • Alanine