Diabetologia

, Volume 2, Issue 2, pp 127–129 | Cite as

Plasma β-hydroxybutyric acid response to nicotinic acid-induced plasma free fatty acid decrease in man

  • L. A. Carlson
  • J. Östman
Preliminary Communications

Summary

Nicotinic acid was in acute studies administered to 4 patients with untreated juvenile diabetes and to 4 obese fasting patients. In all cases the plasma level of FFA decreased. This was soon followed by a decrease in plasma β-hydroxybutyric acid. The effects were less prompt and pronounced in the obese fasting subjects. There were lesser changes in the concentration of blood glucose.

Keywords

Nicotinic Acid Juvenile Diabetes Plasma Free Fatty Acid Acute Study Acid Response 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Réponse de l'acide β-hydroxybutyrique du plasma à la chute des acides gras libres provoquée par l'acide nicotinique

Résumé

4 malades avec diabète juvénile non-traité et 4 personnes obèses à jeun ont reçu de l'acide nicotinique dans une étude aiguë. Dans tous les cas le taux des acides gras libres du plasma descendait, suivi par une chute de l'acide bêta-hydroxybutyrique dans le plasma. Les effets étaient moins prompts et moins prononcés chez les personnes obèses à jeun. Des modifications moindres du glucose sanguin ont été observées.

Verhalten der Plasma β-hydroxy-Buttersäure nach durch Nikotinsäure ausgelöstem Abfall der freien Fettsäure beim Menschen

Zusammenfassung

4 Patienten mit unbehandeltem, jugendlichen Diabetes und 4 Adipöse im Hungerzustand erhielten im akuten Versuch Nikotinsäure. Bei allen Versuchspersonen trat ein Abfall der freien Fettsäuren im Plasma ein, an den sich ein Absinken des β-hydroxy-buttersäure-Spiegels im Plasma anschloß. Bei den übergewichtigen Personenim Hungerzustand setzten diese Wirkungen langsamer ein und waren schwächer ausgeprägt. Die Blutzuckerspiegel änderten sich in geringerem Ausmaße.

References

  1. [1]
    Beatty, C.H., R.D. Peterson, R.M.A. Boceck and E.S. West: Acetoacetate and glucose uptake by diaphragm and skeletal muscle from control and diabetic rats. J. biol. Chem. 234, 11–15 (1959).Google Scholar
  2. [2]
    Bergström, S., and L.A. Carlson: Influence of the nutritional state on the inhibition of lipolysis in adipose tissue by prostaglandin E1 and nicotinic acid. Prostaglandin and related factors 46. Acta physiol. scand. 65, 383–384 (1965).Google Scholar
  3. [3]
    Blackard, W.G., and Y. Omori: Blood ketone response to norepinephrine induced free fatty acid elevation in diabetes. Diabetes 13, 518–526 (1964).Google Scholar
  4. [4]
    Bressler, R.: The biochemistry of ketosis. Ann. N.Y. Acad. Sci. 104, 735–752 (1963).Google Scholar
  5. [5]
    Carlson, L.A., J. Boberg and B. Högstedt: Some physiological and clinical implications of lipid mobilization from adipose tissue. Handbook of Physiology. V. Adipose Tissue (Ed. A.E. Renold and G.E. Cahill, Jr.) Amer. physiol. Soc. Washington 1965. pp. 625–644.Google Scholar
  6. [6]
    —, and L. Orö: The effect of nicotinic acid on the plasma free fatty acids. Demonstration of a metabolic type of sympathicolysis. Acta med. scand. 172, 641–645 (1962).Google Scholar
  7. [7]
    —: Inhibition of the mobilization of free fatty acids from adipose tissue. Ann. N.Y. Acad. Sci. 131, 119–142 (1965).Google Scholar
  8. [8]
    —: Consequences of inhibition of normal and excessive lipid mobilization. Studies with nicotinic acid. Progress in Biochemical Pharmacology II. S. Karger AG, Basel 1966. In press.Google Scholar
  9. [9]
    Carlson, L.A., and J. Östman: Inhibition of the mobilization of free fatty acids from adipose tissue in diabetes. II. Effect of nicotinic acid and acetylsalicylate on blood glucose in human diabetics. Acta med. scand. 178, 71–79 (1965).Google Scholar
  10. [10]
    Dole, V.P.: A relation between nonesterified fatty acids in plasma and the metabolism of glucose. J. clin. Invest. 35, 150–154 (1956).Google Scholar
  11. [11]
    Gammeltoft, A.: Ratio of β-hydroxybutyric acid to acetoacetic acid in the blood under various experimental conditions. Acta physiol. scand. 24, 35–48 (1951).Google Scholar
  12. [12]
    Garland, P.B., E.A. Newsholme and P.J. Randle: Regulation of glucose uptake by muscle. 9. Effects of fatty acids and ketone bodies, and of alloxan-diabetes and starvation, on pyruvate metabolism and on lactate/pyruvate and L-glycerol 3-phosphate/ dihydroxyacetone phosphate concentration ratios in rat heart and rat diaphragm muscles. Biochem. J. 93, 665–678 (1964).Google Scholar
  13. [13]
    Kaye, R., M.H. Davidsson, M.L. Williams, M. Kumagi and D.M. Picon: The response of blood glucose, ketones and plasma nonesterified fatty acids to fasting and epinephrine injection in infants and children. Pediat. 59, 836–845 (1961).Google Scholar
  14. [14]
    Marks, V.: An improved glucose-oxidase method for determining blood, C.S.F. and urine glucose levels. Clin. chim. Acta 4, 395–400 (1959).Google Scholar
  15. [15]
    Ontko, J.A., and D.B. Zilversmit: Correlation between concentrations of circulating free fatty acids and ketone bodies. Proc. Soc. exp. Biol. Med. 121, 319–321 (1966).Google Scholar
  16. [16]
    Randle, P.J., P.B. Garland, C.N. Hales and E.A. Newsholme: The glucose-fatty acid cycle. Its role in insulin sensitivity and the metabolic disurbances of diabetes mellitus. Lancet 1963 I, 785–789.Google Scholar
  17. [17]
    Scow, R.O., and S.S. Chernick: Hormonal control of protein and fat metabolism in the pancreatectomized rat. Recent Progr. Hormone Res. 16, 497–512 (1960).Google Scholar
  18. [18]
    Shipp, J.C., L.H. Opie and D. Challoner: Fatty acid and glucose metabolism in the perfused heart. Nature 189, 1018–1019 (1961).Google Scholar
  19. [19]
    Shreeve, W.W.: Diabetic ketosis. Ann. N.Y. Acad. Sci. 104, 772–786 (1963).Google Scholar
  20. [20]
    Trout, D.L., E.H. Estes and S.J. Friedberg: Titration of free fatty acids of plasma: a study of current methods and a new modification. J. Lipid Res. 1, 199–202 (1960).Google Scholar
  21. [21]
    Williamson, D.H., J. Mellanby and H.A. Krebs: Enzymic determination of D(-)-β-hydroxybutyric acid and acetoacetic acid in blood. Biochem. J. 82, 90–96 (1962).Google Scholar
  22. [22]
    Williamson, J.R., and H.A. Krebs: Acetoacetate as fuel of respiration in the perfused rat heart. Biochem. J. 80, 540–548 (1961).Google Scholar

Copyright information

© Springer-Verlag 1966

Authors and Affiliations

  • L. A. Carlson
    • 1
  • J. Östman
    • 1
  1. 1.King Gustav V Research InstituteStockholm 60Sweden

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