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Diabetes, Vol 46, Issue 3 348-353, Copyright © 1997 by American Diabetes Association
Improved insulin sensitivity by bezafibrate in rats: relationship to fatty acid composition of skeletal-muscle triglycerides
H Matsui, K Okumura, K Kawakami, M Hibino, Y Toki and T Ito
Internal Medicine II, Nagoya University School of Medicine, Japan.
We investigated the effect of the lipid-lowering agent, bezafibrate, on
insulin sensitivity in a dietary model of insulin resistance. Male
Sprague-Dawley rats were divided into four groups: control group,
administered a standard diet; high-fructose group, given a 40% fructose
diet; high-fructose plus lard group, given a 40% fructose diet with 7%
lard; and bezafibrate group, given a 40% fructose plus 7% lard diet with 10
mg x kg-1 x day-1 of oral bezafibrate. Insulin action was assessed after 2
weeks with a steady-state plasma glucose (SSPG) level. The fatty acid (FA)
composition of skeletal-muscle triglycerides was also determined. A higher
SSPG level (20.9 +/- 0.9 vs. 16.5 +/- 1.1 mmol/l in the control group, P
< 0.05) as well as a higher systolic blood pressure (120 +/- 2 vs. 101
+/- 2 mmHg, P < 0.01) was observed in the high-fructose plus lard group,
but not in the high-fructose group. These changes were prevented by
bezafibrate administration. The FA composition of skeletal-muscle
triglycerides demonstrated a higher percentage of saturated and
monounsaturated FAs (P < 0.01) and a lower percentage of polyunsaturated
FAs (P <0.01) in the high-fructose plus lard group versus the control
group. These changes were consistent with differences in the dietary intake
of FAs. Bezafibrate virtually normalized the FA composition in the
high-fructose plus lard group. The ratio of C20:4 to C20:3, an index of
delta5 desaturase activity, was significantly higher in the bezafibrate
group versus the high-fructose plus lard group (8.60 +/- 0.76 vs. 2.04 +/-
0.27, P < 0.01). In conclusion, the dietary FA composition was closely
related to insulin resistance in rats fed 40% fructose. Bezafibrate
increased delta5 desaturase activity. Such action may contribute to the
improvement of insulin sensitivity.

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Copyright © 1997 by the American Diabetes Association.
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