PMID- 23446661 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130301 LR - 20211021 IS - 2044-4052 (Electronic) IS - 2044-4052 (Linking) VI - 2 IP - 9 DP - 2012 Sep 17 TI - Vascular and metabolic effects of adrenaline in adipose tissue in type 2 diabetes. PG - e46 LID - 10.1038/nutd.2012.19 [doi] AB - OBJECTIVE: The aim was to investigate adipose tissue vascular and metabolic effects of an adrenaline infusion in vivo in subjects with and without type 2 diabetes mellitus (T2DM). DESIGN: Clinical intervention study with 1-h intravenous adrenaline infusion. SUBJECTS: Eight male overweight T2DM subjects and eight male weight-matched, non-T2DM subjects were studied before, during and after an 1-h intravenous adrenaline infusion. Adipose tissue blood flow (ATBF) was determined by (133)Xenon wash-out technique, and microvascular volume in the adipose tissue was studied by contrast-enhanced ultrasound imaging. Adipose tissue fluxes of glycerol, non-esterified fatty acids (NEFA), triacylglycerol and glucose were measured by Fick's principle after catherisation of a radial artery and a vein draining the abdominal, subcutaneous adipose tissue. RESULTS: ATBF increased similarly in both groups during the adrenaline infusion. One hour post adrenaline, ATBF was still increased in overweight T2DM subjects. Adrenaline increased microvascular volume in non-T2DM subjects while this response was impaired in overweight T2DM subjects. Adrenaline-induced increase in lipolysis was similar in both groups, but NEFA output from adipose tissue was delayed in overweight T2DM subjects. Glucose uptake in adipose tissue increased in non-T2DM subjects during adrenaline infusion but was unchanged in overweight T2DM subjects. This results in a delayed excess release of NEFA from the adipose tissue in overweight T2DM subjects after cessation of the adrenaline infusion. CONCLUSION: Capillaries in the adipose tissue are recruited by adrenaline in non-T2DM subjects; however, this response is impaired in overweight T2DM subjects. NEFA, released in adipose tissue during adrenaline stimulation, is insufficiently re-esterified in situ in overweight T2DM subjects, probably owing to increased ATBF after adrenaline infusion and inability to increase adipose tissue glucose uptake. FAU - Tobin, L AU - Tobin L AD - Department of Clinical Physiology and Nuclearmedicine, Bispebjerg Hospital, University of Copenhagen, Copenhagen NV, Denmark. FAU - Simonsen, L AU - Simonsen L FAU - Galbo, H AU - Galbo H FAU - Bulow, J AU - Bulow J LA - eng PT - Journal Article DEP - 20120917 PL - England TA - Nutr Diabetes JT - Nutrition & diabetes JID - 101566341 PMC - PMC3461355 EDAT- 2013/03/01 06:00 MHDA- 2013/03/01 06:01 PMCR- 2012/09/01 CRDT- 2013/03/01 06:00 PHST- 2013/03/01 06:00 [entrez] PHST- 2013/03/01 06:00 [pubmed] PHST- 2013/03/01 06:01 [medline] PHST- 2012/09/01 00:00 [pmc-release] AID - nutd201219 [pii] AID - 10.1038/nutd.2012.19 [doi] PST - epublish SO - Nutr Diabetes. 2012 Sep 17;2(9):e46. doi: 10.1038/nutd.2012.19.