Sex Steroids Affect Triglyceride Handling, Glucose-Dependent Insulinotropic Polypeptide, and Insulin Sensitivity

被引:25
作者
Lapauw, Bruno [1 ]
Ouwens, Margriet [3 ]
't Hart, Leen M. [4 ]
Wuyts, Birgitte [2 ]
Holst, Jens J. [5 ]
T'Sjoen, Guy [1 ]
Kaufman, Jean-Marc [1 ]
Ruige, Johannes B. [1 ]
机构
[1] Ghent Univ Hosp, Dept Endocrinol, B-9000 Ghent, Belgium
[2] Ghent Univ Hosp, Lab Metab Dis, B-9000 Ghent, Belgium
[3] Deutsch Diabet Zentrum, Inst Klin Biochem & Pathobiochem, Dusseldorf, Germany
[4] Leiden Univ, Med Ctr, Dept Mol Cell Biol, Leiden, Netherlands
[5] Univ Copenhagen, Panum Inst, Dept Biomed Sci, DK-2200 Copenhagen, Denmark
关键词
LOW SERUM TESTOSTERONE; METABOLIC SYNDROME; MEN; PREDICTION; HORMONES; GIP;
D O I
10.2337/dc10-0515
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE- To evaluate metabolic effects of sex steroids in nonfasting and fasting conditions, independent from changes in body composition. RESEARCH DESIGN AND METHODS- A randomized clinical trial was performed to create contrasting sex steroid levels in healthy young men: by letrozole (aromatase inhibitor) to lower estradiol (E-2) and increase testosterone (group T, n = 10) versus letrozole plus E-2 patches to lower T and raise E-2 (group E, n = 10). Mixed meals and hyperinsulinemic-euglycemic clamps were performed before and after a 1-week treatment period. RESULTS- Following intervention, the postprandial triglyceride response displayed a diverging response with a decline in group T and an increase in group E; the postprandial glucose-dependent insulinotropic polypeptide (GIP) response increased in group T. Insulin sensitivity increased in group T but remained unaltered in group E. CONCLUSIONS- In healthy young men, short-term changes in sex steroids affect postprandial triglyceride and GIP response and insulin sensitivity.
引用
收藏
页码:1831 / 1833
页数:3
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