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Hepatic saturated fatty acid fraction is associated with de novo lipogenesis and hepatic insulin resistance

  • Lucas Lindeboom
  • , Kay H M Roumans
  • , Pandichelvam Veeraiah
  • , Carlijn M E Remie
  • , Esther Phielix
  • , Bas Havekes
  • , Yvonne M H Bruls
  • , Martijn C G J Brouwers
  • , Marcus Ståhlman
  • , Marjan Alssema
  • , Harry P F Peters
  • , Renée de Mutsert
  • , Bart Staels
  • , Marja-Riitta Taskinen
  • , Jan Borén
  • , Patrick Schrauwen
  • , Vera B Schrauwen-Hinderling
  • Maastricht University
  • Maastricht University Medical Center+
  • University of Gothenburg
  • Unilever Food Innovation Center
  • Leiden University Medical Center
  • University Lille
  • University of Helsinki

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Hepatic steatosis is associated with poor cardiometabolic health, with de novo lipogenesis (DNL) contributing to hepatic steatosis and subsequent insulin resistance. Hepatic saturated fatty acids (SFA) may be a marker of DNL and are suggested to be most detrimental in contributing to insulin resistance. Here, we show in a cross-sectional study design (ClinicalTrials.gov ID: NCT03211299) that we are able to distinguish the fractions of hepatic SFA, mono- and polyunsaturated fatty acids in healthy and metabolically compromised volunteers using proton magnetic resonance spectroscopy (1H-MRS). DNL is positively associated with SFA fraction and is elevated in patients with non-alcoholic fatty liver and type 2 diabetes. Intriguingly, SFA fraction shows a strong, negative correlation with hepatic insulin sensitivity. Our results show that the hepatic lipid composition, as determined by our 1H-MRS methodology, is a measure of DNL and suggest that specifically the SFA fraction may hamper hepatic insulin sensitivity.

Original languageEnglish
Article number1891
JournalNature Communications
Volume11
DOIs
Publication statusPublished - 20 Apr 2020
Externally publishedYes

Keywords

  • adipose tissue
  • adult
  • aged
  • cross-sectional studies
  • diabetes mellitus, type 2/metabolism
  • fatty acids/metabolism
  • female
  • humans
  • insulin resistance/physiology
  • lipids
  • lipogenesis/physiology
  • liver/diagnostic imaging
  • male
  • middle aged
  • non-alcoholic fatty liver disease/metabolism
  • triglycerides/metabolism

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