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The Journal of Clinical Endocrinology & Metabolism
Article . 2018 . Peer-reviewed
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Intralipid/Heparin Infusion Alters Brain Metabolites Assessed With 1H-MRS Spectroscopy in Young Healthy Men

Authors: Monika, Karczewska-Kupczewska; Agnieszka, Nikolajuk; Remigiusz, Filarski; Radoslaw, Majewski; Eugeniusz, Tarasów;

Intralipid/Heparin Infusion Alters Brain Metabolites Assessed With 1H-MRS Spectroscopy in Young Healthy Men

Abstract

Abstract Context We previously demonstrated that insulin infusion altered metabolite concentrations in cerebral tissues assessed with proton magnetic resonance spectroscopy (1H-MRS) in young subjects with high insulin sensitivity, but not in those with low insulin sensitivity. Fat overload is an important factor leading to insulin resistance. Objective The purpose of the current study was to examine the effect of elevated circulating free fatty acid (FFA) levels on metabolites in cerebral tissues assessed with 1H-MRS. Design The study group comprised 10 young, healthy male subjects. 1H-MRS was performed at baseline and after 4-hour Intralipid (Fresenius Kabi)/heparin or saline infusions administered in random order. Voxels were positioned in the left frontal lobe, left temporal lobe, and hippocampus. The ratios of N-acetylaspartate (NAA), choline (Cho)-containing compounds, myo-inositol (mI), and glutamate/glutamine/γ-aminobutyric acid complex (Glx) to creatine (Cr) and nonsuppressed water signal were determined. Results Intralipid/heparin infusion resulted in a significant increase in circulating FFAs (P < 0.0001). Significant changes in brain neurometabolite concentrations in response to Intralipid/heparin infusion were increases in frontal mI/Cr (P = 0.041) and mI/H2O (P = 0.037), decreases in frontal and hippocampal Glx/Cr (P = 0.018 and P = 0.015, respectively) and Glx/H2O (P = 0.03 and P = 0.067, respectively), and a decrease in hippocampal NAA/Cr (P = 0.007) and NAA/H2O (P = 0.019). No changes in neurometabolites were observed during the saline infusion. Conclusions Acute circulating FFA elevation influenced cerebral metabolites in healthy humans and lipid-induced insulin resistance could be partly responsible for these effects.

Keywords

Glutamic acid - metabolism, Male, intravenous - administration & dosage, Glutamine, Proton Magnetic Resonance Spectroscopy, Aspartic acid - analogs & derivatives, Gamma-aminobutyric acid - analysis, Fatty Acids, Nonesterified, Hippocampus, Glutamine - metabolism, Choline, nonesterified - analysis, Inositol - metabolism, Gamma-aminobutyric acid - metabolism, Hippocampus - metabolism, Inositol - analysis, Choline - metabolism, Phospholipids, Aspartic acid - metabolism, Soybean oil - administration & dosage, Creatine - metabolism, Brain, Phospholipids - administration & dosage, Healthy Volunteers, Heparin - administration & dosage, Frontal Lobe, Glutamic acid - analysis, Emulsions, Adult, Fat Emulsions, Intravenous, Glutamine - analysis, Glutamic Acid, Choline - analysis, Anticoagulants - administration & dosage, Aspartic acid - analysis, Frontal lobe - metabolism, Creatine - analysis, Humans, Fatty acids, Healthy volunteers, Brain - metabolism, Aspartic Acid, Heparin, Anticoagulants, Emulsions - administration & dosage, Creatine, Fat emulsions, nonesterified - metabolism, Inositol, Proton magnetic resonance spectroscopy - methods

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Top 10%
Average
Average
bronze