Acute modulation of adipose tissue lipolysis by intravenous estrogens

Obesity (Silver Spring). 2006 Dec;14(12):2163-72. doi: 10.1038/oby.2006.253.

Abstract

Objective: The aim of this study was to determine whether intravenous (IV) conjugated estrogens (EST) acutely enhance the suppression of whole-body or regional subcutaneous adipose tissue (SAT) lipolysis by insulin in postmenopausal women.

Research methods and procedures: We assessed whole-body lipolysis by [(2)H(5)]glycerol rate of appearance (Glyc(RA)) and abdominal and femoral SAT lipolysis (interstitial glycerol; Glyc(IS)) by subcutaneous microdialysis. Postmenopausal women (n = 12) were studied on two occasions, with IV EST or saline control (CON), under basal conditions and during a 3-stage (4, 8, and 40 mU/m(2)/min) hyperinsulinemic, euglycemic clamp. Ethanol outflow/inflow ratio and recovery of [(13)C]glycerol during microdialysis were used to assess blood flow changes and interstitial glycerol concentrations, respectively.

Results: Compared with CON, EST did not affect systemic basal or insulin-mediated suppression of lipolysis (Glyc(RA)) or SAT nutritive blood flow. Basal Glyc(IS) in SAT was reduced on the EST day. However, insulin-mediated suppression of lipolysis in SAT was not significantly influenced by EST.

Discussion: These findings suggest that estrogens acutely reduce basal lipolysis in SAT through an unknown mechanism but do not alter whole-body or SAT suppression of lipolysis by insulin.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Body Composition / physiology
  • Carbon Isotopes
  • Cross-Over Studies
  • Estrogens, Conjugated (USP) / pharmacology*
  • Female
  • Glucose Clamp Technique
  • Glycerol / metabolism
  • Humans
  • Injections, Intravenous
  • Insulin / metabolism*
  • Lipolysis / drug effects*
  • Lipolysis / physiology
  • Microdialysis
  • Middle Aged
  • Postmenopause
  • Subcutaneous Fat / drug effects*
  • Subcutaneous Fat / metabolism*

Substances

  • Carbon Isotopes
  • Estrogens, Conjugated (USP)
  • Insulin
  • Glycerol