PDA

View Full Version : Researchers Find New Fat Is Needed To Clear The Old


Welcome to the Active Low-Carber Forums

Support for Atkins diet, Protein Power, Neanderthin (Paleo Diet), CAD/CALP, Dr. Bernstein Diabetes Solution and any other healthy low-carb diet or plan, all are welcome in our lowcarb community. Forget starvation and fad diets -- join the healthy eating crowd! You may register by clicking here, it's free!



nobimbo
Fri, May-20-05, 04:14
May 20, 2005

Researchers find new fat is needed to clear the old

By Jim Dryden

Where fat comes from determines whether the body can metabolize it effectively. School of Medicine researchers have found that the old fat stored in the body's peripheral tissues — around the belly, thighs or bottom — can't be burned efficiently unless new fat is eaten or made in the liver.
The research team developed genetically engineered mice missing an important fat-synthesizing enzyme in the liver. As a result, the mice, called FASKOL mice (Fatty Acid Synthase KnockOut in Liver), could not produce new fatty acids in the liver.


Clay Semenkovich
Because liver fatty acids are vital for maintaining normal sugar, fat and cholesterol metabolism, these mice must take in dietary fat to remain healthy.

Reporting in the May issue of the journal Cell Metabolism, the researchers say these mice developed fatty liver disease when placed on a zero-fat diet.

"When we took dietary fat away from the FASKOL mice, their livers quickly filled with fat," said senior investigator Clay F. Semenkovich, M.D., professor of medicine and of cell biology and physiology. "Their old fat stores mobilized to the liver, but their livers could not initiate fat burning, and the fat just accumulated.

"We concluded that to regulate fat burning, the liver needs new fat."

New fat is consumed in food or is newly made in the liver as glucose is converted to fat by fatty acid synthase, the enzyme missing in the FASKOL mice. When the system takes in high amounts of glucose, fatty acid synthase in the liver makes it into new fat.

In addition to fatty livers, the transgenic mice developed low blood-sugar levels on the zero-fat diet. Both symptoms were reversed with dietary fat.

On a normal diet, the transgenic mice were no different than normal mice in terms of body weight, body fat, metabolic rate and food intake.

The effect of added dietary fat was duplicated when the mice were treated with a drug that activates a protein called PPAR-alpha. Liver fat declined to normal in the FASKOL mice within 10 days of receiving the PPAR-alpha activating drug.

PPAR-alpha is a protein found in all mammals and is central to metabolic processes that extract energy from dietary components like carbohydrates and fats. Because the PPAR-alpha-activating drug did the same work dietary fat does, the investigators concluded new fat may be crucial to initiating the PPAR-alpha pathway.

"Scientists have argued that PPAR-alpha is activated by fats," said Semenkovich, who also directs the Division of Endocrinology, Metabolism and Lipid Research. "But we've never known which fats or where they come from. This study suggests that new fat is a key that unlocks the door for PPAR-alpha in the liver."

The liver is very important for processing nutrients consumed in the diet and sending them on to the rest of the body. Abnormal processing of glucose or lipids in the liver contributes to problems of type 2 diabetes and atherosclerosis, and fatty liver disease often is seen in people who are obese or suffer from insulin resistance.

"There's also good evidence the liver plays a key role in mediating cardiovascular risk through the secretion of multiple proteins associated with inflammation," Semenkovich said. "In these mice we found that when too much fat got into the liver, there was excessive inflammation."

With Manu Chakravarthy, M.D., Ph.D., an endocrinology fellow and first author of the paper, Semenkovich found that new fat seems to solve those problems.

The research team is trying to identify fats that could be given in small amounts to activate the PPAR-alpha pathway. They are also studying liver cells and fat cells to see how the liver can tell the difference between old and new fat.

Eventually, Semenkovich believes these findings could lead to more effective strategies for the treatment of obesity, type 2 diabetes and other metabolic problems.

For now, he said that dieters who want to lose fat stored in peripheral tissues may find it useful to take in small amounts of dietary fats, such as fish oils, which might more effectively activate PPAR-alpha and fat-burning pathways through the liver.

http://record.wustl.edu/news/page/normal/5321.html

tom sawyer
Fri, May-20-05, 09:40
This is a somewhat confusing result to me. You knock out the fat-making enzyme, and the liver fills with fat only when no fat exists in the diet. I would not have predicted that the liver would fill with fat, unless the synthase works in both directions and can't break down stored fat either. Then again, we know that a low fat diet results in increased storage of fat, but again I wouldn't think the liver would become fatty since it can no longer make fat. Anyone have more insights into what is going on here?

Based on our results with LC, I think most any fat will help burn the old fat. Not just a little fish oil. What a ridiculous final comment. Then again, we should just wait for the introduction of PPAR-alpha in pill form, which I'm sure is where this research is heading.

ceberezin
Fri, May-20-05, 16:42
There are three sources of fat in the liver in insulin resistant people, dietary fat, fat from adipose tissue and de novo lipogenesis. By blocking fatty acid synthase, they prevented DNL in the liver and in the body generally, unless DNL is possible somewhere else. When they eliminated dietary fat, they left only adipose tissue as a source of fat for the liver. However, the fat from adipose tissue did not initiate the PPAR alpha pathway, enabling the burning of fat, so the fat accumulated in the liver. Only dietary fat or fat from DNL seems to be able to activate that pathway. Something must change in the FFAs when they get stored as adipose tissue that cannot be reversed in the liver.

Why did fat from adipose tissue migrate to the liver in this instance? Does the liver burn fat for fuel under normal circumstances but couldn’t in this case because the PPAR alpha pathway was blocked, so the fat accumulated? What is the role of insulin in suppressing PPAR alpha, preventing the burning of fat? Does anyone know the answers to these questions.

Eventually, Semenkovich believes these findings could lead to more effective strategies for the treatment of obesity, type 2 diabetes and other metabolic problems.


Given that they’re talking about the different components of metabolic syndrome as separate diseases to be treated separately, yes, they’re talking about a pill. Unfortunately, there’s no money in treating insulin resistance since you can control it by low carbing. How else can we feed those hungry pharmaceutical companies?

TBoneMitch
Fri, May-20-05, 16:59
Cerebezin, very good explanation, and to answer your question, de novo lipogenesis is possible and highly active directly in adipose tissue, so it can come from there.

In fact, if I remember correctly, adipose tissue is the main site of de novo lipogenesis.

Ayln
Sat, May-21-05, 18:41
This reminds me of ALD (Adrenal Leukodystrophy) in that the way the body metabolizes fats is totally different from what we could imagine, but makes perfect sense. In ALD, the body cannot metabolize saturated fats correctly and so the myelin sheath, or the fatty covering over our nerves, "melts" into it and essentially disintegrates. To counteract this phenomenon, a doctor tried to use diet to cure or at least slow the progression of the disease. The menu? No fats of any kind, least of all long-chain fatty acids. The result was that the boys had increased SFA levels in their blood. If they hadn't been eating any fats, where were these fats coming from? In short, their bodies were making them to compensate for the lack of fat in the diet. When the boys were put on a mixture of erucic (unprocessed rapeseed) and oleic (olive) acid, their SFA levels quickly returned back to normal.

As a sort of a visual, there is the analogy of a clogged sink with two faucets. When the FA from the diet faucet is turned off, the FA synthesis from the body faucet is increased to compensate. When FA is reintroduced into the diet, synthesis is reduced.

I hope this is helpful for anyone who doesn't understand medical jargon ^^

ceberezin
Sun, May-22-05, 11:16
Ayln, thank you for the explanation. Perhaps you have the answer to another question. These researchers shut off fatty acid synthase in the liver by cutting out a key enzyme in the liver. If the body is still synthesizing fat, as you suggest, where else is DNL happening besides the liver?

The researchers also reported low blood sugar in the transgenic mice on a zero fat diet. Was glucose not getting into the bloodstream under these conditions? If there's no DNL from glucose, where was it going?

TBoneMitch
Sun, May-22-05, 13:21
The fat probably came from adipose tissue.

Ayln
Sun, May-22-05, 16:49
"Their old fat stores mobilized to the liver, but their livers could not initiate fat burning, and the fat just accumulated."

New fat is consumed in food or is newly made in the liver as glucose is converted to fat by fatty acid synthase, the enzyme missing in the FASKOL mice. When the system takes in high amounts of glucose, fatty acid synthase in the liver makes it into new fat.


My interpretation is that the old body fat was shuttled to the liver for burning, but since the enzyme was missing, the fat just accumulated. Similarly, the glucose taken in by the mice was sent to the liver for DNL but since the FASKOL enzyme is required for that as well, the glucose could not be used. As a result, the body makes futile attempts to send more and more glucose to the liver. The outcome is a fatty liver filled with glycogen, and hypoglycemia.

It is possible that some glucose was excreted in the urine as well, as in diabetes, but we can't know for sure without further research.