AJP - Regu Ad Instruments
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Regul Integr Comp Physiol (August 6, 2008). doi:10.1152/ajpregu.90426.2008
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
295/4/R1089    most recent
90426.2008v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Periwal, V.
Right arrow Articles by Sumner, A. E
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Periwal, V.
Right arrow Articles by Sumner, A. E
Submitted on May 15, 2008
Revised on July 21, 2008
Accepted on August 5, 2008

Evaluation of Quantitative Models of the Effect of Insulin on Lipolysis and Glucose Disposal

Vipul Periwal1, Carson C Chow1*, Richard N. Bergman2, Madia Ricks1, Gloria Lena Vega3, and Anne E Sumner1

1 NIH
2 University of Southern California Medical School
3 University of Texas Southwestern Medical Center

* To whom correspondence should be addressed. E-mail: carsonc{at}mail.nih.gov.

The effects of insulin on the suppression of lipolysis are neither fully understood nor quantified. We examined a variety of mathematical models analogous to the minimal model of glucose disposal (MMG) to quantify the combined influence of insulin on lipolysis and glucose disposal during an insulin-modified frequently sampled intravenous glucose tolerance test. The tested models, which include two previously published ones, consisted of separate compartments for plasma free fatty acids (FFA), glucose and insulin. They differed in the number of compartments and in the action of insulin to suppress lipolysis that decreased the plasma FFA level. In one category of models, a single insulin compartment acted on both glucose and FFA simultaneously. In a second category, there were two insulin compartments, each acting on FFA and glucose independently. For each of these two categories, we tested 11 variations of how insulin suppressed lipolysis. We also tested a model with an additional glucose compartment that acted on FFA. These 23 models were fit to the plasma FFA and glucose concentrations of 102 subjects individually. Using Bayesian model comparison methods, the model that best balanced fit and minimized model complexity was selected. In the best model, insulin suppressed lipolysis via a Hill function through a remote compartment that acted on both glucose and FFA simultaneously and glucose dynamics obeyed the classic MMG.







HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 2008 by the American Physiological Society.