title: Insulin increases blood volume in human skeletal muscle: studies using [15O]CO and positron emission tomography.
abstract: High insulin concentrations increase blood flow in the leg, but it is unknown whether this effect is associated with a change in muscle blood volume. In the present study, we used positron emission tomography combined with inhalation of [15O]carbon monoxide to quantitate the effect of insulin on skeletal muscle blood volume in humans. The reproducibility of the method was determined from two consecutive measurements performed in the basal state in five normal subjects. The coefficient of variation of the repeated measurements was 3.0 +/- 1.8%. In 14 normal subjects [age 35 +/- 3 yr, body mass index 24.9 +/- 1.3 (SE) kg/m2], skeletal muscle blood volume was determined in the femoral region in the basal state and during euglycemic hyperinsulinemia (serum insulin 3,200 +/- 190 pmol/l). The mean muscle blood volume was 3.3 +/- 0.1 ml/0.1 kg muscle in the basal state. Insulin increased muscle blood volume by 9 +/- 2% to 3.6 +/- 0.2 ml/0.1 kg muscle (P < 0.01). The rate of whole body glucose uptake was 53 +/- 6 mumol.kg-1.min-1 and correlated with muscle blood volume during insulin stimulation (r = 0.65, P < 0.02). We conclude that high insulin concentrations exert a true vasodilatory effect in human skeletal muscle.
authors.affiliation: Turku Medical Cyclotron/Positron Emission Tomography Center, Department of Nuclear Medicine, University of Turku, Finland.
authors.forename: M
authors.initials: M
authors.lastname: Raitakari
authors.forename: M J
authors.initials: MJ
authors.lastname: Knuuti
authors.forename: U
authors.initials: U
authors.lastname: Ruotsalainen
authors.forename: H
authors.initials: H
authors.lastname: Laine
authors.forename: P
authors.initials: P
authors.lastname: Mäkeä
authors.forename: M
authors.initials: M
authors.lastname: Teräs
authors.forename: H
authors.initials: H
authors.lastname: Sipilä
authors.forename: T
authors.initials: T
authors.lastname: Niskanen
authors.forename: O T
authors.initials: OT
authors.lastname: Raitakari
authors.forename: H
authors.initials: H
authors.lastname: Iida
authors.forename: R
authors.initials: R
authors.lastname: Härkönen
authors.forename: U
authors.initials: U
authors.lastname: Wegelius
authors.forename: H
authors.initials: H
authors.lastname: Yki-Järvinen
authors.forename: P
authors.initials: P
authors.lastname: Nuutila
mesh_terms: D000328:Adult; D001810:Blood Volume / Q000187:drug effects*; D002248:Carbon Monoxide; D006801:Humans; D007328:Insulin / Q000097:blood / Q000494:pharmacology*; D008297:Male; D018482:Muscle, Skeletal / Q000098:blood supply* / Q000000981:diagnostic imaging*; D010104:Oxygen Radioisotopes; D012016:Reference Values; D014055:Tomography, Emission-Computed
chemical_list: D007328:Insulin; D010104:Oxygen Radioisotopes; D002248:Carbon Monoxide