title: Overfeeding rapidly induces leptin and insulin resistance.
abstract: In common forms of obesity, hyperphagia, hyperinsulinemia, and hyperleptinemia coexist. Here, we demonstrate rapid induction of insulin and leptin resistance by short-term overfeeding. After 3 and 7 days on the assigned diet regimen, rats were tested for their biological responses to acute elevations in plasma insulin and leptin concentrations. Severe resistance to the metabolic effects of both leptin and insulin ensued after just 3 days of overfeeding. During the insulin clamp studies, glucose production was decreased by approximately 70% in control rats and 28-53% in overfed rats. Similarly, leptin infusion doubled the contribution of gluconeogenesis to glucose output in control rats but failed to modify gluconeogenesis in overfed animals. These findings demonstrate a paradoxical and rapid collapse of the leptin system in response to nutrient excess. This partial failure is tightly coupled with the onset of insulin resistance.
authors.affiliation: Medicine and Molecular Pharmacology, Diabetes Research and Training Center, Albert Einstein College of Medicine, Bronx, New York 10461, USA.
authors.forename: J
authors.initials: J
authors.lastname: Wang
authors.forename: S
authors.initials: S
authors.lastname: Obici
authors.forename: K
authors.initials: K
authors.lastname: Morgan
authors.forename: N
authors.initials: N
authors.lastname: Barzilai
authors.forename: Z
authors.initials: Z
authors.lastname: Feng
authors.forename: L
authors.initials: L
authors.lastname: Rossetti
mesh_terms: D000818:Animals; D004032:Diet; D004351:Drug Resistance; D004435:Eating / Q000187:drug effects; D005943:Gluconeogenesis; D005947:Glucose / Q000096:biosynthesis; D006963:Hyperphagia / Q000150:complications*; D007328:Insulin / Q000008:administration & dosage / Q000097:blood; D007333:Insulin Resistance; D020738:Leptin / Q000008:administration & dosage / Q000032:analysis / Q000494:pharmacology*; D008297:Male; D051381:Rats; D017207:Rats, Sprague-Dawley; D013997:Time Factors
chemical_list: D007328:Insulin; D020738:Leptin; D005947:Glucose