Intramyocellular Lipid Is Not Significantly Increased in Healthy Young Insulin Resistant First-Degree Relatives of Diabetic Subjects

  1. Adamandia D. Kriketos, PHD1,
  2. Gareth S. Denyer, PHD2,
  3. Campbell H. Thompson, MD, DPHIL3 and
  4. Lesley V. Campbell, MBBS, FRACP14
  1. 1Diabetes and Obesity Research Program, Garvan Institute of Medical Research, Sydney, Australia
  2. 2School of Molecular and Microbial Sciences, University of Sydney, Sydney, Australia
  3. 3Department of General Medicine, Flinders University of South Australia, Adelaide, Australia
  4. 4Diabetes Centre, St. Vincent’s Hospital, Sydney, Australia
  1. Address correspondence to Prof. Lesley V. Campbell, Diabetes and Obesity Research Program, Garvan Institute of Medical Research, 384 Victoria St., Darlinghurst, Sydney, NSW 2010, Australia. E-mail: l.campbell{at}garvan.org.au.

Insulin resistance is an early phenotypic feature of nondiabetic first-degree relatives of type 2 diabetic subjects (FDR) (1,2). While intramyocellular lipid (IMCL) is a marker of insulin resistance (3), how it develops is not completely understood. To study early defects accompanying insulin resistance, we characterized a population at high risk of type 2 diabetes (4,5). We studied young, healthy, sedentary, nonsmoking (age <45 years, BMI <36 kg/m2), normolipidemic, and normal glucose tolerant subjects. At-risk FDR subjects (14 female and 5 male) were compared with control subjects without family history of diabetes (12 female and 10 male).

To test the lipid supply hypothesis, we extended previous investigations in …

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