Low pH and ketoacids induce XXXX binding and postbinding alterations in cultured 3T3 adipocytes.

@entity28869 @entity6 @entity4322 @entity8277 @entity12015 @entity6178
The etiology of insulin resistance during @entity6 is still poorly understood. Changes in @entity8277 binding and the existence of postreceptor alterations have been proposed. In an attempt to clarify the role of low pH and @entity6178 bodies in the insulin resistance, we examined the effectiveness of insulin during and after 48 h of exposure of cultured 3T3-L1 adipocytes to low pH and ketoacids. In the "acute" stage, lowering of physiologic pH (pH 7.4) to pH 6.9 induced a decrease in insulin binding (50%), which was due to a decrease in the rate of association. Concomitantly, the insulin sensitivity was decreased (ninefold). The basal @entity12015 uptake and insulin responsiveness were only slightly decreased at low pH. @entity4322 partially counteracted the effect of low pH on insulin binding and sensitivity in a dose-dependent fashion (ED50: 10 mM). The binding-enhancing effect of @entity28869 was more pronounced at low pH than at physiologic pH and absent at optimum pH (pH 8.0). After 48 h of exposure of the cells to pH 6.9, insulin binding and insulin sensitivity (measured at physiologic pH) were similar as in cells cultured at pH 7.4. The insulin response, however, was substantially impaired (40%), due to an increase in basal @entity12015 uptake as well as a decrease in maximal insulin-stimulated uptake. These postbinding alterations induced by low pH could be reversed by culturing the cells at physiologic pH for another 48 h. Prolonged exposure to ketoacids did not affect the insulin effectiveness.(ABSTRACT TRUNCATED AT 250 WORDS)
