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1Department of Laboratory Medicine, Division of Clinical Physiology and Nuclear Medicine; Helsinki University Central Hospital; 2Finnish Twin Cohort Study, Department of Public Health, University of Helsinki; 3Obesity Research Unit, Department of Psychiatry; Helsinki University Central Hospital; 4Department of Medicine, Division of Diabetes, Helsinki University Central Hospital; 5Department of Molecular Medicine, National Public Health Institute, Helsinki, and Department of Medical Genetics and Research Program of Molecular Medicine, University of Helsinki; 6Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki; and 7Minerva Medical Research Institute, Helsinki, Finland
Submitted 7 September 2007 ; accepted in final form 22 April 2008
Defects in expression of genes of oxidative phosphorylation in mitochondria have been suggested to be a key pathophysiological feature in familial insulin resistance. We examined whether such defects can arise from lifestyle-related factors alone. Fourteen obesity-discordant (BMI difference 5.2 ± 1.8 kg/m2) and 10 concordant (1.0 ± 0.7 kg/m2) monozygotic (MZ) twin pairs aged 24–27 yr were identified among 658 MZ pairs in the population-based FinnTwin16 study. Whole body insulin sensitivity was measured using the euglycemic hyperinsulinemic clamp technique. Transcript profiles of mitochondrial genes were compared using microarray data of fat biopsies from discordant twins. Body composition of twins was determined using DEXA and maximal oxygen uptake (
O2max) and working capacity (Wmax) using a bicycle ergometer exercise test with gas exchange analysis. The obese cotwins had lower insulin sensitivity than their nonobese counterparts (M value 6.1 ± 2.0 vs. 9.2 ± 3.2 mg·kg LBM–1·min–1, P < 0.01). Transcript levels of genes involved in the oxidative phosphorylation pathway (GO:0006119) in adipose tissue were lower (P < 0.05) in the obese compared with the nonobese cotwins. The obese cotwins were also less fit, as measured by
O2max (50.6 ± 6.5 vs. 54.2 ± 6.4 ml·kg LBM–1·min–1, for obese vs. nonobese, P < 0.05), Wmax (3.9 ± 0.5 vs. 4.4 ± 0.7 W/kg LBM, P < 0.01) and also less active, by the Baecke leisure time physical activity index (2.8 ± 0.5 vs. 3.3 ± 0.6, P < 0.01). This implies that acquired poor physical fitness is associated with defective expression of the oxidative pathway components in adipose tissue mitochondria.
body composition; cardiorespiratory fitness; spiroergometry; gene expression
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