Effects of the morning rise in cortisol concentration on regulation of lipolysis in subcutaneous adipose tissue. Samra, J. S., M. L. Clark, S. M. Humphreys, I. A. Macdonald, D. R. Matthews, and K. N. Frayn. Oxford Lipid Metabolism Group, Nuffield Department of Clinical Medicine, Radcliffe Infirmary, Oxford OX2 6HE, UK, Department of Physiology and Pharmacology, Medical School, Queen's Medical Centre, Nottingham NG7 2UH, UK
APStracts 3:0150E, 1996.
Cortisol has a well defined circadian rhythm. The aim of the study was to examine the effect of the morning rise in cortisol concentration on lipolysis in adipose tissue. Ten healthy subjects were studied on two occasions, and six of these were studied on three occasions. During the first two occasions either a control or cortisol suppression study was performed by using metyrapone, and on the third occasion exogenous cortisol replacement was given in addition to metyrapone. Lipolysis in the subcutaneous adipose tissue of the anterior abdominal wall was studied by measurement of arterio-venous differences. Reduction in the early morning rise in cortisol led to significantly decreased veno-arterialized differences for non esterified fatty acids (P &LT 0.05) and glycerol (P &LT 0.01), attributable in part to decreased hormone-sensitive lipase (HSL: EC 3.1.1.3) action (P &LT 0.05) in adipose tissue. At the same time the arterialized plasma triacylglycerol concentration increased (P &LT 0.005) with a significant reduction in the adipose lipoprotein lipase (LPL: EC 3.1.1.34) rate of action (P &LT 0.05). In the replacement study values were identical to those of the control study, showing that metyrapone had no non-specific effects on lipolysis. We conclude that the morning rise in plasma cortisol concentration plays an important role in the regulation of lipolysis in adipose tissue in normal healthy adults.

Received 25 April 1996; accepted in final form 25 July 1996.
APS Manuscript Number E205-6.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 21 August 1996