Marked resistance of femoral adipose tissue blood flow and lipolysis to adrenaline in vivo

Aims/hypothesis Fatty acid entrapment in femoral adipose tissue has been proposed to prevent ectopic fat deposition and visceral fat accumulation, resulting in protection from insulin resistance. Our objective was to test the hypothesis of femoral, compared with abdominal, adipose tissue resistance to adrenergic stimulation in vivo as a possible mechanism. Methods Regional fatty acid trafficking, along with the measurement of adipose tissue blood flow (ATBF) with 133Xe washout, was studied with the arteriovenous difference technique and stable isotope tracers in healthy volunteers. Adrenergic agonists (isoprenaline, adrenaline [epinephrine]) were infused either locally by microinfusion or systemically. Localmicroinfusion of adrenoceptor antagonists (propranolol, phentolamine) was used to characterise specific adrenoceptor subtype effects in vivo. Results Femoral adipose tissue NEFA release and ATBF were lower during adrenaline stimulation than in abdominal tissue (p<0.001). Mechanistically, femoral adipose tissue displayed a dominant a-adrenergic response during adrenaline stimulation. The a-adrenoceptor blocker, phentolamine, resulted in the 'disinhibition' of the femoral ATBF response to adrenaline (p