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Reduced glucose uptake precedes insulin signaling defects in adipocytes from heterozygous GLUT4 knockout mice
J Li1, K L Houseknecht, A E Stenbit
1Department of Biochemistry, Albert Einstein College of Medicine, Bronx, New York 10461, USA.
Abstract:
Decreased GLUT4 expression, impaired insulin receptor (IR), IRS-1, and pp60/IRS-3 tyrosine phosphorylation are characteristics of adipocytes from insulin-resistant animal models and obese NIDDM humans. However, the sequence of events leading to the development of insulin signaling defects and the significance of decreased GLUT4 expression in causing adipocyte insulin resistance are unknown. The present study used male heterozygous GLUT4 knockout mice (GLUT4(+/-)) as a novel model of diabetes to study the development of insulin signaling defects in adipocytes with the progression of whole body insulin resistance and diabetes. Male GLUT4(+/-) mice with normal fed glycemia and insulinemia (N/N), normal fed glycemia and hyperinsulinemia (N/H), and fed hyperglycemia with hyperinsulinemia (H/H) exist at all ages. The expression of GLUT4 protein and the maximal insulin-stimulated glucose transport was 50% decreased in adipocytes from all three groups. Insulin signaling was normal in N/N adipose cells. From 35 to 70% reductions in insulin-stimulated tyrosine phosphorylation of IR, IRS-1, and pp60/IRS-3 were noted with no changes in the cellular content of IR, IRS-1, and p85 in N/H adipocytes. Insulin-stimulated protein tyrosine phosphorylation was further decreased to 12-23% in H/H adipose cells accompanied by 42% decreased IR and 80% increased p85 expression. Insulin-stimulated, IRS-1-associated PI3 kinase activity was decreased by 20% in N/H and 68% reduced in H/H GLUT4(+/-) adipocytes. However, total insulin-stimulated PI3 kinase activity was normal in H/H GLUT4(+/-) adipocytes. Taken together, these results strongly suggest that hyperinsulinemia triggers a reduction of IR tyrosine kinase activity that is further exacerbated by the appearance of hyperglycemia. However, the insulin signaling cascade has sufficient plasticity to accommodate significant changes in specific components without further reducing glucose uptake. Furthermore, the data indicate that the cellular content of GLUT4 is the rate-limiting factor in mediating maximal insulin-stimulated glucose uptake in GLUT4(+/-) adipocytes.
Insights
Reduced glucose transporter type 4 (GLUT4) expression is a key factor in insulin resistance. This study in GLUT4(+/-) mice shows hyperinsulinemia and hyperglycemia impair insulin signaling, with GLUT4 levels limiting glucose uptake.
Area of Science:
- Metabolic diseases
- Cellular signaling
- Molecular endocrinology
Background:
- Insulin resistance is characterized by impaired insulin signaling and reduced glucose transporter type 4 (GLUT4) expression in adipocytes.
- The precise sequence of events leading to these defects and the role of GLUT4 reduction remain unclear.
Purpose of the Study:
- To investigate the development of insulin signaling defects in adipocytes using heterozygous GLUT4 knockout (GLUT4(+/-)) mice.
- To determine the impact of progressing whole-body insulin resistance and diabetes on adipocyte insulin signaling.
Main Methods:
- Utilized male GLUT4(+/-) mice categorized by glycemia and insulinemia (N/N, N/H, H/H).
- Assessed GLUT4 protein expression, glucose transport, and insulin signaling components (insulin receptor, IRS-1, PI3 kinase) in adipocytes.
- Quantified tyrosine phosphorylation and protein expression levels.
Main Results:
- GLUT4 expression and insulin-stimulated glucose transport were reduced by 50% in all GLUT4(+/-) groups.
- Insulin signaling was impaired in N/H and H/H adipocytes, with reduced tyrosine phosphorylation of key signaling proteins.
- Hyperglycemia exacerbated insulin receptor (IR) tyrosine kinase activity reduction, while GLUT4 content emerged as the rate-limiting factor for glucose uptake.
Conclusions:
- Hyperinsulinemia initiates a reduction in IR tyrosine kinase activity, further worsened by hyperglycemia.
- The insulin signaling cascade exhibits plasticity, accommodating some component changes without further reducing glucose uptake.
- Adipocyte GLUT4 expression is the critical determinant of maximal insulin-stimulated glucose uptake capacity.
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