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Rapamycin partially prevents insulin resistance induced by chronic insulin treatment

Cathleen E Berg1, Brian E Lavan, Cristina M Rondinone

  • 1Metabolic Diseases Research, Global Pharmaceutical Research and Development, Abbott Laboratories, Abbott Park, IL 60064, USA.

Insights

Rapamycin prevents insulin resistance by maintaining IRS-1 protein levels and improving insulin signaling in adipocytes. This suggests distinct mechanisms regulate insulin-induced pathways during chronic insulin exposure.

Area of Science:

  • Cell Biology
  • Metabolism
  • Endocrinology

Background:

  • Chronic hyperinsulinemia can lead to insulin resistance.
  • Insulin receptor substrate-1 (IRS-1) degradation is implicated in insulin resistance.
  • The mechanistic target of rapamycin (mTOR) pathway's role in insulin resistance is under investigation.

Purpose of the Study:

  • To determine if rapamycin, an mTOR inhibitor, can prevent insulin resistance induced by chronic insulin exposure in 3T3-L1 adipocytes.
  • To elucidate the specific effects of rapamycin on key insulin signaling proteins and glucose transport.

Main Methods:

  • 3T3-L1 adipocytes were chronically exposed to insulin with or without rapamycin.
  • Cells were subsequently washed and acutely re-stimulated with insulin.
  • Levels of GLUT-4, IRS-1, and phosphorylation of PKB and MAPK were assessed.
  • Insulin-stimulated glucose transport was measured.

Main Results:

  • Chronic insulin exposure reduced GLUT-4 and IRS-1 protein levels, decreased PKB and MAPK phosphorylation, and impaired glucose transport.
  • Rapamycin treatment prevented IRS-1 reduction and partially restored PKB Ser-473 phosphorylation and glucose transport.
  • Rapamycin did not affect MAPK phosphorylation or GLUT-4 levels.

Conclusions:

  • Chronic insulin exposure down-regulates insulin action through distinct mechanisms affecting PKB and MAPK pathways in adipocytes.
  • Rapamycin partially ameliorates insulin resistance by preserving IRS-1 and modulating PKB signaling.
  • These findings highlight potential therapeutic targets for managing insulin resistance.

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