Skeletal muscle-selective knockout of LKB1 increases insulin sensitivity, improves glucose homeostasis, and decreases

Ho-Jin Koh1, David E Arnolds, Nobuharu Fujii

  • 1Research Division, Joslin Diabetes Center and Department of Medicine, Harvard Medical School, Boston, MA 02215, USA.

Insights

Removing LKB1 (Liver Kinase B1) from skeletal muscle surprisingly improved insulin sensitivity and glucose metabolism in mice. This suggests LKB1 negatively regulates these processes by controlling TRB3 expression, impacting Akt signaling.

Area of Science:

  • Cell Metabolism
  • Endocrinology
  • Molecular Biology

Background:

  • Liver Kinase B1 (LKB1) is a tumor suppressor crucial for cell metabolism.
  • LKB1 activates AMP-activated protein kinase (AMPK), an energy-sensing enzyme.
  • The role of LKB1 in skeletal muscle and its impact on insulin sensitivity were unclear.

Purpose of the Study:

  • To investigate the role of skeletal muscle LKB1 in insulin sensitivity and glucose homeostasis.
  • To elucidate the molecular mechanisms linking LKB1 to insulin signaling pathways.

Main Methods:

  • Generation of muscle-specific LKB1 knockout (MLKB1KO) mice.
  • Assessment of glucose tolerance, insulin sensitivity, and glucose uptake via hyperinsulinemic-euglycemic clamp.
  • Analysis of Akt phosphorylation and expression of TRB3 (an Akt inhibitor) in skeletal muscle.

Main Results:

  • MLKB1KO mice exhibited enhanced insulin sensitivity, with decreased fasting glucose and insulin levels.
  • Improved glucose tolerance and increased muscle glucose uptake were observed in MLKB1KO mice.
  • MLKB1KO mice showed increased insulin-stimulated Akt phosphorylation and significantly reduced muscle TRB3 expression.
  • Direct binding between Akt and TRB3 was confirmed, and TRB3 overexpression inhibited Akt phosphorylation.

Conclusions:

  • Skeletal muscle LKB1 acts as a negative regulator of insulin sensitivity and glucose homeostasis.
  • LKB1-mediated regulation of TRB3 provides a novel link between LKB1, Akt signaling, and metabolic control.
  • These findings highlight LKB1's dual role in tumor suppression and cellular metabolism, with implications for metabolic diseases.

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