Tumor necrosis factor alpha-induced skeletal muscle insulin resistance involves suppression of AMP-kinase signaling
Gregory R Steinberg1, Belinda J Michell, Bryce J W van Denderen
1St Vincent's Institute and Department of Medicine, University of Melbourne, Fitzroy, Vic, 3065, Australia. gsteinberg@svi.edu.au
Abstract:
Elevated levels of tumor necrosis factor (TNFalpha) are implicated in the development of insulin resistance, but the mechanisms mediating these chronic effects are not completely understood. We demonstrate that TNFalpha signaling through TNF receptor (TNFR) 1 suppresses AMPK activity via transcriptional upregulation of protein phosphatase 2C (PP2C). This in turn reduces ACC phosphorylation, suppressing fatty-acid oxidation, increasing intramuscular diacylglycerol accumulation, and causing insulin resistance in skeletal muscle, effects observed both in vitro and in vivo. Importantly even at pathologically elevated levels of TNFalpha observed in obesity, the suppressive effects of TNFalpha on AMPK signaling are reversed in mice null for both TNFR1 and 2 or following treatment with a TNFalpha neutralizing antibody. Our data demonstrate that AMPK is an important TNFalpha signaling target and is a contributing factor to the suppression of fatty-acid oxidation and the development of lipid-induced insulin resistance in obesity.
Insights
Tumor necrosis factor-alpha (TNFalpha) impairs skeletal muscle insulin sensitivity by suppressing AMPK activity, leading to reduced fatty-acid oxidation and increased lipid accumulation. Blocking TNFalpha signaling reverses these effects, highlighting AMPK as a key mediator.
Area of Science:
- Molecular biology
- Metabolic diseases
- Endocrinology
Background:
- Elevated tumor necrosis factor-alpha (TNFalpha) levels are linked to insulin resistance.
- The precise mechanisms by which chronic TNFalpha exposure causes insulin resistance remain unclear.
Purpose of the Study:
- To elucidate the molecular mechanisms by which TNFalpha signaling induces insulin resistance in skeletal muscle.
- To investigate the role of AMP-activated protein kinase (AMPK) in TNFalpha-mediated insulin resistance.
Main Methods:
- Investigated TNFalpha signaling pathways in skeletal muscle using in vitro and in vivo models.
- Utilized genetic knockout models (TNFR1/2 null mice) and TNFalpha-neutralizing antibodies.
- Assessed AMPK activity, protein phosphatase 2C (PP2C) expression, ACC phosphorylation, and intramuscular lipid accumulation.
Main Results:
- TNFalpha signaling via TNF receptor 1 suppresses AMPK activity by upregulating PP2C transcription.
- This suppression reduces acetyl-CoA carboxylase (ACC) phosphorylation, impairs fatty-acid oxidation, and increases intramuscular diacylglycerol.
- These metabolic dysfunctions lead to insulin resistance in skeletal muscle.
- The inhibitory effects of TNFalpha on AMPK signaling are reversible in TNFR1/2 knockout mice and upon TNFalpha blockade.
Conclusions:
- AMPK is a critical molecular target of TNFalpha signaling in the context of insulin resistance.
- TNFalpha-induced suppression of fatty-acid oxidation and lipid accumulation contributes to the development of insulin resistance, particularly in obesity.
- Targeting TNFalpha signaling pathways may offer therapeutic strategies for metabolic disorders like insulin resistance.
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