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Thromboxane A2 receptor activates a Rho-associated kinase/LKB1/PTEN pathway to attenuate endothelium insulin

Ping Song1, Miao Zhang1, Shuangxi Wang1

  • 1From the Section of Endocrinology and Diabetes, Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104.

Insights

Thromboxane A2 receptor (TP) activation in endothelial cells triggers insulin resistance by up-regulating PTEN phosphatase activity, inhibiting key insulin signaling proteins like Akt and eNOS. This pathway is implicated in diet-induced diabetes.

Area of Science:

  • Vascular Biology
  • Endocrinology
  • Molecular Medicine

Background:

  • Insulin resistance in endothelial cells contributes to cardiovascular complications.
  • Thromboxane A2 receptor (TP) signaling plays a role in vascular homeostasis.

Purpose of the Study:

  • To elucidate the molecular mechanisms by which TP activation leads to insulin resistance in endothelial cells.
  • To identify the signaling pathways involved in TP-mediated suppression of insulin signaling.

Main Methods:

  • Utilized human umbilical vein endothelial cells (HUVECs) and mouse aortic endothelial cells.
  • Administered TP mimetics (IBOP, U46619) and assessed insulin-stimulated phosphorylation of Akt and eNOS.
  • Investigated the role of PTEN, Rho GTPase, and G(i) proteins using pharmacological and genetic approaches.
  • Examined signaling in a mouse model of high-fat diet-induced diabetes.

Main Results:

  • TP activation significantly reduced insulin-stimulated Akt and eNOS phosphorylation.
  • TP stimulation led to PTEN up-regulation, increased PTEN phosphorylation, and enhanced PTEN activity.
  • Inhibition of PTEN or Rho-associated kinase restored insulin signaling.
  • TP activation involved G(i) proteins, and these molecular changes were observed in diet-induced diabetic mice.
  • TP antagonist administration reversed these detrimental effects in vivo.

Conclusions:

  • TP stimulation impairs endothelial insulin signaling via the Rho/Rho-associated kinase/LKB1/PTEN pathway.
  • This mechanism contributes to insulin resistance in vascular endothelium, particularly in conditions like diet-induced diabetes.
  • Targeting the TP pathway may offer therapeutic potential for managing vascular insulin resistance.

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