Cocoa flavonoids attenuate high glucose-induced insulin signalling blockade and modulate glucose uptake and production in human HepG2 cells
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Updated: May 5, 2026

Glucose Uptake Measurement and Response to Insulin Stimulation in In Vitro Cultured Human Primary Myotubes
Published on: June 25, 2017
Isabel Cordero-Herrera1, María Ángeles Martín2, Luis Goya1
1Department of Metabolism and Nutrition, Institute of Food Science and Technology and Nutrition (ICTAN), Consejo Superior de Investigaciones Científicas (CSIC), José Antonio Novais 10, Ciudad Universitaria, 28040 Madrid, Spain.
Abstract:
Insulin resistance is the primary characteristic of type 2 diabetes. Cocoa and its main flavanol, (-)-epicatechin (EC), display some antidiabetic effects, but the mechanisms for their preventive activities related to glucose metabolism and insulin signalling in the liver remain largely unknown. In the present work, the preventive effect of EC and a cocoa polyphenolic extract (CPE) on insulin signalling and on both glucose production and uptake are studied in insulin-responsive human HepG2 cells treated with high glucose. Pre-treatment of cells with EC or CPE reverted decreased tyrosine-phosphorylated and total levels of IR, IRS-1 and -2 triggered by high glucose. EC and CPE pre-treatment also prevented the inactivation of the PI3K/AKT pathway and AMPK, as well as the diminution of GLUT-2 levels induced by high glucose. Furthermore, pre-treatment of cells with EC and CPE avoided the increase in PEPCK levels and the diminished glucose uptake provoked by high glucose, returning enhanced levels of glucose production and decreased glycogen content to control values. These findings suggest that EC and CPE improved insulin sensitivity of HepG2 treated with high glucose, preventing or delaying a potential hepatic dysfunction through the attenuation of the insulin signalling blockade and the modulation of glucose uptake and production.
Insights
Cocoa flavanols like (-)-epicatechin (EC) and cocoa polyphenolic extract (CPE) can improve insulin sensitivity. These compounds help regulate glucose metabolism and insulin signaling in liver cells, potentially preventing hepatic dysfunction.
Area of Science:
- Biochemistry
- Cell Biology
- Metabolic Research
Background:
- Insulin resistance is a hallmark of type 2 diabetes, impacting liver glucose metabolism.
- The precise mechanisms by which cocoa flavanols prevent hepatic insulin resistance are not fully understood.
- (-)-epicatechin (EC) and cocoa polyphenolic extract (CPE) show potential antidiabetic effects.
Purpose of the Study:
- To investigate the preventive effects of EC and CPE on insulin signaling pathways in HepG2 cells.
- To determine how EC and CPE modulate glucose production and uptake under high glucose conditions.
- To elucidate the molecular mechanisms underlying the hepatic protective effects of cocoa compounds.
Main Methods:
- Utilized human HepG2 liver cells treated with high glucose to mimic insulin resistance.
- Assessed the impact of EC and CPE pre-treatment on key insulin signaling proteins (IR, IRS-1, IRS-2, PI3K/AKT).
- Measured glucose production, glucose uptake, glycogen content, and AMPK/GLUT-2 levels.
Main Results:
- EC and CPE pre-treatment restored insulin receptor (IR) and insulin receptor substrate (IRS) levels.
- These compounds prevented the inactivation of the PI3K/AKT pathway and AMPK.
- EC and CPE normalized high glucose-induced alterations in glucose production, uptake, and glycogen synthesis.
Conclusions:
- EC and CPE enhance insulin sensitivity in high glucose-exposed HepG2 cells.
- Cocoa compounds attenuate insulin signaling blockade and modulate glucose metabolism in the liver.
- These findings suggest a potential role for cocoa flavanols in preventing hepatic dysfunction associated with diabetes.
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