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Updated: Apr 17, 2026

Measurement of Insulin- and Contraction-Stimulated Glucose Uptake in Isolated and Incubated Mature Skeletal Muscle from Mice
Published on: May 16, 2021
TWIST1 and TWIST2 regulate glycogen storage and inflammatory genes in skeletal muscle
Jonathan M Mudry1, Julie Massart1, Ferenc L M Szekeres1
1Section for Integrative PhysiologyDepartment of Molecular Medicine and SurgerySection for Integrative PhysiologyDepartment of Physiology and Pharmacology, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
Abstract:
TWIST proteins are important for development of embryonic skeletal muscle and play a role in the metabolism of tumor and white adipose tissue. The impact of TWIST on metabolism in skeletal muscle is incompletely studied. Our aim was to assess the impact of TWIST1 and TWIST2 overexpression on glucose and lipid metabolism. In intact mouse muscle, overexpression of Twist reduced total glycogen content without altering glucose uptake. Expression of TWIST1 or TWIST2 reduced Pdk4 mRNA, while increasing mRNA levels of Il6, Tnfα, and Il1β. Phosphorylation of AKT was increased and protein abundance of acetyl CoA carboxylase (ACC) was decreased in skeletal muscle overexpressing TWIST1 or TWIST2. Glycogen synthesis and fatty acid oxidation remained stable in C2C12 cells overexpressing TWIST1 or TWIST2. Finally, skeletal muscle mRNA levels remain unaltered in ob/ob mice, type 2 diabetic patients, or in healthy subjects before and after 3 months of exercise training. Collectively, our results indicate that TWIST1 and TWIST2 are expressed in skeletal muscle. Overexpression of these proteins impacts proteins in metabolic pathways and mRNA level of cytokines. However, skeletal muscle levels of TWIST transcripts are unaltered in metabolic diseases.
Insights
TWIST proteins impact skeletal muscle metabolism by altering glycogen and cytokine levels. However, TWIST gene expression remains unchanged in metabolic diseases like type 2 diabetes.
Area of Science:
- Molecular biology
- Metabolism research
- Skeletal muscle physiology
Background:
- TWIST proteins are crucial for embryonic development and influence tumor and adipose tissue metabolism.
- The specific role of TWIST in skeletal muscle metabolism is not well understood.
- Investigating TWIST's impact on skeletal muscle is vital for understanding metabolic regulation.
Purpose of the Study:
- To determine the effects of TWIST1 and TWIST2 overexpression on glucose and lipid metabolism in skeletal muscle.
- To analyze the molecular changes associated with TWIST overexpression in muscle tissue.
- To examine TWIST transcript levels in the context of metabolic disease and exercise.
Main Methods:
- Overexpression of TWIST1 and TWIST2 in intact mouse muscle and C2C12 myoblast cells.
- Analysis of glucose uptake, glycogen content, and fatty acid oxidation.
- Measurement of mRNA levels for key metabolic and inflammatory genes (e.g., Pdk4, Il6, Tnfα, Il1β).
- Assessment of protein phosphorylation (AKT) and abundance (ACC).
- Examination of TWIST mRNA levels in ob/ob mice, type 2 diabetic patients, and healthy individuals.
Main Results:
- TWIST overexpression in mouse muscle reduced total glycogen but did not affect glucose uptake.
- TWIST1/TWIST2 expression altered mRNA levels of inflammatory cytokines (Il6, Tnfα, Il1β) and reduced Pdk4 mRNA.
- Increased AKT phosphorylation and decreased acetyl CoA carboxylase (ACC) protein were observed with TWIST overexpression.
- Glycogen synthesis and fatty acid oxidation were unaffected in C2C12 cells overexpressing TWIST1/TWIST2.
- Skeletal muscle TWIST mRNA levels were unchanged in models of metabolic disease and after exercise training.
Conclusions:
- TWIST1 and TWIST2 are present in skeletal muscle and influence metabolic and inflammatory pathways upon overexpression.
- Overexpression of TWIST proteins affects key metabolic regulators and cytokine signaling in muscle.
- Skeletal muscle TWIST transcript levels do not appear to be altered in conditions of metabolic dysfunction or in response to exercise.
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