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Updated: Mar 18, 2026

Differentiated Mouse Adipocytes in Primary Culture: A Model of Insulin Resistance
Published on: February 17, 2023
Perfluorooctane sulfonate-induced insulin resistance is mediated by protein kinase B pathway
Tianming Qiu1, Min Chen1, Xiance Sun1
1Department of Occupational and Environmental Health, Dalian Medical University, 9 W Lushun South Road, Dalian 116044, PR China.
Abstract:
Perfluorooctane sulfonate (PFOS), a persistent organic pollutant, is blamed to be associated with the incidence of insulin resistance in the general human population. In this study, we found that PFOS inhibited the phosphorylation and activation of protein kinase B (AKT), a key mediator of cellular insulin sensitivity, in human hepatoma HepG2 cells. The mRNA level of the gluconeogenic gene PEPCK, a downstream target gene of AKT, was increased in PFOS-treated cells. Due to stimulated gluconeogenesis, insulin-stimulated glucose uptake was decreased in HepG2 cells. In our previous study, we found that PFOS disturbed autophagy in HepG2 cells. We proposed that PFOS could inhibit the activation of AKT through inhibiting mTORC2, a key regulator of autophagy. In this study, we found that the levels of triglyceride were increased in HepG2 cells. PFOS-induced accumulation of hepatic lipids also contributed to the inhibition of AKT. Eventually, the inhibition of AKT led to insulin resistance in PFOS-treated cells. Our data would provide new mechanistic insights into PFOS-induced hepatic insulin resistance.
Insights
Perfluorooctane sulfonate (PFOS) exposure inhibits protein kinase B (AKT) activation, leading to hepatic insulin resistance. This occurs through disrupted autophagy, increased gluconeogenesis, and lipid accumulation in liver cells.
Area of Science:
- Environmental Health
- Cell Biology
- Metabolic Diseases
Background:
- Perfluorooctane sulfonate (PFOS) is a persistent organic pollutant linked to insulin resistance.
- The precise mechanisms underlying PFOS-induced insulin resistance require further elucidation.
Purpose of the Study:
- To investigate the molecular mechanisms by which PFOS induces insulin resistance in human hepatoma HepG2 cells.
- To explore the role of protein kinase B (AKT) signaling and cellular processes like autophagy and lipid metabolism in PFOS-induced hepatic insulin resistance.
Main Methods:
- Treatment of human hepatoma HepG2 cells with PFOS.
- Assessment of AKT phosphorylation and activation.
- Measurement of gluconeogenic gene (PEPCK) mRNA levels.
- Evaluation of insulin-stimulated glucose uptake.
- Analysis of autophagy markers and mTORC2 activity.
- Quantification of cellular triglyceride levels.
Main Results:
- PFOS inhibited the phosphorylation and activation of AKT, a key regulator of insulin sensitivity.
- PFOS increased the mRNA levels of the gluconeogenic gene PEPCK, leading to reduced insulin-stimulated glucose uptake.
- PFOS exposure disturbed autophagy and increased triglyceride accumulation in HepG2 cells, contributing to AKT inhibition.
- These molecular disturbances collectively resulted in insulin resistance in PFOS-treated cells.
Conclusions:
- PFOS inhibits AKT activation through mechanisms involving disrupted autophagy, potentially via mTORC2 inhibition, and hepatic lipid accumulation.
- These effects contribute to the development of hepatic insulin resistance.
- The study provides new mechanistic insights into how PFOS exposure leads to insulin resistance.
Related Concept Videos
Insulin: The Receptor and Signaling Pathways
PI3K/mTOR/AKT Signaling Pathway
cAMP-dependent Protein Kinase Pathways
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The JAK-STAT Signaling Pathway

