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FoxO integration of insulin signaling with glucose and lipid metabolism
1Division of Endocrinology and DiabetesDepartment of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Abstract:
The forkhead box O family consists of FoxO1, FoxO3, FoxO4 and FoxO6 proteins in mammals. Expressed ubiquitously in the body, the four FoxO isoforms share in common the amino DNA-binding domain, known as 'forkhead box' domain. They mediate the inhibitory action of insulin or insulin-like growth factor on key functions involved in cell metabolism, growth, differentiation, oxidative stress, senescence, autophagy and aging. Genetic mutations in FoxO genes or abnormal expression of FoxO proteins are associated with metabolic disease, cancer or altered lifespan in humans and animals. Of the FoxO family, FoxO6 is the least characterized member and is shown to play pivotal roles in the liver, skeletal muscle and brain. Altered FoxO6 expression is associated with the pathogenesis of insulin resistance, dietary obesity and type 2 diabetes and risk of neurodegeneration disease. FoxO6 is evolutionally divergent from other FoxO isoforms. FoxO6 mediates insulin action on target genes in a mechanism that is fundamentally different from other FoxO members. Here, we focus our review on the role of FoxO6, in contrast with other FoxO isoforms, in health and disease. We review the distinctive mechanism by which FoxO6 integrates insulin signaling to hepatic glucose and lipid metabolism. We highlight the importance of FoxO6 dysregulation in the dual pathogenesis of fasting hyperglycemia and hyperlipidemia in diabetes. We review the role of FoxO6 in memory consolidation and its contribution to neurodegeneration disease and aging. We discuss the potential therapeutic option of pharmacological FoxO6 inhibition for improving glucose and lipid metabolism in diabetes.
Insights
Forkhead box O6 (FoxO6) plays a unique role in regulating metabolism and brain function, distinct from other FoxO proteins. Understanding FoxO6 is crucial for addressing diabetes and neurodegenerative diseases.
Area of Science:
- Molecular Biology
- Endocrinology
- Neuroscience
Background:
- The forkhead box O (FoxO) family comprises four mammalian proteins (FoxO1, FoxO3, FoxO4, FoxO6) involved in crucial cellular functions.
- FoxO proteins regulate insulin/IGF signaling impacting metabolism, growth, differentiation, oxidative stress, senescence, autophagy, and aging.
- Altered FoxO expression is linked to metabolic diseases, cancer, and lifespan alterations.
Purpose of the Study:
- To review the distinct role of FoxO6, compared to other FoxO isoforms, in health and disease.
- To elucidate the unique mechanism of FoxO6 in integrating insulin signaling with hepatic glucose and lipid metabolism.
- To highlight FoxO6's involvement in neurodegeneration, aging, and its potential as a therapeutic target.
Main Methods:
- Literature review focusing on FoxO6 function and its contrast with other FoxO isoforms.
- Analysis of FoxO6's role in insulin signaling pathways.
- Examination of FoxO6's contribution to metabolic and neurological conditions.
Main Results:
- FoxO6 exhibits an evolutionarily divergent mechanism in mediating insulin action compared to other FoxO members.
- Dysregulation of FoxO6 is implicated in the pathogenesis of insulin resistance, obesity, type 2 diabetes, hyperglycemia, and hyperlipidemia.
- FoxO6 is involved in memory consolidation and contributes to neurodegeneration and aging.
Conclusions:
- FoxO6 plays a pivotal, yet understudied, role in liver, skeletal muscle, and brain functions.
- FoxO6 dysregulation contributes significantly to metabolic disorders like diabetes and neurodegenerative diseases.
- Pharmacological inhibition of FoxO6 presents a potential therapeutic strategy for managing glucose and lipid metabolism in diabetes.
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