A Cell-Autonomous Signature of Dysregulated Protein Phosphorylation Underlies Muscle Insulin Resistance in Type 2
Thiago M Batista1, Ashok Kumar Jayavelu2, Nicolai J Wewer Albrechtsen3
1Section of Integrative Physiology and Metabolism, Joslin Diabetes Center, Harvard Medical School, Boston, MA 02215, USA.
Abstract:
Skeletal muscle insulin resistance is the earliest defect in type 2 diabetes (T2D), preceding and predicting disease development. To what extent this reflects a primary defect or is secondary to tissue cross talk due to changes in hormones or circulating metabolites is unknown. To address this question, we have developed an in vitro disease-in-a-dish model using iPS cells from T2D patients differentiated into myoblasts (iMyos). We find that T2D iMyos in culture exhibit multiple defects mirroring human disease, including an altered insulin signaling, decreased insulin-stimulated glucose uptake, and reduced mitochondrial oxidation. More strikingly, global phosphoproteomic analysis reveals a multidimensional network of signaling defects in T2D iMyos going beyond the canonical insulin-signaling cascade, including proteins involved in regulation of Rho GTPases, mRNA splicing and/or processing, vesicular trafficking, gene transcription, and chromatin remodeling. These cell-autonomous defects and the dysregulated network of protein phosphorylation reveal a new dimension in the cellular mechanisms underlying the fundamental defects in T2D.
Insights
Skeletal muscle insulin resistance in type 2 diabetes (T2D) may stem from primary cell defects. This study used a disease-in-a-dish model to reveal cell-autonomous signaling flaws in T2D muscle cells.
Area of Science:
- Cell biology
- Metabolic diseases
- Molecular biology
Background:
- Skeletal muscle insulin resistance is an early indicator of type 2 diabetes (T2D).
- It is unclear whether this insulin resistance is a primary defect or secondary to systemic factors.
- Understanding the cellular basis of T2D is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the cell-autonomous defects in skeletal muscle cells from type 2 diabetes patients.
- To explore the signaling pathways affected in T2D muscle cells using an in vitro model.
- To identify novel molecular targets for T2D therapy.
Main Methods:
- Developed an in vitro disease-in-a-dish model using induced pluripotent stem cells (iPSCs) from T2D patients.
- Differentiated T2D iPSCs into myoblasts (iMyos).
- Performed global phosphoproteomic analysis to identify signaling pathway alterations.
Main Results:
- T2D iMyos exhibited impaired insulin signaling and reduced glucose uptake.
- Mitochondrial oxidation was decreased in T2D iMyos.
- Phosphoproteomic analysis revealed widespread signaling defects beyond canonical insulin pathways, including Rho GTPase regulation, mRNA processing, and chromatin remodeling.
Conclusions:
- T2D skeletal muscle cells possess intrinsic, cell-autonomous defects.
- A complex network of signaling dysregulation contributes to insulin resistance in T2D.
- These findings offer new insights into the cellular mechanisms underlying type 2 diabetes.
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