Disruption of retinoid homeostasis induces RBP4 overproduction in diabetes: O-GlcNAcylation involved

Shyi-Jang Shin1, Chao-Hung Chen2, Wen-Chen Kuo3

  • 1Grander Clinic, Kaohsiung, Taiwan; School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

Abstract

Insights

Diabetic liver disease involves disrupted retinol cascades and increased RBP4. O-linked GlcNAc modification of RBPR2 contributes to this, leading to inflammation and retinol dyshomeostasis.

Area of Science:

  • Biochemistry
  • Metabolic Diseases
  • Molecular Biology

Background:

  • Retinol-binding protein 4 (RBP4) elevation is linked to inflammation in metabolic diseases.
  • Diabetic kidneys show disrupted retinol cascade and O-GlcNAcylation of the RBP4 receptor (STRA6).

Purpose of the Study:

  • To investigate if retinol cascade disruption causes RBP4 overproduction.
  • To determine if O-linked GlcNAc modification targets RBPR2 and disrupts retinol cascades in diabetic livers.

Main Methods:

  • Western blot and immunohistochemistry were used to analyze key proteins (RBPR2, CRBP1, RBP4, etc.) and inflammatory markers in mouse models and hepatocytes.
  • Immunoprecipitation and dual fluorescence staining assessed O-GlcNAc-modified RBPR2 and RBP4 binding.
  • Gene transfection (CRBP1) and silencing (OGT) were employed to confirm causality.

Main Results:

  • Diabetic livers and high glucose-treated hepatocytes exhibited retinol cascade disruption, RBP4 overproduction, RBPR2 O-GlcNAcylation, reduced RBP4 binding, and inflammation.
  • CRBP1 transfection normalized the retinol cascade, reduced RBP4 overproduction, and attenuated inflammation.
  • OGT silencing reversed high glucose-induced retinol cascade disruption, RBP4 overproduction, and inflammation.

Conclusions:

  • Disruption of the cellular retinol cascade is closely linked to RBP4 overproduction and inflammation in diabetic livers.
  • RBPR2 is a target of high glucose-mediated O-linked GlcNAc modification, leading to liver retinol dyshomeostasis.