Changes in Skeletal Muscle PAK1 Levels Regulate Tissue Crosstalk to Impact Whole Body Glucose Homeostasis

Karla E Merz1, Ragadeepthi Tunduguru2, Miwon Ahn1

  • 1Department of Molecular & Cellular Endocrinology, Arthur Riggs Diabetes and Metabolism Research Institute of City of Hope, Duarte, CA, United States.

Frontiers in Endocrinology
|February 28, 2022
PubMed

Insights

p21-activated kinase 1 (PAK1) in skeletal muscle is crucial for glucose uptake and insulin sensitivity. Reduced PAK1 in type 2 diabetes impacts glucose homeostasis and may affect pancreatic beta-cell function.

Area of Science:

  • Metabolism
  • Endocrinology
  • Molecular Biology

Background:

  • Skeletal muscle is the primary site of insulin-stimulated glucose uptake (~80%).
  • Group I p21-activated kinase 1 (PAK1) is essential for insulin-stimulated GLUT4 vesicle translocation in muscle.
  • Reduced PAK1 and ARPC1B protein levels are observed in type 2 diabetic human skeletal muscle, suggesting a role in glucose homeostasis.

Purpose of the Study:

  • To investigate the specific role of skeletal muscle PAK1 in regulating insulin sensitivity and whole-body glucose homeostasis.
  • To elucidate the molecular mechanisms by which skeletal muscle PAK1 influences glucose metabolism and potentially interacts with other tissues.

Main Methods:

  • Development of inducible skeletal muscle-specific PAK1 knockout (skmPAK1-iKO) and overexpression (skmPAK1-iOE) mouse models.
  • Intraperitoneal glucose tolerance tests (GTT) and insulin tolerance tests (ITT) were performed.
  • In vitro studies using myoblasts and β-cells were conducted to assess GLUT4 translocation and cell function.

Main Results:

  • Skeletal muscle PAK1 is essential for maintaining whole-body glucose homeostasis.
  • PAK1 enrichment in myoblasts improved insulin-stimulated GLUT4 translocation under insulin resistance conditions.
  • skmPAK1-iKO mice exhibited aberrant plasma insulin levels, suggesting an impact on pancreatic β-cell function.
  • Conditioned media from PAK1-enriched muscle cells enhanced β-cell function, indicating a muscle-derived circulating factor.

Conclusions:

  • Skeletal muscle PAK1 plays a critical role in regulating insulin sensitivity and glucose homeostasis.
  • PAK1 in skeletal muscle influences pancreatic β-cell function through potential muscle-derived circulating factors, highlighting a novel mechanism for whole-body glucose regulation.
  • These findings identify skeletal muscle PAK1 as a key player in inter-organ communication impacting metabolic health.

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