Glia maturation factor-β deficiency improves insulin resistance by promoting CARM1-mediated lipid turnover

Jinyuan Xu1, Lilin Zhu1, Jiao Li2

  • 1Department of Ophthalmology of the Shanghai Tongji Hospital Affiliated to Tongji University, School of Medicine, and Tongji Eye Institute, Shanghai 200065, China; Department of Biochemistry and Molecular Biology, and The Center of Stem Cell Research, School of Medicine, Tongji University, Shanghai 200092, China.

Pharmacological Research
|September 1, 2025
PubMed

Insights

Glia maturation factor-beta (GMFB) regulates fat cell lipid turnover and insulin resistance. Inhibiting GMFB with DS19 shows promise for treating obesity-related type 2 diabetes.

Area of Science:

  • Metabolic disease research
  • Molecular endocrinology
  • Obesity and diabetes research

Background:

  • Insulin resistance (IR) is a key factor in obesity-associated type 2 diabetes, with poorly understood molecular mechanisms.
  • Current pharmacological treatments for IR are insufficient, highlighting the need for novel therapeutic targets.

Purpose of the Study:

  • To investigate the role of glia maturation factor-beta (GMFB) in regulating systemic insulin resistance.
  • To develop and evaluate a GMFB inhibitor for potential therapeutic use.

Main Methods:

  • Examined GMFB expression in adipose tissue across species (rats, mice, humans) in relation to IR.
  • Utilized Gmfb knockout (KO) models (systemic and adipocyte-specific) to assess effects on IR and lipotoxicity.
  • Investigated the molecular mechanism involving GMFB degradation, CARM1 nuclear translocation, and PPARγ coactivation.
  • Tested the efficacy of a GMFB inhibitor, DS19, in improving insulin sensitivity.

Main Results:

  • GMFB expression in adipose tissue correlates with IR.
  • Gmfb depletion in adipocytes improved IR and reduced plasma lipotoxicity by enhancing lipid turnover.
  • GMFB degradation via chaperone-mediated autophagy under insulin stimulation was observed.
  • Gmfb KO promoted CARM1 nuclear translocation, coactivating PPARγ and improving adipocyte lipid metabolism.
  • The GMFB inhibitor DS19 demonstrated significant insulin-sensitizing effects by disrupting the GMFB-CARM1 interaction.

Conclusions:

  • Glia maturation factor-beta (GMFB) is identified as a novel systemic regulator of insulin resistance through its control of adipocyte lipid turnover.
  • The GMFB inhibitor DS19 represents a promising therapeutic candidate for obesity-induced insulin resistance, warranting further clinical investigation.

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