Schafer James R A, Fell David A, Rothman Douglas, Shulman Robert G
Magnetic Resonance Research Center, Yale University School of Medicine, New Haven, CT 06511, USA.
Proc Natl Acad Sci U S A. 2004 Feb 10;101(6):1485-90. doi: 10.1073/pnas.0307299101. Epub 2004 Jan 26.
Despite dramatic increases in glucose influx during the transition from fasting to fed states, plasma glucose concentration remains tightly controlled. This constancy is in large part due to the capacity of skeletal muscle to absorb excess glucose and store it as glycogen. The magnitude of this capacity is controlled by insulin by way of regulated insertion of glucose transporters into the muscle cell membrane. Here, we examine the mechanism by which muscle cells are able to tolerate large flux increases across their transporters without significantly changing their own metabolite pools. MCA was used to probe data sets that measured the effects of changing plasma glucose and/or insulin concentrations on the rates of glycogen synthesis and the concentrations of metabolites, particularly glucose-6-phosphate. We find that homeostasis is achieved by insulin-dependent phosphorylation changes in GSase sensitivity to the upstream metabolite glucose-6-phosphate. The centrality of GSase to homeostasis resolves the paradox of its sensitivity to allosteric and covalent regulation despite its minimal role in flux control. The importance of this role for enzymatic phosphorylation to diabetes pathology is discussed, and its general applicability is suggested.
尽管在从禁食状态转变为进食状态的过程中葡萄糖流入量急剧增加,但血浆葡萄糖浓度仍受到严格控制。这种稳定性在很大程度上归因于骨骼肌吸收过量葡萄糖并将其储存为糖原的能力。这种能力的大小由胰岛素通过调节葡萄糖转运蛋白插入肌细胞膜来控制。在此,我们研究肌肉细胞能够耐受跨其转运蛋白的大量通量增加而不显著改变自身代谢物池的机制。使用代谢控制分析(MCA)来探究数据集,这些数据集测量了改变血浆葡萄糖和/或胰岛素浓度对糖原合成速率和代谢物浓度,特别是葡萄糖-6-磷酸浓度的影响。我们发现,通过GSase对上游代谢物葡萄糖-6-磷酸敏感性的胰岛素依赖性磷酸化变化实现了稳态。GSase对稳态的核心作用解决了尽管其在通量控制中作用最小但却对变构调节和共价调节敏感这一矛盾。讨论了这种酶促磷酸化作用对糖尿病病理的重要性,并提出了其普遍适用性。