肌肉过氧化物酶体增殖物激活受体α信号传导与肥胖相关糖尿病之间的潜在联系。

A potential link between muscle peroxisome proliferator- activated receptor-alpha signaling and obesity-related diabetes.

作者信息

Finck Brian N, Bernal-Mizrachi Carlos, Han Dong Ho, Coleman Trey, Sambandam Nandakumar, LaRiviere Lori L, Holloszy John O, Semenkovich Clay F, Kelly Daniel P

机构信息

Center for Cardiovascular Research, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

出版信息

Cell Metab. 2005 Feb;1(2):133-44. doi: 10.1016/j.cmet.2005.01.006.

Abstract

The role of the peroxisome proliferator-activated receptor-alpha (PPARalpha) in the development of insulin-resistant diabetes was evaluated using gain- and loss-of-function approaches. Transgenic mice overexpressing PPARalpha in muscle (MCK-PPARalpha mice) developed glucose intolerance despite being protected from diet-induced obesity. Conversely, PPARalpha null mice were protected from diet-induced insulin resistance in the context of obesity. In skeletal muscle, MCK-PPARalpha mice exhibited increased fatty acid oxidation rates, diminished AMP-activated protein kinase activity, and reduced insulin-stimulated glucose uptake without alterations in the phosphorylation status of key insulin-signaling proteins. These effects on muscle glucose uptake involved transcriptional repression of the GLUT4 gene. Pharmacologic inhibition of fatty acid oxidation or mitochondrial respiratory coupling prevented the effects of PPARalpha on GLUT4 expression and glucose homeostasis. These results identify PPARalpha-driven alterations in muscle fatty acid oxidation and energetics as a potential link between obesity and the development of glucose intolerance and insulin resistance.

摘要

利用功能获得和功能缺失方法评估了过氧化物酶体增殖物激活受体α(PPARα)在胰岛素抵抗性糖尿病发生发展中的作用。在肌肉中过表达PPARα的转基因小鼠(MCK-PPARα小鼠)尽管免受饮食诱导的肥胖影响,但仍出现葡萄糖不耐受。相反,PPARα基因敲除小鼠在肥胖情况下免受饮食诱导的胰岛素抵抗。在骨骼肌中,MCK-PPARα小鼠表现出脂肪酸氧化率增加、AMP激活的蛋白激酶活性降低以及胰岛素刺激的葡萄糖摄取减少,而关键胰岛素信号蛋白的磷酸化状态没有改变。这些对肌肉葡萄糖摄取的影响涉及GLUT4基因的转录抑制。脂肪酸氧化或线粒体呼吸偶联的药理抑制可防止PPARα对GLUT4表达和葡萄糖稳态的影响。这些结果表明,PPARα驱动的肌肉脂肪酸氧化和能量代谢改变是肥胖与葡萄糖不耐受和胰岛素抵抗发生之间的潜在联系。

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