Sajan Mini P, Standaert Mary L, Nimal Sonali, Varanasi Usha, Pastoor Tina, Mastorides Stephen, Braun Ursula, Leitges Michael, Farese Robert V
James A. Haley Veterans Hospital, Tampa, FL, USA.
J Lipid Res. 2009 Jun;50(6):1133-45. doi: 10.1194/jlr.M800520-JLR200. Epub 2009 Feb 6.
Obesity is frequently associated with systemic insulin resistance, glucose intolerance, and hyperlipidemia. Impaired insulin action in muscle and paradoxical diet/insulin-dependent overproduction of hepatic lipids are important components of obesity, but their pathogenesis and inter-relationships between muscle and liver are uncertain. We studied two murine obesity models, moderate high-fat-feeding and heterozygous muscle-specific PKC-lambda knockout, in both of which insulin activation of atypical protein kinase C (aPKC) is impaired in muscle, but conserved in liver. In both models, activation of hepatic sterol receptor element binding protein-1c (SREBP-1c) and NFkappaB (nuclear factor-kappa B), major regulators of hepatic lipid synthesis and systemic insulin resistance, was chronically increased in the fed state. In support of a critical mediatory role of aPKC, in both models, inhibition of hepatic aPKC by adenovirally mediated expression of kinase-inactive aPKC markedly diminished diet/insulin-dependent activation of hepatic SREBP-1c and NFkappaB, and concomitantly improved hepatosteatosis, hypertriglyceridemia, hyperinsulinemia, and hyperglycemia. Moreover, in high-fat-fed mice, impaired insulin signaling to IRS-1-dependent phosphatidylinositol 3-kinase, PKB/Akt and aPKC in muscle and hyperinsulinemia were largely reversed. In obesity, conserved hepatic aPKC-dependent activation of SREBP-1c and NFkappaB contributes importantly to the development of hepatic lipogenesis, hyperlipidemia, and systemic insulin resistance. Accordingly, hepatic aPKC is a potential target for treating obesity-associated abnormalities.
肥胖常与全身性胰岛素抵抗、葡萄糖不耐受和高脂血症相关。肌肉中胰岛素作用受损以及饮食/胰岛素依赖的肝脏脂质异常过度产生是肥胖的重要组成部分,但其发病机制以及肌肉与肝脏之间的相互关系尚不清楚。我们研究了两种小鼠肥胖模型,即适度高脂喂养和杂合子肌肉特异性蛋白激酶C-λ基因敲除模型,在这两种模型中,非典型蛋白激酶C(aPKC)在肌肉中的胰岛素激活受损,但在肝脏中保持不变。在这两种模型中,肝脏脂质合成和全身性胰岛素抵抗的主要调节因子——肝脏固醇调节元件结合蛋白-1c(SREBP-1c)和核因子κB(NFκB)在进食状态下的激活长期增加。为支持aPKC的关键介导作用,在这两种模型中,通过腺病毒介导的激酶失活型aPKC表达抑制肝脏aPKC,可显著减少饮食/胰岛素依赖的肝脏SREBP-1c和NFκB激活,并同时改善肝脂肪变性、高甘油三酯血症、高胰岛素血症和高血糖。此外,在高脂喂养的小鼠中,肌肉中胰岛素向胰岛素受体底物-1(IRS-1)依赖的磷脂酰肌醇3激酶、蛋白激酶B/蛋白激酶B(PKB/Akt)和aPKC的信号传导受损以及高胰岛素血症在很大程度上得到逆转。在肥胖中,肝脏中保守的aPKC依赖的SREBP-1c和NFκB激活对肝脏脂肪生成、高脂血症和全身性胰岛素抵抗的发展起重要作用。因此,肝脏aPKC是治疗肥胖相关异常的潜在靶点。