上调血红素加氧酶系统可增强胰岛素敏感性,并改善冈田-垣崎大鼠胰岛素抵抗性糖尿病中的葡萄糖代谢。

Up-regulating the hemeoxygenase system enhances insulin sensitivity and improves glucose metabolism in insulin-resistant diabetes in Goto-Kakizaki rats.

作者信息

Ndisang Joseph Fomusi, Jadhav Ashok

机构信息

Department of Physiology, University of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, Canada.

出版信息

Endocrinology. 2009 Jun;150(6):2627-36. doi: 10.1210/en.2008-1370. Epub 2009 Feb 19.

Abstract

Insulin-mediated signal transduction is positively correlated to adiponectin, adenosine monophosphate-activated protein kinase (AMPK), and glucose-transporter-4 (GLUT4) but negatively to oxidative/inflammatory mediators such as nuclear factor-kappaB, activating-protein (AP)-1, AP-2, and c-Jun-N-terminal-kinase. Although hemeoxygenase (HO) suppresses oxidative insults, its effects on insulin-sensitizing agents like AMPK and GLUT4 remains unclear and were investigated using Goto-Kakizaki rats (GK), a nonobese insulin-resistant type-2 diabetic model. HO was induced with hemin or inhibited with chromium mesoporphyrin (CrMP). The application of hemin to GK rats evoked a 3-month antidiabetic effect, whereas the HO-inhibitor, CrMP, exacerbated hyperglycemia and nullified insulin-signaling/glucose metabolism. Interestingly, the antidiabetic was accompanied by a paradoxical increase of insulin alongside the potentiation of insulin-sensitizing agents such as adiponectin, AMPK, and GLUT4 in the gastrocnemius muscle. Furthermore, hemin enhanced mediators/regulators of insulin signaling like cGMP and cAMP and suppressed oxidative insults by up-regulating HO-1, HO activity, superoxide dismutase, catalase, and the total antioxidant capacity in the gastrocnemius muscle. Accordingly, oxidative markers/mediators including nuclear factor-kappaB, AP-1, AP-2, c-Jun-N-terminal-kinase, and 8-isoprostane were abated, whereas CrMP annulled the cytoprotective and antidiabetic effects of hemin. Correspondingly, ip glucose tolerance, insulin tolerance, and homeostasis model assessment insulin resistance analyses revealed improved glucose tolerance, reduced insulin intolerance, enhanced insulin sensitivity, and reduced insulin resistance in hemin-treated GK rats. In contrast, CrMP, abolished the insulin-sensitizing effects and restored and/or exacerbated insulin resistance. Our study unveils a 3-month enduring antidiabetic effect of hemin and unmasks the synergistic interaction among the HO system, adiponectin, AMPK, and GLUT4 that could be explored to enhance insulin signaling and improve glucose metabolism in insulin-resistant diabetes.

摘要

胰岛素介导的信号转导与脂联素、腺苷单磷酸激活蛋白激酶(AMPK)和葡萄糖转运蛋白4(GLUT4)呈正相关,但与氧化/炎症介质如核因子-κB、激活蛋白(AP)-1、AP-2和c-Jun氨基末端激酶呈负相关。尽管血红素加氧酶(HO)可抑制氧化损伤,但其对AMPK和GLUT4等胰岛素增敏剂的影响仍不清楚,因此我们使用非肥胖胰岛素抵抗2型糖尿病模型Goto-Kakizaki大鼠(GK大鼠)对此进行了研究。用血红素诱导HO,或用中卟啉铬(CrMP)抑制HO。给GK大鼠应用血红素可产生3个月的抗糖尿病作用,而HO抑制剂CrMP则会加剧高血糖并消除胰岛素信号/葡萄糖代谢。有趣的是,抗糖尿病作用伴随着胰岛素的反常增加以及腓肠肌中脂联素、AMPK和GLUT4等胰岛素增敏剂的增强。此外,血红素增强了cGMP和cAMP等胰岛素信号的介质/调节因子,并通过上调腓肠肌中的HO-1、HO活性、超氧化物歧化酶、过氧化氢酶和总抗氧化能力来抑制氧化损伤。因此,包括核因子-κB、AP-1、AP-2、c-Jun氨基末端激酶和8-异前列腺素在内的氧化标志物/介质减少,而CrMP消除了血红素的细胞保护和抗糖尿病作用。相应地,腹腔注射葡萄糖耐量、胰岛素耐量和稳态模型评估胰岛素抵抗分析显示,血红素处理的GK大鼠的葡萄糖耐量改善、胰岛素不耐受降低、胰岛素敏感性增强和胰岛素抵抗降低。相比之下,CrMP消除了胰岛素增敏作用,并恢复和/或加剧了胰岛素抵抗。我们的研究揭示了血红素3个月的持久抗糖尿病作用,并揭示了HO系统、脂联素、AMPK和GLUT4之间的协同相互作用,可利用这种相互作用来增强胰岛素信号并改善胰岛素抵抗性糖尿病中的葡萄糖代谢。

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