Sajan M P, Standaert M L, Rivas J, Miura A, Kanoh Y, Soto J, Taniguchi C M, Kahn C R, Farese R V
Research Service, James A Haley Veterans Hospital, Tampa, FL 33612, USA.
Diabetologia. 2009 Jun;52(6):1197-207. doi: 10.1007/s00125-009-1336-5. Epub 2009 Apr 9.
AIMS/HYPOTHESIS: Previous findings in rodents used as a model of diabetes suggest that insulin activation of atypical protein kinase C (aPKC) is impaired in muscle, but, unexpectedly, conserved in liver, despite impaired hepatic protein kinase B (PKB/Akt) activation. Moreover, aPKC at least partly regulates two major transactivators: (1) hepatic sterol receptor binding protein-1c (SREBP-1c), which controls lipid synthesis; and (2) nuclear factor kappa B (NFkappaB), which promotes inflammation and systemic insulin resistance.
In Goto-Kakizaki rats used as a model of type 2 diabetes, we examined: (1) whether differences in hepatic aPKC and PKB activation reflect differences in activation of IRS-1- and IRS-2-dependent phosphatidylinositol 3-kinase (PI3K); (2) whether hepatic SREBP-1c and NFkappaB are excessively activated by aPKC; and (3) metabolic consequences of excessive activation of hepatic aPKC, SREBP-1c and NFkappaB.
In liver, as well as in muscle, IRS-2/PI3K activation by insulin was intact, whereas IRS-1/PI3K activation by insulin was impaired. Moreover, hepatic IRS-2 is known to control hepatic aPKC during insulin activation. Against this background, selective inhibition of hepatic aPKC by adenoviral-mediated expression of mRNA encoding kinase-inactive aPKC or short hairpin RNA targeting Irs2 mRNA and partially depleting hepatic IRS-2 diminished hepatic SREBP-1c production and NFkappaB activities, concomitantly improving serum lipids and insulin signalling in muscle and liver. Similar improvements in SREBP-1c, NFkappaB and insulin signalling were seen in ob/ob mice following inhibition of hepatic aPKC.
CONCLUSIONS/INTERPRETATION: In diabetic rodent liver, diminished PKB activation may largely reflect impaired IRS-1/PI3K activation, while conserved aPKC activation reflects retained IRS-2/PI3K activity. Hepatic aPKC may also contribute importantly to excessive SREPB-1c and NFkappaB activities. Excessive hepatic aPKC-dependent activation of SREBP-1c and NFkappaB may contribute importantly to hyperlipidaemia and systemic insulin resistance.
目的/假设:先前在作为糖尿病模型的啮齿动物中的研究结果表明,胰岛素对非典型蛋白激酶C(aPKC)的激活在肌肉中受损,但出乎意料的是,尽管肝蛋白激酶B(PKB/Akt)激活受损,但在肝脏中却保持不变。此外,aPKC至少部分调节两种主要的转录激活因子:(1)肝固醇受体结合蛋白-1c(SREBP-1c),其控制脂质合成;(2)核因子κB(NFκB),其促进炎症和全身胰岛素抵抗。
在用作2型糖尿病模型的Goto-Kakizaki大鼠中,我们研究了:(1)肝aPKC和PKB激活的差异是否反映了依赖IRS-1和IRS-2的磷脂酰肌醇3激酶(PI3K)激活的差异;(2)肝SREBP-1c和NFκB是否被aPKC过度激活;(3)肝aPKC、SREBP-1c和NFκB过度激活的代谢后果。
在肝脏以及肌肉中,胰岛素对IRS-2/PI3K的激活是完整的,而胰岛素对IRS-1/PI3K的激活受损。此外,已知肝IRS-2在胰岛素激活过程中控制肝aPKC。在此背景下,通过腺病毒介导的编码激酶失活aPKC的mRNA表达或靶向Irs2 mRNA并部分耗尽肝IRS-2的短发夹RNA对肝aPKC进行选择性抑制,可减少肝SREBP-1c的产生和NFκB的活性,同时改善肌肉和肝脏中的血脂和胰岛素信号。在抑制肝aPKC后,ob/ob小鼠的SREBP-1c、NFκB和胰岛素信号也有类似改善。
结论/解读:在糖尿病啮齿动物肝脏中,PKB激活减少可能主要反映IRS-1/PI3K激活受损,而aPKC激活保持不变反映了IRS-2/PI3K活性保留。肝aPKC也可能对SREPB-1c和NFκB的过度活性起重要作用。肝aPKC依赖型SREBP-1c和NFκB的过度激活可能对高脂血症和全身胰岛素抵抗起重要作用。