Block N E, Menick D R, Robinson K A, Buse M G
Division of Endocrinology, Metabolism and Nutrition, Gazes Cardiac Research Institute, Medical University of South Carolina, Charleston 29425.
J Clin Invest. 1991 Nov;88(5):1546-52. doi: 10.1172/JCI115465.
Denervation rapidly (within 24 h) induces insulin resistance of several insulin-responsive pathways in skeletal muscle, including glucose transport; resistance is usually maximal by 3 d. We examined the effect of denervation on the expression of two glucose transporter isoforms (GLUT-1 and GLUT-4) in rat hindlimb muscle; GLUT-4 is the predominant species in muscle. 1 d postdenervation, GLUT-1 and GLUT-4 mRNA and protein concentrations were unchanged. 3 and 7 d postdenervation, GLUT-4 mRNA and protein (per microgram DNA) were decreased by 50%. The minor isoform, GLUT-1 mRNA increased by approximately 500 and approximately 100%, respectively, on days 3 and 7 while GLUT-1 protein increased by approximately 60 and approximately 100%. The data suggest that the insulin resistance of glucose transport early after denervation does not reflect a decrease in total glucose transporter number; however, decreased GLUT-4 expression may contribute to its increased severity after 3 d. Parallel decreases in GLUT-4 mRNA and GLUT-4 protein postdenervation are consistent with pretranslational regulation; GLUT-1 expression may be regulated pre- and posttranslationally. The cell type(s) which overexpress GLUT-1 postdenervation need to be identified. Nervous stimuli and/or contractile activity may modulate the expression of GLUT-1 and GLUT-4 in skeletal muscle tissue.
去神经支配会迅速(在24小时内)诱导骨骼肌中几种胰岛素反应途径产生胰岛素抵抗,包括葡萄糖转运;通常在3天时抵抗作用达到最大。我们研究了去神经支配对大鼠后肢肌肉中两种葡萄糖转运体亚型(GLUT - 1和GLUT - 4)表达的影响;GLUT - 4是肌肉中的主要类型。去神经支配1天后,GLUT - 1和GLUT - 4的mRNA和蛋白质浓度未发生变化。去神经支配3天和7天后,GLUT - 4的mRNA和蛋白质(每微克DNA)减少了50%。次要亚型GLUT - 1的mRNA在第3天和第7天分别增加了约500%和约100%,而GLUT - 1蛋白增加了约60%和约100%。数据表明,去神经支配后早期葡萄糖转运的胰岛素抵抗并不反映总葡萄糖转运体数量的减少;然而,GLUT - 4表达的降低可能导致3天后其严重程度增加。去神经支配后GLUT - 4 mRNA和GLUT - 4蛋白的平行减少与转录前调控一致;GLUT - 1的表达可能受转录前和转录后调控。需要确定去神经支配后过表达GLUT - 1的细胞类型。神经刺激和/或收缩活动可能调节骨骼肌组织中GLUT - 1和GLUT - 4的表达。