Institute of General Pathology, Laboratory of Cell Signaling, Università Cattolica Medical School, 00168 Rome, Italy.
Proc Natl Acad Sci U S A. 2010 Jul 27;107(30):13420-5. doi: 10.1073/pnas.1008647107. Epub 2010 Jul 12.
Obesity and metabolic syndrome result from excess calorie intake and genetic predisposition and are mechanistically linked to type II diabetes and accelerated body aging; abnormal nutrient and insulin signaling participate in this pathologic process, yet the underlying molecular mechanisms are incompletely understood. Mice lacking the p66 kDa isoform of the Shc adaptor molecule live longer and are leaner than wild-type animals, suggesting that this molecule may have a role in metabolic derangement and premature senescence by overnutrition. We found that p66 deficiency exerts a modest but significant protective effect on fat accumulation and premature death in lepOb/Ob mice, an established genetic model of obesity and insulin resistance; strikingly, however, p66 inactivation improved glucose tolerance in these animals, without affecting (hyper)insulinaemia and independent of body weight. Protection from insulin resistance was cell autonomous, because isolated p66KO preadipocytes were relatively resistant to insulin desensitization by free fatty acids in vitro. Biochemical studies revealed that p66shc promotes the signal-inhibitory phosphorylation of the major insulin transducer IRS-1, by bridging IRS-1 and the mTOR effector p70S6 kinase, a molecule previously linked to obesity-induced insulin resistance. Importantly, IRS-1 was strongly up-regulated in the adipose tissue of p66KO lepOb/Ob mice, confirming that effects of p66 on tissue responsiveness to insulin are largely mediated by this molecule. Taken together, these findings identify p66shc as a major mediator of insulin resistance by excess nutrients, and by extension, as a potential molecular target against the spreading epidemic of obesity and type II diabetes.
肥胖和代谢综合征是由于热量摄入过多和遗传易感性引起的,并与 II 型糖尿病和加速身体衰老有关;异常的营养和胰岛素信号参与了这一病理过程,但潜在的分子机制尚不完全清楚。缺乏 Shc 衔接子蛋白的 p66 kDa 同工型的小鼠比野生型动物寿命更长、体型更瘦,这表明该分子可能通过营养失调和过度营养导致代谢紊乱和过早衰老。我们发现,p66 缺乏对 lepOb/Ob 小鼠(肥胖和胰岛素抵抗的既定遗传模型)的脂肪积累和过早死亡产生适度但显著的保护作用;然而,令人惊讶的是,p66 失活改善了这些动物的葡萄糖耐量,而不影响(高)胰岛素血症,且与体重无关。对胰岛素抵抗的保护是细胞自主的,因为体外分离的 p66KO 前脂肪细胞对游离脂肪酸引起的胰岛素脱敏相对具有抗性。生化研究表明,p66shc 通过桥接 IRS-1 和 mTOR 效应物 p70S6 激酶,促进主要胰岛素转导物 IRS-1 的信号抑制性磷酸化,该分子先前与肥胖引起的胰岛素抵抗有关。重要的是,p66KO lepOb/Ob 小鼠的脂肪组织中 IRS-1 强烈上调,证实了 p66 对组织对胰岛素反应性的影响在很大程度上是由该分子介导的。总之,这些发现表明 p66shc 是过量营养引起的胰岛素抵抗的主要介质,并且可以作为肥胖和 II 型糖尿病流行的潜在分子靶点。