Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, Missouri, USA.
Diabetes. 2011 May;60(5):1478-82. doi: 10.2337/db11-0033. Epub 2011 Mar 25.
Evidence suggests that insulin-sensitive glucose transporters (GLUTs) other than GLUT4 may exist. To investigate whether GLUT12 may represent another insulin-sensitive GLUT, transgenic (TG) mice that overexpress GLUT12 were characterized.
TG mice that overexpressed GLUT12 under a β-actin promoter were generated. Glucose metabolism in TG and wild-type control mice was compared using glucose and insulin tolerance tests and hyperinsulinemic-euglycemic clamps. In addition, basal and insulin-stimulated glucose clearance rates into insulin-sensitive peripheral tissues were measured using [(3)H]-2-deoxy-D-glucose.
GLUT12 was overexpressed by 40-75% in TG compared with wild-type mice in insulin-sensitive tissues with no change in GLUT4 content. Body weight and fasting blood glucose did not differ between wild-type and TG mice; however, insulin concentrations were reduced in TG mice. Enhanced oral glucose tolerance was noted in TG mice by a reduced blood glucose excursion compared with wild-type mice (P < 0.05). Enhanced insulin sensitivity was noted by a greater decrease in blood glucose in TG mice during insulin tolerance testing. Hyperinsulinemic-euglycemic clamps confirmed enhanced insulin sensitivity in GLUT12-overexpressing mice (P < 0.01). Tissues of TG mice exhibited normal basal glucose clearance rates; however, under insulin-stimulated conditions, glucose clearance was significantly increased (P < 0.01) in tissues of TG mice.
Increased expression of GLUT12 results in improved whole-body insulin sensitivity mediated by an increased glucose clearance rate in insulin-responsive tissues under insulin-stimulated, but not basal, conditions. These findings provide evidence that GLUT12 represents a novel, second insulin-sensitive GLUT.
有证据表明,除了 GLUT4 以外,可能还存在其他胰岛素敏感型葡萄糖转运体(GLUT)。为了研究 GLUT12 是否可能代表另一种胰岛素敏感型 GLUT,我们对过表达 GLUT12 的转基因(TG)小鼠进行了特征描述。
我们构建了在β-肌动蛋白启动子控制下过表达 GLUT12 的 TG 小鼠。通过葡萄糖和胰岛素耐量试验以及高胰岛素正常血糖钳夹试验比较 TG 和野生型对照小鼠的葡萄糖代谢。此外,还使用 [(3)H]-2-脱氧-D-葡萄糖测量基础状态和胰岛素刺激下胰岛素敏感外周组织中的葡萄糖清除率。
与野生型小鼠相比,TG 中 GLUT12 的表达增加了 40-75%,而 GLUT4 含量没有变化。野生型和 TG 小鼠的体重和空腹血糖没有差异;然而,TG 小鼠的胰岛素浓度降低。与野生型小鼠相比,TG 小鼠的口服葡萄糖耐量增强,表现为血糖波动减少(P < 0.05)。在胰岛素耐量试验中,TG 小鼠的血糖下降幅度更大,提示胰岛素敏感性增强。高胰岛素正常血糖钳夹试验证实 GLUT12 过表达小鼠的胰岛素敏感性增强(P < 0.01)。TG 小鼠的组织基础葡萄糖清除率正常;然而,在胰岛素刺激条件下,TG 小鼠的葡萄糖清除率显著增加(P < 0.01)。
GLUT12 的表达增加导致整体胰岛素敏感性增强,这是由胰岛素刺激下胰岛素应答组织中的葡萄糖清除率增加介导的,但基础状态下则没有这种情况。这些发现为 GLUT12 代表一种新的、第二种胰岛素敏感型 GLUT 提供了证据。