Departamento de Biociências, Curso de Educação Física - Modalidade Saúde, Universidade Federal de São Paulo, SP, Brazil.
J Cell Physiol. 2012 Jul;227(7):2917-26. doi: 10.1002/jcp.23037.
Hepatic insulin resistance is the major contributor to fasting hyperglycemia in type 2 diabetes. The protein kinase Akt plays a central role in the suppression of gluconeogenesis involving forkhead box O1 (Foxo1) and peroxisome proliferator-activated receptor gamma co-activator 1 alpha (PGC-1α), and in the control of glycogen synthesis involving the glycogen synthase kinase beta (GSK3β) in the liver. It has been demonstrated that endosomal adaptor protein APPL1 interacts with Akt and blocks the association of Akt with its endogenous inhibitor, tribbles-related protein 3 (TRB3), improving the action of insulin in the liver. Here, we demonstrated that chronic exercise increased the basal levels and insulin-induced Akt serine phosphorylation in the liver of diet-induced obese mice. Endurance training was able to increase APPL1 expression and the interaction between APPL1 and Akt. Conversely, training reduced both TRB3 expression and TRB3 and Akt association. The positive effects of exercise on insulin action are reinforced by our findings that showed that trained mice presented an increase in Foxo1 phosphorylation and Foxo1/PGC-1α association, which was accompanied by a reduction in gluconeogenic gene expressions (PEPCK and G6Pase). Finally, exercised animals demonstrated increased at basal and insulin-induced GSK3β phosphorylation levels and glycogen content at 24 h after the last session of exercise. Our findings demonstrate that exercise increases insulin action, at least in part, through the enhancement of APPL1 and the reduction of TRB3 expression in the liver of obese mice, independently of weight loss.
肝胰岛素抵抗是 2 型糖尿病患者空腹高血糖的主要原因。蛋白激酶 Akt 在抑制涉及叉头框 O1(Foxo1)和过氧化物酶体增殖物激活受体γ共激活剂 1α(PGC-1α)的糖异生以及控制涉及糖原合酶激酶β(GSK3β)的糖原合成中发挥核心作用在肝脏中。已经证明内体衔接蛋白 APPL1 与 Akt 相互作用并阻止 Akt 与其内源性抑制剂 tribbles 相关蛋白 3(TRB3)的结合,从而改善胰岛素在肝脏中的作用。在这里,我们证明慢性运动增加了饮食诱导肥胖小鼠肝脏中 Akt 丝氨酸磷酸化的基础水平和胰岛素诱导水平。耐力训练能够增加 APPL1 的表达及其与 Akt 的相互作用。相反,训练降低了 TRB3 的表达和 TRB3 与 Akt 的结合。我们的研究结果表明,运动对胰岛素作用的积极影响得到了加强,表明训练过的小鼠表现出 Foxo1 磷酸化和 Foxo1/PGC-1α 结合增加,同时伴有糖异生基因表达(PEPCK 和 G6Pase)减少。最后,运动后的动物在基础水平和胰岛素诱导的 GSK3β 磷酸化水平以及 24 小时后的糖原含量均增加。我们的研究结果表明,运动至少部分通过增强肥胖小鼠肝脏中的 APPL1 和降低 TRB3 的表达来增加胰岛素作用,而与体重减轻无关。