Genetics of Development and Disease Branch, NIH, 10/9N105, 10 Center Drive, Bethesda, Maryland 20892, USA.
J Clin Invest. 2011 Nov;121(11):4477-90. doi: 10.1172/JCI46243. Epub 2011 Oct 3.
Insulin resistance is a major risk factor for type 2 diabetes mellitus. The protein encoded by the sirtuin 1 (Sirt1) gene, which is a mouse homolog of yeast Sir2, is implicated in the regulation of glucose metabolism and insulin sensitivity; however, the underlying mechanism remains elusive. Here, using mice with a liver-specific null mutation of Sirt1, we have identified a signaling pathway involving Sirt1, Rictor (a component of mTOR complex 2 [mTorc2]), Akt, and Foxo1 that regulates gluconeogenesis. We found that Sirt1 positively regulates transcription of the gene encoding Rictor, triggering a cascade of phosphorylation of Akt at S473 and Foxo1 at S253 and resulting in decreased transcription of the gluconeogenic genes glucose-6-phosphatase (G6pase) and phosphoenolpyruvate carboxykinase (Pepck). Liver-specific Sirt1 deficiency caused hepatic glucose overproduction, chronic hyperglycemia, and increased ROS production. This oxidative stress disrupted mTorc2 and impaired mTorc2/Akt signaling in other insulin-sensitive organs, leading to insulin resistance that could be largely reversed with antioxidant treatment. These data delineate a pathway through which Sirt1 maintains insulin sensitivity and suggest that treatment with antioxidants might provide protection against progressive insulin resistance in older human populations.
胰岛素抵抗是 2 型糖尿病的主要危险因素。Sirtuin 1(Sirt1)基因编码的蛋白质是酵母 Sir2 的小鼠同源物,它参与葡萄糖代谢和胰岛素敏感性的调节;然而,其潜在机制仍不清楚。在这里,我们使用肝脏特异性 Sirt1 缺失的小鼠,鉴定了一条涉及 Sirt1、Rictor(mTOR 复合物 2 [mTorc2]的一个组成部分)、Akt 和 Foxo1 的信号通路,该通路调节糖异生。我们发现 Sirt1 正向调节编码 Rictor 的基因的转录,触发 Akt 在 S473 和 Foxo1 在 S253 的磷酸化级联反应,导致糖异生基因葡萄糖-6-磷酸酶(G6pase)和磷酸烯醇丙酮酸羧激酶(Pepck)的转录减少。肝脏特异性 Sirt1 缺失导致肝脏葡萄糖过度产生、慢性高血糖和 ROS 产生增加。这种氧化应激破坏了 mTorc2,并损害了其他胰岛素敏感器官中的 mTorc2/Akt 信号,导致胰岛素抵抗,抗氧化治疗可在很大程度上逆转这种胰岛素抵抗。这些数据描绘了 Sirt1 维持胰岛素敏感性的途径,并表明抗氧化剂治疗可能为老年人群中进行性胰岛素抵抗提供保护。