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缓激肽可抑制肥胖小鼠的肝糖异生。

Bradykinin inhibits hepatic gluconeogenesis in obese mice.

机构信息

Department of Biophysics, Federal University of São Paulo, São Paulo, Brazil.

出版信息

Lab Invest. 2012 Oct;92(10):1419-27. doi: 10.1038/labinvest.2012.105. Epub 2012 Aug 6.

Abstract

The kallikrein-kinin system (KKS) has been previously linked to glucose homeostasis. In isolated muscle or fat cells, acute bradykinin (BK) stimulation was shown to improve insulin action and increase glucose uptake by promoting glucose transporter 4 translocation to plasma membrane. However, the role for BK in the pathophysiology of obesity and type 2 diabetes remains largely unknown. To address this, we generated genetically obese mice (ob/ob) lacking the BK B2 receptor (obB2KO). Despite similar body weight or fat accumulation, obB2KO mice showed increased fasting glycemia (162.3 ± 28.2 mg/dl vs 85.3 ± 13.3 mg/dl), hyperinsulinemia (7.71 ± 1.75 ng/ml vs 4.09 ± 0.51 ng/ml) and impaired glucose tolerance when compared with ob/ob control mice (obWT), indicating insulin resistance and impaired glucose homeostasis. This was corroborated by increased glucose production in response to a pyruvate challenge. Increased gluconeogenesis was accompanied by increased hepatic mRNA expression of forkhead box protein O1 (FoxO1, four-fold), peroxisome proliferator-activated receptor gamma co-activator 1-alpha (seven-fold), phosphoenolpyruvate carboxykinase (PEPCK, three-fold) and glucose-6-phosphatase (eight-fold). FoxO1 nuclear exclusion was also impaired, as the obB2KO mice showed increased levels of this transcription factor in the nucleus fraction of liver homogenates during random feeding. Intraportal injection of BK in lean mice was able to decrease the hepatic mRNA expression of FoxO1 and PEPCK. In conclusion, BK modulates glucose homeostasis by affecting hepatic glucose production in obWT. These results point to a protective role of the KKS in the pathophysiology of type 2 diabetes mellitus.

摘要

激肽释放酶-激肽系统(KKS)与葡萄糖内稳态先前已有关联。在分离的肌肉或脂肪细胞中,急性缓激肽(BK)刺激被显示通过促进葡萄糖转运体 4 向质膜易位来改善胰岛素作用并增加葡萄糖摄取。然而,BK 在肥胖和 2 型糖尿病的病理生理学中的作用在很大程度上仍是未知的。为了解决这个问题,我们生成了缺乏 BK B2 受体(obB2KO)的遗传性肥胖小鼠(ob/ob)。尽管体重或脂肪积累相似,obB2KO 小鼠表现出空腹血糖升高(162.3±28.2mg/dl 与 85.3±13.3mg/dl)、高胰岛素血症(7.71±1.75ng/ml 与 4.09±0.51ng/ml)和葡萄糖耐量受损,与 ob/ob 对照小鼠(obWT)相比,表明胰岛素抵抗和葡萄糖内稳态受损。这与对丙酮酸挑战的葡萄糖生成增加得到了证实。增加的糖异生伴随着肝 mRNA 表达的 forkhead box protein O1(FoxO1,四倍)、过氧化物酶体增殖物激活受体 γ 共激活因子 1-α(七倍)、磷酸烯醇丙酮酸羧激酶(PEPCK,三倍)和葡萄糖-6-磷酸酶(八倍)的增加。FoxO1 核排除也受损,因为 obB2KO 小鼠在随机喂养期间显示肝匀浆核部分的这种转录因子的水平增加。在瘦小鼠中门静脉内注射 BK 能够降低 FoxO1 和 PEPCK 的肝 mRNA 表达。总之,BK 通过影响 obWT 中的肝葡萄糖生成来调节葡萄糖内稳态。这些结果表明 KKS 在 2 型糖尿病的病理生理学中具有保护作用。

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