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TAK-242 是一种 Toll 样受体 4 信号通路的小分子抑制剂,它揭示了脂多糖和脂质在肌肉细胞中诱导的炎症和胰岛素抵抗的相似性和差异性。

TAK-242, a small-molecule inhibitor of Toll-like receptor 4 signalling, unveils similarities and differences in lipopolysaccharide- and lipid-induced inflammation and insulin resistance in muscle cells.

机构信息

Diabetes Division, Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.

出版信息

Biosci Rep. 2012 Nov 30;33(1):37-47. doi: 10.1042/BSR20120098.

Abstract

Emerging evidence suggests that TLR (Toll-like receptor) 4 and downstream pathways [MAPKs (mitogen-activated protein kinases) and NF-κB (nuclear factor κB)] play an important role in the pathogenesis of insulin resistance. LPS (lipopolysaccharide) and saturated NEFA (non-esterified fatty acids) activate TLR4, and plasma concentrations of these TLR4 ligands are elevated in obesity and Type 2 diabetes. Our goals were to define the role of TLR4 on the insulin resistance caused by LPS and saturated NEFA, and to dissect the independent contribution of LPS and NEFA to the activation of TLR4-driven pathways by employing TAK-242, a specific inhibitor of TLR4. LPS caused robust activation of the MAPK and NF-κB pathways in L6 myotubes, along with impaired insulin signalling and glucose transport. TAK-242 completely prevented the inflammatory response (MAPK and NF-κB activation) caused by LPS, and, in turn, improved LPS-induced insulin resistance. Similar to LPS, stearate strongly activated MAPKs, although stimulation of the NF-κB axis was modest. As seen with LPS, the inflammatory response caused by stearate was accompanied by impaired insulin action. TAK-242 also blunted stearate-induced inflammation; yet, the protective effect conferred by TAK-242 was partial and observed only on MAPKs. Consequently, the insulin resistance caused by stearate was only partially improved by TAK-242. In summary, TAK-242 provides complete and partial protection against LPS- and NEFA-induced inflammation and insulin resistance, respectively. Thus, LPS-induced insulin resistance depends entirely on TLR4, whereas NEFA works through TLR4-dependent and -independent mechanisms to impair insulin action.

摘要

新出现的证据表明,TLR(Toll 样受体)4 和下游途径[MAPKs(丝裂原活化蛋白激酶)和 NF-κB(核因子κB)]在胰岛素抵抗的发病机制中发挥重要作用。LPS(脂多糖)和饱和 NEFA(非酯化脂肪酸)激活 TLR4,肥胖和 2 型糖尿病患者的这些 TLR4 配体的血浆浓度升高。我们的目标是确定 TLR4 在 LPS 和饱和 NEFA 引起的胰岛素抵抗中的作用,并通过使用 TAK-242(TLR4 的特异性抑制剂)来剖析 LPS 和 NEFA 对 TLR4 驱动途径激活的独立贡献。LPS 在 L6 肌管中引起 MAPK 和 NF-κB 途径的强烈激活,同时损害胰岛素信号转导和葡萄糖转运。TAK-242 完全阻止了 LPS 引起的炎症反应(MAPK 和 NF-κB 激活),并相应地改善了 LPS 引起的胰岛素抵抗。与 LPS 相似,硬脂酸盐强烈激活 MAPKs,尽管 NF-κB 轴的刺激适度。与 LPS 一样,硬脂酸盐引起的炎症反应伴随着胰岛素作用受损。TAK-242 也减弱了硬脂酸盐诱导的炎症;然而,TAK-242 赋予的保护作用是部分的,仅在 MAPKs 上观察到。因此,仅通过 TAK-242 部分改善了硬脂酸盐引起的胰岛素抵抗。总之,TAK-242 分别提供了对 LPS 和 NEFA 诱导的炎症和胰岛素抵抗的完全和部分保护。因此,LPS 诱导的胰岛素抵抗完全依赖于 TLR4,而 NEFA 通过 TLR4 依赖和非依赖机制来损害胰岛素作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22c/3522475/2e85c39ad0bb/bsr2012-0098i001.jpg

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