Department of Physiology and Metabolism, Brain/Liver Interface Medicine Research Center, Kanazawa University, Kanazawa, Japan.
Diabetes. 2013 Jul;62(7):2266-77. doi: 10.2337/db12-1701. Epub 2013 Mar 8.
Glucose intolerance in type 2 diabetes is related to enhanced hepatic glucose production (HGP) due to the increased expression of hepatic gluconeogenic enzymes. Previously, we revealed that hepatic STAT3 decreases the expression of hepatic gluconeogenic enzymes and suppresses HGP. Here, we show that increased plasma histidine results in hepatic STAT3 activation. Intravenous and intracerebroventricular (ICV) administration of histidine-activated hepatic STAT3 reduced G6Pase protein and mRNA levels and augmented HGP suppression by insulin. This suppression of hepatic gluconeogenesis by histidine was abolished by hepatic STAT3 deficiency or hepatic Kupffer cell depletion. Inhibition of HGP by histidine was also blocked by ICV administration of a histamine H1 receptor antagonist. Therefore, histidine activates hepatic STAT3 and suppresses HGP via central histamine action. Hepatic STAT3 phosphorylation after histidine ICV administration was attenuated in histamine H1 receptor knockout (Hrh1KO) mice but not in neuron-specific insulin receptor knockout (NIRKO) mice. Conversely, hepatic STAT3 phosphorylation after insulin ICV administration was attenuated in NIRKO but not in Hrh1KO mice. These findings suggest that central histidine action is independent of central insulin action, while both have additive effects on HGP suppression. Our results indicate that central histidine/histamine-mediated suppression of HGP is a potential target for the treatment of type 2 diabetes.
2 型糖尿病中的葡萄糖耐量受损与肝葡萄糖生成(HGP)增加有关,这是由于肝糖异生酶的表达增加所致。先前,我们揭示了肝 STAT3 降低肝糖异生酶的表达并抑制 HGP。在这里,我们表明增加的血浆组氨酸导致肝 STAT3 激活。静脉内和脑室内(ICV)给予组氨酸激活的肝 STAT3 可降低 G6Pase 蛋白和 mRNA 水平,并增强胰岛素对 HGP 的抑制作用。肝 STAT3 缺乏或肝枯否细胞耗竭可消除组氨酸对肝糖异生的抑制作用。组氨酸对 HGP 的抑制作用也被 ICV 给予组氨酸 H1 受体拮抗剂阻断。因此,组氨酸通过中枢组胺作用激活肝 STAT3 并抑制 HGP。在组氨酸 H1 受体敲除(Hrh1KO)小鼠中,脑室内给予组氨酸后肝 STAT3 磷酸化减弱,但在神经元特异性胰岛素受体敲除(NIRKO)小鼠中则不然。相反,脑室内给予胰岛素后肝 STAT3 磷酸化在 NIRKO 小鼠中减弱,但在 Hrh1KO 小鼠中则不然。这些发现表明中枢组胺作用独立于中枢胰岛素作用,而两者对 HGP 抑制均具有相加作用。我们的结果表明,中枢组氨酸/组胺介导的 HGP 抑制是治疗 2 型糖尿病的潜在靶点。