Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06536, USA.
Proc Natl Acad Sci U S A. 2013 Jul 30;110(31):12780-5. doi: 10.1073/pnas.1311176110. Epub 2013 Jul 9.
Hepatic insulin resistance is a principal component of type 2 diabetes, but the cellular and molecular mechanisms responsible for its pathogenesis remain unknown. Recent studies have suggested that saturated fatty acids induce hepatic insulin resistance through activation of the toll-like receptor 4 (TLR-4) receptor in the liver, which in turn transcriptionally activates hepatic ceramide synthesis leading to inhibition of insulin signaling. In this study, we demonstrate that TLR-4 receptor signaling is not directly required for saturated or unsaturated fat-induced hepatic insulin resistance in both TLR-4 antisense oligonucleotide treated and TLR-4 knockout mice, and that ceramide accumulation is not dependent on TLR-4 signaling or a primary event in hepatic steatosis and impairment of insulin signaling. Further, we show that both saturated and unsaturated fats lead to hepatic accumulation of diacylglycerols, activation of PKCε, and impairment of insulin-stimulated IRS-2 signaling. These data demonstrate that saturated fat-induced insulin resistance is independent of TLR-4 activation and ceramides.
肝脏胰岛素抵抗是 2 型糖尿病的一个主要组成部分,但导致其发病机制的细胞和分子机制尚不清楚。最近的研究表明,饱和脂肪酸通过肝脏 Toll 样受体 4(TLR-4)受体的激活诱导肝脏胰岛素抵抗,TLR-4 受体继而转录激活肝鞘氨醇合成,导致胰岛素信号抑制。在这项研究中,我们证明 TLR-4 受体信号对于饱和或不饱和脂肪诱导的 TLR-4 反义寡核苷酸处理和 TLR-4 基因敲除小鼠的肝脏胰岛素抵抗不是必需的,并且鞘氨醇的积累不依赖于 TLR-4 信号或肝脂肪变性和胰岛素信号受损的初始事件。此外,我们还表明,饱和脂肪和不饱和脂肪都会导致肝脏中二酰基甘油的积累、PKCε 的激活以及胰岛素刺激的 IRS-2 信号的损害。这些数据表明,饱和脂肪诱导的胰岛素抵抗不依赖于 TLR-4 激活和鞘氨醇。