MD, PhD, Department of Clinical and Experimental Medicine, Section of Endocrinology, University of Pisa, Ospedale Cisanello, Via Paradisa 2, 56124 Pisa, Italy.
Endocrinology. 2013 Nov;154(11):4226-36. doi: 10.1210/en.2013-1220. Epub 2013 Aug 2.
Insulin resistance is a key marker of both obesity and GH excess. The purpose of the study was to assess the role of GH on p53-mediated insulin resistance of male mice with obesity due to a high-fat diet. C57BL/6J × CBA male mice fed on a high-fat diet (Obe) were studied; male mice fed a normal diet (Lean) or transgenic mice for bovine GH under the same genetic background (Acro) served as controls. The convergence of p53 and GH pathways was evaluated by Western blot. Obe mice had insulin resistance, which was sustained by a selective increased expression of p53 in adipose tissue. Normal insulin sensitivity was restored, and adipose p53 expression normalized when the GH pathway was blocked. Only the adipose p53 expression was sensitive to the GH blockage, which occurred through the p38 pathway. Adipose tissue of Obe mice had a coordinate overexpression of suppressors of cytokine signal 1-3 and signal transducers and activators of transcription-1, -3, and -5b, not different from that of Acro mice, suggesting an increased sensitivity of adipose tissue to GH. On the contrary, Lean mice were unaffected by changes of GH action. GH seems to be necessary for the increased adipose p53 expression and for insulin resistance of obese mice.
胰岛素抵抗是肥胖和 GH 过多的一个关键标志物。本研究旨在评估 GH 对由于高脂肪饮食引起肥胖的雄性小鼠中 p53 介导的胰岛素抵抗的作用。研究了 C57BL/6J×CBA 雄性小鼠的高脂肪饮食喂养(Obe);正常饮食喂养的雄性小鼠(Lean)或具有相同遗传背景的牛 GH 转基因小鼠(Acro)作为对照。通过 Western blot 评估 p53 和 GH 途径的收敛。Obe 小鼠存在胰岛素抵抗,这是由脂肪组织中 p53 的选择性增加表达所维持的。当阻断 GH 途径时,正常的胰岛素敏感性得到恢复,脂肪组织中的 p53 表达也恢复正常。只有脂肪组织中的 p53 表达对 GH 阻断敏感,这是通过 p38 途径发生的。Obe 小鼠的脂肪组织中细胞因子信号 1-3 和信号转导子和转录激活子 1、3 和 5b 的抑制剂的表达协同过表达,与 Acro 小鼠没有不同,这表明脂肪组织对 GH 的敏感性增加。相反,Lean 小鼠不受 GH 作用变化的影响。GH 似乎是肥胖小鼠脂肪组织中 p53 表达增加和胰岛素抵抗所必需的。