Zhou Y-L, Du Y-F, Du H, Shao P
Department of Neurology, Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China.
Eur Rev Med Pharmacol Sci. 2017 Apr;21(8):1787-1794.
Alzheimer's disease (AD) has been considered as a metabolic disorder disease, which closely related to insulin signaling impairment. Therefore, identifying the potential mechanism of insulin resistance is important for AD treatment.
An APP/PS1 double transgenic AD mouse model was introduced to study insulin resistance in gut. The expressions of AD markers and key elements of insulin signaling were detected in ileum and intestinal macrophages of AD mice by immunohistochemistry. Furthermore, mouse intestinal macrophage cell line RAW264.7 was treated by Aβ25-35 or Aβ25-35 + insulin to explore the mechanism of insulin resistance in vitro. The expression of IR-β and the activation of cell signaling related proteins (Insulin receptor substrate 1 (IRS1), protein kinase B (AKT) and c-Jun N-terminal kinase (JNK)) in Aβ25-35-stimulated macrophages were performed via Western blotting.
The expressions of IRS1, Aβ and Tuj in AD mice ileum were significantly different from WT mice (p<0.05). Also, there were significant discrepancies in the expressions of β2AR and eNOS in intestinal macrophages of two groups (p<0.05). After exposure to Aβ25-35, cell proliferation rate (p<0.01) of macrophage and the levels of TNF-α (p<0.01) and Il-6 (p<0.01) was significant elevated and treatment with insulin could reverse these changes (p<0.05). The amount of IR-β and the p-AKT/AKT ratio significantly decreased in Aβ25-35-treated macrophages (p<0.01), while the ratios of p-IRS1/IRS1 and p-JNK/JNK significantly enlarged (p<0.01). Furthermore, all the changes caused by Aβ25-35 treatment were attenuated by insulin addition.
Activation of JNK pathway played an important role in insulin resistance of AD mice, suggesting that inhibition of JNK pathway might be a new strategy toward resolving insulin resistance related diseases, such as AD.
阿尔茨海默病(AD)被认为是一种代谢紊乱疾病,与胰岛素信号受损密切相关。因此,确定胰岛素抵抗的潜在机制对AD治疗具有重要意义。
引入APP/PS1双转基因AD小鼠模型来研究肠道中的胰岛素抵抗。通过免疫组织化学检测AD小鼠回肠和肠道巨噬细胞中AD标志物及胰岛素信号关键元件的表达。此外,用Aβ25 - 35或Aβ25 - 35 +胰岛素处理小鼠肠道巨噬细胞系RAW264.7,以在体外探索胰岛素抵抗的机制。通过蛋白质免疫印迹法检测Aβ25 - 35刺激的巨噬细胞中IR-β的表达以及细胞信号相关蛋白(胰岛素受体底物1(IRS1)、蛋白激酶B(AKT)和c - Jun氨基末端激酶(JNK))的激活情况。
AD小鼠回肠中IRS1、Aβ和Tuj的表达与野生型小鼠有显著差异(p<)。此外,两组肠道巨噬细胞中β2AR和eNOS的表达也存在显著差异(p<)。暴露于Aβ25 - 35后,巨噬细胞的细胞增殖率(p<)、TNF-α水平(p<)和Il - 6水平(p<)显著升高,胰岛素处理可逆转这些变化(p<)。在Aβ25 - 35处理的巨噬细胞中,IR-β的量和p - AKT/AKT比值显著降低(p<),而p - IRS1/IRS1和p - JNK/JNK比值显著增大(p<)。此外,添加胰岛素可减弱Aβ25 - 35处理引起的所有变化。
JNK通路的激活在AD小鼠的胰岛素抵抗中起重要作用,提示抑制JNK通路可能是解决胰岛素抵抗相关疾病(如AD)的新策略。