果糖诱导的神经原性高血压通过过度激活 p38MAPK 损害胰岛素信号转导引起中枢胰岛素抵抗。

Fructose induced neurogenic hypertension mediated by overactivation of p38 MAPK to impair insulin signaling transduction caused central insulin resistance.

机构信息

Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Yuh-Ing Junior College of Health Care & Management, Kaohsiung, Taiwan.

Section of Neurology, Kaohsiung Veterans General Hospital, Taiwan; Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

出版信息

Free Radic Biol Med. 2017 Nov;112:298-307. doi: 10.1016/j.freeradbiomed.2017.07.022. Epub 2017 Jul 25.

Abstract

Type 2 diabetes are at a high risk of complications related to hypertension, and reports have indicated that insulin levels may be associated with blood pressure (BP). Fructose intake has recently been reported to promote insulin resistance and superoxide formation. The aim of this study is to investigate whether fructose intake can enhance superoxide generation and impair insulin signaling in the NTS and subsequently elevate BP in rats with fructose-induced hypertension. Treatment with fructose for 4 weeks increased the BP, serum fasting insulin, glucose, homeostatic model assessment-insulin resistance, and triglyceride levels and reduced the serum direct high-density lipoprotein level in the fructose group. The Tempol treatment recovered the fructose-induced decrease in nitric oxide production in the NTS. Immunoblotting and immunofluorescence analyses further showed that fructose increased the p38- and fructose-induced phosphorylation of insulin receptor substrate 1 (IRS1) and suppressed Akt and neuronal nitric oxide synthase phosphorylation. Similarly, fructose was able to impair insulin sensitivity and increase insulin levels in the NTS. Fructose intake also increased the production of superoxide in the NTS. The results of this study suggest that fructose might induce central insulin resistance and elevate BP by enhancing superoxide production and activating p38 phosphorylation in the NTS.

摘要

2 型糖尿病患者患高血压相关并发症的风险较高,有报道称胰岛素水平可能与血压(BP)有关。最近有报道称,果糖摄入可促进胰岛素抵抗和超氧化物的形成。本研究旨在探讨果糖摄入是否会增强 NTS 中超氧化物的产生并损害胰岛素信号转导,从而导致果糖诱导高血压大鼠的血压升高。果糖处理 4 周会增加 BP、血清空腹胰岛素、血糖、稳态模型评估-胰岛素抵抗和甘油三酯水平,并降低果糖组的血清直接高密度脂蛋白水平。Tempol 处理恢复了 NTS 中果糖诱导的一氧化氮产生减少。免疫印迹和免疫荧光分析进一步表明,果糖增加了 p38 和果糖诱导的胰岛素受体底物 1(IRS1)磷酸化,并抑制了 Akt 和神经元型一氧化氮合酶磷酸化。同样,果糖也能损害 NTS 中的胰岛素敏感性并增加胰岛素水平。果糖摄入还增加了 NTS 中超氧化物的产生。本研究结果表明,果糖可能通过增强 NTS 中超氧化物的产生和激活 p38 磷酸化来诱导中枢性胰岛素抵抗和升高血压。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索