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烟酰胺腺嘌呤二核苷酸(NAD⁺)依赖性脱乙酰酶SIRT2可减轻氧化应激和线粒体功能障碍,并改善肝细胞中的胰岛素敏感性。

The NAD+-dependent deacetylase SIRT2 attenuates oxidative stress and mitochondrial dysfunction and improves insulin sensitivity in hepatocytes.

作者信息

Lemos Vera, de Oliveira Rita M, Naia Luana, Szegö Éva, Ramos Elisabete, Pinho Sónia, Magro Fernando, Cavadas Cláudia, Rego A Cristina, Costa Vítor, Outeiro Tiago F, Gomes Pedro

机构信息

Department of Biomedicine, Faculty of Medicine, University of Porto, Porto, Portugal.

Chronic Diseases Research Center (CEDOC), Faculty of Medical Sciences, Nova University of Lisbon, Lisbon, Portugal.

出版信息

Hum Mol Genet. 2017 Nov 1;26(21):4105-4117. doi: 10.1093/hmg/ddx298.

Abstract

Insulin resistance is a major predictor of the development of metabolic disorders. Sirtuins (SIRTs) have emerged as potential targets that can be manipulated to counteract age-related diseases, including type 2 diabetes. SIRT2 has been recently shown to exert important metabolic effects, but whether SIRT2 regulates insulin sensitivity in hepatocytes is currently unknown. The aim of this study is to investigate this possibility and to elucidate underlying molecular mechanisms. Here, we show that SIRT2 is downregulated in insulin-resistant hepatocytes and livers, and this was accompanied by increased generation of reactive oxygen species, activation of stress-sensitive ERK1/2 kinase, and mitochondrial dysfunction. Conversely, SIRT2 overexpression in insulin-resistant hepatocytes improved insulin sensitivity, mitigated reactive oxygen species production and ameliorated mitochondrial dysfunction. Further analysis revealed a reestablishment of mitochondrial morphology, with a higher number of elongated mitochondria rather than fragmented mitochondria instigated by insulin resistance. Mechanistically, SIRT2 was able to increase fusion-related protein Mfn2 and decrease mitochondrial-associated Drp1. SIRT2 also attenuated the downregulation of TFAM, a key mtDNA-associated protein, contributing to the increase in mitochondrial mass. Importantly, we found that SIRT2 expression in PBMCs of human subjects was negatively correlated with obesity and insulin resistance. These results suggest a novel function for hepatic SIRT2 in the regulation of insulin sensitivity and raise the possibility that SIRT2 activators may offer novel opportunities for preventing or treating insulin resistance and type 2 diabetes.

摘要

胰岛素抵抗是代谢紊乱发生的主要预测指标。沉默调节蛋白(SIRTs)已成为可被调控以对抗包括2型糖尿病在内的与年龄相关疾病的潜在靶点。最近研究表明,SIRT2具有重要的代谢作用,但SIRT2是否调节肝细胞中的胰岛素敏感性目前尚不清楚。本研究旨在探讨这种可能性并阐明潜在的分子机制。在此,我们发现SIRT2在胰岛素抵抗的肝细胞和肝脏中表达下调,同时伴有活性氧生成增加、应激敏感的ERK1/2激酶激活以及线粒体功能障碍。相反,在胰岛素抵抗的肝细胞中过表达SIRT2可改善胰岛素敏感性、减轻活性氧生成并改善线粒体功能障碍。进一步分析显示线粒体形态得以重建,出现更多由胰岛素抵抗引发的拉长型线粒体而非碎片化线粒体。从机制上讲,SIRT2能够增加与融合相关的蛋白Mfn2并减少与线粒体相关的Drp1。SIRT2还减弱了关键的线粒体DNA相关蛋白TFAM的下调,这有助于线粒体质量的增加。重要的是,我们发现人类受试者外周血单核细胞中SIRT2的表达与肥胖和胰岛素抵抗呈负相关。这些结果提示肝脏SIRT2在调节胰岛素敏感性方面具有新功能,并增加了SIRT2激活剂可能为预防或治疗胰岛素抵抗和2型糖尿病提供新机会的可能性。

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