Department of Medicine Cardiology Division, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Department of Geriatric Endocrinology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
J Mol Endocrinol. 2018 Oct 15;61(4):153-161. doi: 10.1530/JME-18-0129.
Numerous studies have implicated tumor necrosis factor α (TNFα) in the pathogenesis of type 2 diabetes. However, the role of its primary receptor, TNF receptor 1 (TNFR1), in homeostatic regulation of glucose metabolism is still controversial. In addition to TNFα, lymphotoxin α (LTα) binds to and activates TNFR1. Thus, TNFα and LTα together are known as TNF. To delineate the role of TNF signaling in glucose homeostasis, the present study ascertained how TNF signaling deficiency affects major regulatory components of glucose homeostasis. To this end, normal diet-fed male TNFR1 deficient mice (TNFR1-/-), TNFα/LTα/LTβ triple deficient mice (TNF/LT∆3), and their littermate controls were subjected to intraperitoneal glucose tolerance test, insulin tolerance test, and oral glucose tolerance test. The present results showed that TNFR1-/- and TNF/LT∆3 mice versus their controls had comparable body weight, tolerance to intraperitoneal glucose, and sensitivity to insulin. However, their tolerance to oral glucose was significantly increased. Additionally, glucose-induced insulin secretion assessments revealed that TNFR1 or TNF/LT deficiency significantly increased oral but not intraperitoneal glucose-induced insulin secretion. Consistently, qPCR and immunohistochemistry analyses showed that TNFR1-/- and TNF/LT∆3 mice versus their controls had significantly increased ileal expression of glucagon-like peptide-1 (GLP-1), one of the primary incretins. Their oral glucose-induced secretion of GLP-1 was also significantly increased. These data collectively suggest that physiological TNF signaling regulates glucose metabolism primarily through effects on GLP-1 expression and secretion and subsequently insulin secretion.
许多研究表明肿瘤坏死因子 α(TNFα)在 2 型糖尿病的发病机制中起作用。然而,其主要受体 TNF 受体 1(TNFR1)在葡萄糖代谢的体内平衡调节中的作用仍存在争议。除 TNFα 外,淋巴毒素 α(LTα)也与 TNFR1 结合并激活它。因此,TNFα 和 LTα 统称为 TNF。为了阐明 TNF 信号在葡萄糖稳态中的作用,本研究确定了 TNF 信号缺失如何影响葡萄糖稳态的主要调节成分。为此,本研究对正常饮食喂养的 TNFR1 缺陷型雄性小鼠(TNFR1-/-)、TNFα/LTα/LTβ 三重缺陷型小鼠(TNF/LT∆3)及其同窝对照小鼠进行了腹腔内葡萄糖耐量试验、胰岛素耐量试验和口服葡萄糖耐量试验。结果显示,与对照组相比,TNFR1-/-和 TNF/LT∆3 小鼠的体重、对腹腔内葡萄糖的耐受性和对胰岛素的敏感性相当,但它们对口服葡萄糖的耐受性明显增加。此外,葡萄糖刺激的胰岛素分泌评估显示,TNFR1 或 TNF/LT 缺失显著增加了口服但不是腹腔内葡萄糖刺激的胰岛素分泌。一致地,qPCR 和免疫组织化学分析显示,与对照组相比,TNFR1-/-和 TNF/LT∆3 小鼠的回肠胰高血糖素样肽-1(GLP-1)表达显著增加,GLP-1 是主要的肠促胰岛素之一。它们的口服葡萄糖诱导的 GLP-1 分泌也明显增加。这些数据共同表明,生理 TNF 信号主要通过对 GLP-1 表达和分泌以及随后的胰岛素分泌的影响来调节葡萄糖代谢。