Pharmacology & Pharmaceutical Sciences, School of Pharmacy, University of Southern California, Los Angeles, CA, United States of America.
Medtronic Neurovascular, Medtronic Inc., Irvine, CA, United States of America.
PLoS One. 2018 Sep 20;13(9):e0204043. doi: 10.1371/journal.pone.0204043. eCollection 2018.
Insulin resistance-as observed in aging, diabetes, obesity, and other pathophysiological situations, affects brain function, for insulin signaling is responsible for neuronal glucose transport and control of energy homeostasis and is involved in the regulation of neuronal growth and synaptic plasticity. This study investigates brain metabolism and function in a liver-specific Phosphatase and Tensin Homologue (Pten) knockout mouse model (Liver-PtenKO), a negative regulator of insulin signaling. The Liver-PtenKO mouse model showed an increased flux of glucose into the liver-thus resulting in an overall hypoglycemic and hypoinsulinemic state-and significantly lower hepatic production of the ketone body beta-hydroxybutyrate (as compared with age-matched control mice). The Liver-PtenKO mice exhibited increased brain glucose uptake, improved rate of glycolysis and flux of metabolites in the TCA cycle, and improved synaptic plasticity in the hippocampus. Brain slices from both control- and Liver-PtenKO mice responded to the addition of insulin (in terms of pAKT/AKT levels), thereby neglecting an insulin resistance scenario. This study underscores the significance of insulin signaling in brain bioenergetics and function and helps recognize deficits in diseases associated with insulin resistance.
胰岛素抵抗——如在衰老、糖尿病、肥胖症和其他病理生理情况下观察到的那样——会影响大脑功能,因为胰岛素信号负责神经元葡萄糖转运和能量平衡的控制,并参与神经元生长和突触可塑性的调节。本研究调查了肝脏特异性磷酸酶和张力蛋白同源物(Pten)敲除小鼠模型(Liver-PtenKO)的大脑代谢和功能,该模型是胰岛素信号的负调节剂。Liver-PtenKO 小鼠模型显示葡萄糖流入肝脏的通量增加——从而导致整体低血糖和低胰岛素血症状态——以及肝酮体β-羟丁酸(与年龄匹配的对照小鼠相比)的产生显著降低。Liver-PtenKO 小鼠表现出增加的大脑葡萄糖摄取、改善的糖酵解率和三羧酸循环代谢物通量,以及海马突触可塑性的改善。来自对照和 Liver-PtenKO 小鼠的脑切片对胰岛素的添加(根据 pAKT/AKT 水平)作出反应,从而忽略了胰岛素抵抗的情况。本研究强调了胰岛素信号在大脑生物能量学和功能中的重要性,并有助于认识与胰岛素抵抗相关疾病的缺陷。