运动和二甲双胍可改善胰岛素抵抗大脑中线粒体功能的改变。
Exercise and metformin counteract altered mitochondrial function in the insulin-resistant brain.
机构信息
Division of Endocrinology, Diabetes, Metabolism, and Nutrition.
Division of Biomedical Statistics and Informatics.
出版信息
JCI Insight. 2019 Sep 19;4(18):130681. doi: 10.1172/jci.insight.130681.
Insulin resistance associates with increased risk for cognitive decline and dementia; however, the underpinning mechanisms for this increased risk remain to be fully defined. As insulin resistance impairs mitochondrial oxidative metabolism and increases ROS in skeletal muscle, we considered whether similar events occur in the brain, which - like muscle - is rich in insulin receptors and mitochondria. We show that high-fat diet-induced (HFD-induced) brain insulin resistance in mice decreased mitochondrial ATP production rate and oxidative enzyme activities in brain regions rich in insulin receptors. HFD increased ROS emission and reduced antioxidant enzyme activities, with the concurrent accumulation of oxidatively damaged mitochondrial proteins and increased mitochondrial fission. Improvement of insulin sensitivity by both aerobic exercise and metformin ameliorated HFD-induced abnormalities. Moreover, insulin-induced enhancement of ATP production in primary cortical neurons and astrocytes was counteracted by the insulin receptor antagonist S961, demonstrating a direct effect of insulin resistance on brain mitochondria. Further, intranasal S961 administration prevented exercise-induced improvements in ATP production and ROS emission during HFD, supporting that exercise enhances brain mitochondrial function by improving insulin action. These results support that insulin sensitizing by exercise and metformin restores brain mitochondrial function in insulin-resistant states.
胰岛素抵抗与认知能力下降和痴呆的风险增加有关;然而,这种风险增加的潜在机制仍有待充分确定。由于胰岛素抵抗会损害线粒体氧化代谢并增加骨骼肌中的 ROS,我们考虑了类似的事件是否发生在大脑中,大脑与肌肉一样富含胰岛素受体和线粒体。我们发现,高脂饮食诱导的(HFD 诱导)小鼠脑胰岛素抵抗降低了富含胰岛素受体的脑区的线粒体 ATP 产生速率和氧化酶活性。HFD 增加了 ROS 的发射并降低了抗氧化酶的活性,同时伴有氧化损伤的线粒体蛋白的积累和线粒体分裂的增加。有氧运动和二甲双胍改善胰岛素敏感性均可改善 HFD 诱导的异常。此外,胰岛素受体拮抗剂 S961 拮抗了胰岛素诱导的原代皮质神经元和星形胶质细胞中 ATP 产生的增强,表明胰岛素抵抗对脑线粒体有直接影响。此外,鼻内给予 S961 可防止 HFD 期间运动引起的 ATP 产生和 ROS 发射的改善,支持运动通过改善胰岛素作用来增强脑线粒体功能。这些结果支持运动和二甲双胍的胰岛素增敏作用可恢复胰岛素抵抗状态下的脑线粒体功能。