Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Department of Cellular & Molecular Physiology, Yale School of Medicine, New Haven, Connecticut, USA.
JCI Insight. 2021 Feb 22;6(4):139946. doi: 10.1172/jci.insight.139946.
White adipose tissue (WAT) insulin action has critical anabolic function and is dysregulated in overnutrition. However, the mechanism of short-term high-fat diet-induced (HFD-induced) WAT insulin resistance (IR) is poorly understood. Based on recent evidences, we hypothesize that a short-term HFD causes WAT IR through plasma membrane (PM) sn-1,2-diacylglycerol (sn-1,2-DAG) accumulation, which promotes protein kinase C-ε (PKCε) activation to impair insulin signaling by phosphorylating insulin receptor (Insr) Thr1160. To test this hypothesis, we assessed WAT insulin action in 7-day HFD-fed versus regular chow diet-fed rats during a hyperinsulinemic-euglycemic clamp. HFD feeding caused WAT IR, reflected by impaired insulin-mediated WAT glucose uptake and lipolysis suppression. These changes were specifically associated with PM sn-1,2-DAG accumulation, higher PKCε activation, and impaired insulin-stimulated Insr Tyr1162 phosphorylation. In order to examine the role of Insr Thr1160 phosphorylation in mediating lipid-induced WAT IR, we examined these same parameters in InsrT1150A mice (mouse homolog for human Thr1160) and found that HFD feeding induced WAT IR in WT control mice but not in InsrT1150A mice. Taken together, these data demonstrate the importance of the PM sn-1,2-DAG/PKCε/Insr Thr1160 phosphorylation pathway in mediating lipid-induced WAT IR and represent a potential therapeutic target to improve WAT insulin sensitivity.
白色脂肪组织(WAT)的胰岛素作用具有关键的合成代谢功能,并在营养过剩时失调。然而,短期高脂肪饮食诱导(HFD 诱导)的 WAT 胰岛素抵抗(IR)的机制还知之甚少。基于最近的证据,我们假设短期 HFD 通过质膜(PM)sn-1,2-二酰基甘油(sn-1,2-DAG)积累引起 WAT IR,这促进蛋白激酶 C-ε(PKCε)的激活,通过磷酸化胰岛素受体(Insr)Thr1160 来损害胰岛素信号。为了验证这一假设,我们在高胰岛素-正常血糖钳夹期间评估了 7 天 HFD 喂养与常规 chow 饮食喂养大鼠的 WAT 胰岛素作用。HFD 喂养导致 WAT IR,表现为胰岛素介导的 WAT 葡萄糖摄取和脂肪分解抑制受损。这些变化与 PM sn-1,2-DAG 积累、更高的 PKCε 激活和胰岛素刺激的 Insr Tyr1162 磷酸化受损具体相关。为了研究 Insr Thr1160 磷酸化在介导脂质诱导的 WAT IR 中的作用,我们在 InsrT1150A 小鼠(人类 Thr1160 的小鼠同源物)中检查了相同的参数,发现 HFD 喂养在 WT 对照小鼠中诱导了 WAT IR,但在 InsrT1150A 小鼠中没有。总之,这些数据表明 PM sn-1,2-DAG/PKCε/Insr Thr1160 磷酸化途径在介导脂质诱导的 WAT IR 中具有重要意义,代表了改善 WAT 胰岛素敏感性的潜在治疗靶点。