Integrative Physiology, Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
Integrative Physiology, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Diabetes. 2022 Apr 1;71(4):624-636. doi: 10.2337/db20-0814.
Dysregulation of skeletal muscle metabolism influences whole-body insulin sensitivity and glucose homeostasis. We hypothesized that type 2 diabetes-associated alterations in the plasma metabolome directly contribute to skeletal muscle immunometabolism and the subsequent development of insulin resistance. To this end, we analyzed the plasma and skeletal muscle metabolite profile and identified glutamine as a key amino acid that correlates inversely with BMI and insulin resistance index (HOMA-IR) in men with normal glucose tolerance or type 2 diabetes. Using an in vitro model of human myotubes and an in vivo model of diet-induced obesity and insulin resistance in male mice, we provide evidence that glutamine levels directly influence the inflammatory response of skeletal muscle and regulate the expression of the adaptor protein GRB10, an inhibitor of insulin signaling. Moreover, we demonstrate that a systemic increase in glutamine levels in a mouse model of obesity improves insulin sensitivity and restores glucose homeostasis. We conclude that glutamine supplementation may represent a potential therapeutic strategy to prevent or delay the onset of insulin resistance in obesity by reducing inflammatory markers and promoting skeletal muscle insulin sensitivity.
骨骼肌代谢失调会影响全身胰岛素敏感性和葡萄糖稳态。我们假设与 2 型糖尿病相关的血浆代谢组学改变直接影响骨骼肌免疫代谢,进而导致胰岛素抵抗。为此,我们分析了血浆和骨骼肌代谢物谱,并确定谷氨酰胺是一种关键的氨基酸,它与正常糖耐量或 2 型糖尿病男性的 BMI 和胰岛素抵抗指数(HOMA-IR)呈负相关。我们使用体外人肌管模型和体内饮食诱导肥胖和胰岛素抵抗的雄性小鼠模型,提供了证据表明,谷氨酰胺水平直接影响骨骼肌的炎症反应,并调节衔接蛋白 GRB10 的表达,GRB10 是胰岛素信号的抑制剂。此外,我们证明,肥胖小鼠模型中系统性增加谷氨酰胺水平可改善胰岛素敏感性并恢复葡萄糖稳态。我们的结论是,谷氨酰胺补充可能是一种潜在的治疗策略,通过降低炎症标志物和促进骨骼肌胰岛素敏感性,来预防或延迟肥胖相关胰岛素抵抗的发生。
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