Laboratory of Gene Regulation and Signal Transduction, Departments of Pharmacology and Pathology, School of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.
School of Medicine, Chongqing University, Chongqing 400030, China.
Cell Metab. 2023 Jun 6;35(6):1009-1021.e9. doi: 10.1016/j.cmet.2023.03.021. Epub 2023 Apr 20.
Insulin inhibits gluconeogenesis and stimulates glucose conversion to glycogen and lipids. How these activities are coordinated to prevent hypoglycemia and hepatosteatosis is unclear. Fructose-1,6-bisphosphatase (FBP1) is rate controlling for gluconeogenesis. However, inborn human FBP1 deficiency does not cause hypoglycemia unless accompanied by fasting or starvation, which also trigger paradoxical hepatomegaly, hepatosteatosis, and hyperlipidemia. Hepatocyte FBP1-ablated mice exhibit identical fasting-conditional pathologies along with AKT hyperactivation, whose inhibition reversed hepatomegaly, hepatosteatosis, and hyperlipidemia but not hypoglycemia. Surprisingly, fasting-mediated AKT hyperactivation is insulin dependent. Independently of its catalytic activity, FBP1 prevents insulin hyperresponsiveness by forming a stable complex with AKT, PP2A-C, and aldolase B (ALDOB), which specifically accelerates AKT dephosphorylation. Enhanced by fasting and weakened by elevated insulin, FBP1:PP2A-C:ALDOB:AKT complex formation, which is disrupted by human FBP1 deficiency mutations or a C-terminal FBP1 truncation, prevents insulin-triggered liver pathologies and maintains lipid and glucose homeostasis. Conversely, an FBP1-derived complex disrupting peptide reverses diet-induced insulin resistance.
胰岛素抑制糖异生,并促进葡萄糖转化为糖原和脂质。这些活动如何协调以防止低血糖和肝脂肪变性尚不清楚。果糖-1,6-二磷酸酶(FBP1)是糖异生的限速酶。然而,先天性人类 FBP1 缺乏症不会导致低血糖,除非伴有禁食或饥饿,这也会引发反常的肝肿大、肝脂肪变性和高脂血症。肝细胞 FBP1 缺失的小鼠表现出相同的禁食条件性病理变化,同时伴有 AKT 过度激活,其抑制作用逆转了肝肿大、肝脂肪变性和高脂血症,但不能逆转低血糖。令人惊讶的是,禁食介导的 AKT 过度激活依赖于胰岛素。FBP1 通过与 AKT、PP2A-C 和醛缩酶 B(ALDOB)形成稳定复合物,独立于其催化活性,防止胰岛素过度反应,该复合物特异性加速 AKT 去磷酸化。禁食增强,胰岛素升高减弱,FBP1:PP2A-C:ALDOB:AKT 复合物形成,该复合物被人类 FBP1 缺乏突变或 C 端 FBP1 截断破坏,可防止胰岛素引发的肝脏病变并维持脂质和葡萄糖稳态。相反,一种源自 FBP1 的复合物破坏肽可逆转饮食诱导的胰岛素抵抗。