Crook E D, Daniels M C, Smith T M, McClain D A
Veterans Administration Medical Center, Birmingham, Alabama.
Diabetes. 1993 Sep;42(9):1289-96. doi: 10.2337/diab.42.9.1289.
High glucose concentrations such as are seen in diabetes mellitus are known to have deleterious effects on cells, but the pathways by which glucose induces these effects are unknown. One hypothesis is that metabolism of glucose to glucosamine might be involved. For example, it has been shown that glucosamine is more potent than glucose in inducing insulin resistance in cultured adipocytes and in regulating the transcription of the growth factor transforming growth factor alpha in smooth muscle cells. The rate-limiting step in glucosamine synthesis is the conversion of fructose-6-phosphate to glucosamine-6-phosphate by the enzyme glutamine:fructose-6-phosphate amidotransferase. To test the hypothesis that this hexosamine biosynthesis pathway is involved in the induction of insulin resistance, we have overexpressed the enzyme glutamine:fructose-6-phosphate amidotransferase in Rat-1 fibroblasts and investigated its effects on insulin action in those cells. We electroporated Rat-1 fibroblasts with expression plasmids that did and did not contain the gene for glutamine:fructose-6-phosphate amidotransferase and measured glycogen synthase activity at varying insulin concentrations. Insulin stimulation was blunted in the glutamine:fructose-6-phosphate amidotransferase-transfected cells, resulting in decreased insulin sensitivity reflected by a rightward shift in the dose-response curve for activation of synthase (ED50 = 7.5 nM vs. 3.4 nM insulin, in glutamine:fructose-6-phosphate amidotransferase and control cells, respectively). Rat-1 fibroblasts incubated with 5.- mM glucosamine for 3 days exhibited a similar shift in the dose-response curve. The rightward shift in the dose-response curve is seen as early as 2 days after poration.(ABSTRACT TRUNCATED AT 250 WORDS)
众所周知,糖尿病患者体内所见的高血糖浓度会对细胞产生有害影响,但葡萄糖引发这些影响的途径尚不清楚。一种假说认为,葡萄糖代谢生成氨基葡萄糖可能与此有关。例如,研究表明,在培养的脂肪细胞中,氨基葡萄糖比葡萄糖更能有效诱导胰岛素抵抗,并且在调节平滑肌细胞中生长因子转化生长因子α的转录方面也是如此。氨基葡萄糖合成的限速步骤是由谷氨酰胺:果糖-6-磷酸酰胺转移酶将果糖-6-磷酸转化为氨基葡萄糖-6-磷酸。为了验证这种己糖胺生物合成途径参与胰岛素抵抗诱导的假说,我们在大鼠-1成纤维细胞中过表达了谷氨酰胺:果糖-6-磷酸酰胺转移酶,并研究了其对这些细胞中胰岛素作用的影响。我们用含有和不含谷氨酰胺:果糖-6-磷酸酰胺转移酶基因的表达质粒对大鼠-1成纤维细胞进行电穿孔,并在不同胰岛素浓度下测量糖原合酶活性。在谷氨酰胺:果糖-6-磷酸酰胺转移酶转染的细胞中,胰岛素刺激减弱,导致胰岛素敏感性降低,这表现为合酶激活剂量反应曲线向右移动(在谷氨酰胺:果糖-6-磷酸酰胺转移酶转染细胞和对照细胞中,激活合酶的胰岛素ED50分别为7.5 nM和3.4 nM)。用5 mM氨基葡萄糖孵育3天的大鼠-1成纤维细胞在剂量反应曲线上表现出类似的移动。剂量反应曲线的右移最早在转染后2天出现。(摘要截短至250字)