hepatic insulin resistance

Perry R.J., Camporez J.G., Kursawe R., Titchenell P.M., Zhang D., Perry C.J., Jurczak M.J., Abudukadier A., Han S., Zhang X.M., Ruan H.B., Yang X., Caprio S., Susan M., Sul H.S., Birnbaum M.J., Davis R.J., Cline G.W., Falk K., Shulman G.I. Lane RH, MacLennan NK, Hsu JL, Janke SM, Pham TD: Increased hepatic peroxisome proliferator-activated receptor-gamma coactivator-1 gene expression in a rat model of intrauterine growth retardation and subsequent insulin resistance. Impaired function is manifested by impaired insulin secretion, failure to respond to oral agents, and ultimately a need Clipboard, Search History, and several other advanced features are temporarily unavailable. Unraveling the temporal pattern of diet-induced insulin resistance in individual organs and cardiac dysfunction in C57BL/6 mice. Visceral adipocytes, MeSH Pocai A., Lam T.K.T., Gutierrez-Juarez R., Obici S., Schwartz G.J., Bryan J., Aguilar-Bryan L., Rossetti L. Hypothalamic KATP channels control hepatic glucose production. doi: 10.1097/MD.0000000000031006. about navigating our updated article layout. Before Front Endocrinol (Lausanne). Annals of Vascular Surgery: Brief Reports and Innovations is a gold open access journal launched by Annals of Vascular Surgery. Savage D.B., Petersen K.F., Shulman G.I. Kubota N., Kubota T., Kajiwara E., Iwamura T., Kumagai H., Watanabe T., Inoue M., Takamoto I., Sasako T., Kumagai K., Kohjima M., Nakamuta M., Moroi M., Sugi K., Noda T., Terauchi Y., Ueki K., Kadowaki T. Differential hepatic distribution of insulin receptor substrates causes selective insulin resistance in diabetes and obesity. The effects of fasting and refeeding on liver glycogen synthase and phosphorylase in obese and lean mice. As a result, insulin suppresses circulating levels of FFAs and glycerol, which correlates with changes in HGP92 (Figure2). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). sharing sensitive information, make sure youre on a federal IntechOpen. Impact of prolonged fasting on insulin secretion, insulin action, and hepatic versus whole body insulin secretion disposition indices in healthy young males. Gastaldelli A., Cusi K., Pettiti M., Hardies J., Miyazaki Y., Berria R., Buzzigoli E., Sironi A.M., Cersosimo E., Ferrannini E., DeFronzo R.A. Arefhosseini S, Ebrahimi-Mameghani M, Najafipour F, Tutunchi H. Front Endocrinol (Lausanne). Epub 2016 Dec 23. Experiments using congenital mouse models can pose some issues because off-target effects of genetic manipulation can develop over time and obscure results. Consoli A, Nurjhan N, Capani F, Gerich J: Predominant role of gluconeogenesis in increased hepatic glucose production in NIDDM. The American Journal of Medicine - "The Green Journal" - publishes original clinical research of interest to physicians in internal medicine, both in academia and community-based practice.AJM is the official journal of the Alliance for Academic Internal Medicine, a prestigious group comprising internal medicine department chairs at more official website and that any information you provide is encrypted Previously, we showed that peripheral delivery of exogenous fibroblast growth factor 1 (FGF1) has robust anti-diabetic effects mediated by the adipose FGF receptor (FGFR) 1. Vuguin P, Max, Yang X, Surana M, Liu B, Barzilai N: Food deprivation limits the insulin secretory capacity in postpubertal rats. Diabetes Obes Metab. HHS Vulnerability Disclosure, Help The https:// ensures that you are connecting to the Non-alcoholic fatty liver disease and its downstream sequelae, hepatic insulin resistance and type 2 diabetes, are rapidly growing epidemics, which lead to increased morbidity and mortality rates, and soaring health-care costs. However, denervation of the hepatic branch of the vagus nerve fails to prevent insulins ability to suppress HGP in mice during a peripheral infusion of insulin under euglycemic clamp conditions.83 In addition, mice lacking hepatic Akt and FoxO1 suppress glucose production during hyperinsulinemiceuglycemic clamp conditions after a hepatic vagotomy, questioning the role of the brainliver axis in the regulation of HGP.32 Moreover, recent studies in dogs have shown that blocking brain insulin signaling does not have any effect on insulins inhibition of HGP during clamp conditions.72. Deletion of hepatic carbohydrate response element binding protein (ChREBP) impairs glucose homeostasis and hepatic insulin sensitivity in mice. eCollection 2022. Benhamed F., Denechaud P.D., Lemoine M., Robichon C., Moldes M., Bertrand-Michel J., Ratziu V., Serfaty L., Housset C., Capeau J., Girard J., Guillou H., Postic C. The lipogenic transcription factor ChREBP dissociates hepatic steatosis from insulin resistance in mice and humans. Myers S.R., Diamond M.P., Adkins-Marshall B.A., Williams P.E., Stinsen R., Cherrington A.D. Hepatic steatosis is associated with poor cardiometabolic health, with de novo lipogenesis (DNL) contributing to hepatic steatosis and subsequent insulin resistance. Effects of free fatty acid elevation on and gluconeogenesis in humans. PI3K/Akt signaling in hepatocytes. Studies in mice and humans have elucidated a key role for hepatic diacylglycerol activation of protein kinase C in triggering hepatic insulin resistance. Zimmet P., Alberti K.G.M.M., Shaw J. Data are means SE. People Representative immunoblots (A) and quantification (B) of insulin-signaling proteins in livers from untreated or insulin-stimulated IUGR (I) and control (C) rats. Bethesda, MD 20894, Web Policies Knner A.C., Janoschek R., Plum L., Jordan S.D., Rother E., Ma X., Xu C., Enriori P., Hampel B., Barsh G.S., Kahn C.R., Cowley M.A., Ashcroft F.M., Brning J.C. Insulin action in AgRP-expressing neurons is required for suppression of hepatic glucose production. 1990 Feb 15;266(1):91-102. doi: 10.1042/bj2660091. Keywords: Kubota N, Tobe K, Terauchi Y, Eto K, Yamauchi T, Suzuki R, Tsubamoto Y, Komeda K, Nakano R, Miki H, Satoh S, Sekihara H, Sciacchitano S, Lesniak M, Aizawa S, Nagai R, Kimura S, Akanuma Y, Taylor SI, Kadowaki T: Disruption of insulin receptor substrate 2 causes type 2 diabetes because of liver insulin resistance and lack of compensatory -cell hyperplasia. Simmons R, Templeton L, Gertz SI: Intrauterine growth retardation leads to the development of type 2 diabetes in the rat. Roden M., Stingl H., Chandramouli V., Schumann W.C., Hofer A., Landau B.R., Nowotny P., Waldhusl W., Shulman G.I. An attractive hypothesis in the field suggests that hepatic insulin action is selective, suggesting a bifurcation occurs distal to Akt to control lipogenesis and HGP via distinct and independent pathways. PMC HHS Vulnerability Disclosure, Help In addition, it explores the molecular mechanisms underlying hepatic insulin resistance, highlighting the contribution of intrahepatic and extrahepatic pathways. Int J Mol Sci 2014; 15:6184-223; PMID:24733068. Copyright 2019 The Authors. Here, we examined cross-sectional associations of breaks in sedentary time and timing of physical activity with liver fat content and insulin resistance in a Dutch cohort. WebInsulin resistance (IR) is a pathological condition in which cells fail to respond normally to the hormone insulin. Previs SF, Withers DJ, Ren JM, White MF, Shulman GI: Contrasting effects of IRS-1 versus IRS-2 gene disruption on carbohydrate and lipid metabolism in vivo. Before However, directly testing this model using mouse models fails to explain the pathophysiology of the insulin-resistant liver. Fatty liverAbdominal obesity. Hunger and cravings for sugar or carbohydrate rich foods. Elevated blood sugar. Acne and large pores on the face. Polycystic ovarian syndromeScalp hair loss in women in the male pattern (front and sides).Skin tags.Increased risk of gout. Acanthosis nigricans - look at this picture of what this skin condition looks likeMore items The .gov means its official. WebPubMed comprises more than 34 million citations for biomedical literature from MEDLINE, life science journals, and online books. Type 2 diabetes mellitus (T2DM) is a systemic metabolic disorder 2008 Dec;37(4):825-40. doi: 10.1016/j.ecl.2008.09.001. Peterside IE, Selak MA, Simmons RA: Impaired oxidative phosphorylation in hepatic mitochondria in growth retarded rats. Inhibition of glycogen synthase kinase-3 by insulin mediated by protein kinase B. Wan M., Leavens K.F., Hunter R.W., Shlomit Koren, Von Wilamowitz-Moellendorff A., Lu M., Satapati S., Chu Q., Sakamoto K., Burgess S.C., Birnbaum M.J. Anoncanonical, GSK3-independent pathway controls postprandial hepatic glycogen deposition. Stingl H, Krssak M, Krebs M, Bischof MG, Nowotny P, Furnsinn C, Shulman GI, Waldhausl W, Roden M: Lipid-dependent control of hepatic glycogen stores in healthy humans. Cherrington C: Control of glucose uptake and release by the liver in vivo. See this image and copyright information in PMC. Obici S., Zhang B.B., Karkanias G., Rossetti L. Hypothalamic insulin signaling is required for inhibition of glucose production. -, Lin H.V., Accili D. Hormonal regulation of hepatic glucose production in health and disease. Moreover, overexpressing ChREBP was not sufficient to regain any significant lipogenic gene induction in mice lacking SREBP after SCAP deletion, showing that SREBP is required for the induction of lipogenic expression.52 The interplay between ChREBP and SREBP1c in regulating lipogenic gene expression helps ensure that the liver does not initiate lipid synthesis unless both glucose and insulin are present, and future studies will continue to unravel their coordinated regulation of lipid synthesis. Invivo deletion of PTEN results in substantial lipid accumulation in the liver.25 Studies have shown that deletion of Akt2 is sufficient to prevent lipid accumulation in livers with PTEN also removed,26 suggesting that Akt serves as the essential downstream signaling kinase. eCollection 2021. eCollection 2021. and transmitted securely. Overall, in this review, we provide our integrative perspective regarding how excessive production of glucose in periportal hepatocytes and accumulation of lipids in perivenous hepatocytes interact in insulin resistant states. This transcriptional logic provides an integrated model to interpret the combined lipid and glucose abnormalities of type 2 diabetes. 2014 Feb;59(2):713-23. doi: 10.1002/hep.26672. Metabolic Syndrome Is Associated With Altered mRNA and miRNA Content in Human Circulating Extracellular Vesicles. 2021 Jun 25;13(7):2193. doi: 10.3390/nu13072193. Skeletal muscles and adipose tissues are two main target organs for glucose disposal and hence have been studied for insulin resistance too. The hepatic insulin resistance may be related to the increased expression of PTEN (phosphatase tensin homologue deleted on chromosome 10) which dephosphorylates and inactivates PI3K in other models of alcohol intake . It is attractive to speculate that FoxO1 inhibition of Gck could affect expression of lipogenic factors such as ChREBP, which are dependent on intracellular glucose concentrations for activation. The role of muscle insulin resistance in the pathogenesis of atherogenic dyslipidemia and nonalcoholic fatty liver disease associated with the metabolic syndrome. Cardiovascular adverse events in chronic myeloid leukemia patients treated with nilotinib or imatinib: A systematic review, meta-analysis and integrative bioinformatics analysis. Accessibility Insulin binds to and activates the insulin receptor on the liver surface after a meal. Aims/hypothesis We hypothesised that the insulin-sensitising effect of physical activity depends on the timing of the activity. Hepatic DKK1-driven steatosis is CD36 dependent. GYS2 is considered a downstream target of GSK3, however, studies have indicated that glucose-6-phosphate also directly can activate GYS269 (Figure1). 2013 Aug 12;8(8):e71747. Diacylglycerol activation of protein kinase C and hepatic insulin resistance. Roden M, Petersen K, Shulman G: Nuclear magnetic resonance studies of hepatic glucose metabolism in humans. Learn more Insulin resistance is associated with a postreceptor defect (s) in the 2022 Nov 6;23(21):13598. doi: 10.3390/ijms232113598. PMC Here, we detail the intrahepatic and extrahepatic pathways mediating insulins control of glucose and lipid metabolism. eCollection 2022. Glucose-6-phosphate is the key activator of ChREBP, facilitating its migration to the nucleus46 (Figure1). Cyrus Khambatta, PhD is a New York Times bestselling co-author of Mastering Diabetes: The Revolutionary Method to Reverse Insulin Resistance Permanently in Type 1, Type 1.5, Type 2, Prediabetes, and Gestational Diabetes. WebInsulin resistance, which is common in obesity and is a component of syndrome X (or the metabolic syndrome), also contributes to hypertension. FoxO1 inhibits sterol regulatory element-binding protein-1c (SREBP-1c) gene expression via transcription factors Sp1 and SREBP-1c. Alongside de novo lipogenesis, insulin action also regulates lipid homeostasis by regulating triacylglycerol (TAG) secretion from the liver via very-low-density lipoprotein (VLDL)-TAG export. de Hoogh IM, Oosterman JE, Otten W, Krijger AM, Berbe-Zadelaar S, Pasman WJ, van Ommen B, Pijl H, Wopereis S. Nutrients. Hepatic insulin signaling is required for obesity-dependent expression of SREBP-1c mRNA but not for feeding-dependent expression. Mittelman S.D., Fu Y.Y., Rebrin K., Steil G.M., Bergman R.N. Deficiency of PDK1 in liver results in glucose intolerance, impairment of insulin-regulated gene expression and liver failure. Aims/hypothesis We hypothesised that the insulin-sensitising effect of physical activity depends on the timing of the activity. Careers. Epub 2012 Jul 24. 2022 Nov 21;13:1028846. doi: 10.3389/fendo.2022.1028846. In real word settings, ustekinumab dose escalation was effective in achieving response in patients with CD with inadequate response, or loss of response to standard dose induction and/or maintenance For example, LIRKO mice are typically smaller than wild-type mice, possibly because of defects in the insulin-like growth factor axis, and eventually the observed effects, such as hyperglycemia, disappear as a result of liver failure.14 In these instances, inducible genetic knockouts hold some benefit because one can observe the direct effects of the knockout before the off-target effects begin to manifest. The site is secure. In a fasting state, HGP is easily calculated whereas, during insulin or glucose infusion, some formula are needed to correct for the non-steady-state condition. PMC legacy view 2017 EACTS/EACTA Guidelines on patient blood management for adult cardiac surgery. Non-alcoholic steatohepatitis (NASH): a disease of emerging identity and importance. IRS proteins link the PI3K pathway to the insulin receptor by binding to phosphotyrosine residues on the insulin receptor.18 Knockout of multiple insulin-receptor substrates prevents activation of the pathway in response to insulin, leading to insulin resistance and hyperglycemia, but not hepatic steatosis.19, 20 PIP3 initiates recruitment of Akt (named as such when it was discovered to be the oncogene responsible for thymoma in Ak mice, also called protein kinase B) and activates it through 3-phosphoinositide-dependent protein kinase 1 via phosphorylation of Thr308 on Akt17 (Figure1). The site is secure. The liver is a major target organ of GH for this process and is the principal site of IGF-1 production. This site uses cookies. Non-alcoholic fatty liver disease and its downstream sequelae, hepatic With this knowledge, investigators have put forth a massive effort to elucidate the mechanism of hepatic insulin resistance associated with conditions such as obesity and T2DM. We found that PSS alleviated hepatic insulin resistance, repaired islet beta cells, and enabled insulin to play its biological role normally. It works by reducing the rate of hepatic glucose production and by improving insulin sensitivity in the skeletal muscle. and transmitted securely. (H epatology 2014;59:713-723) Abbreviations ACC acetyl-CoA carboxylase 2-AE 2-acylethanolamide AGPAT acyl-CoA:1-acylglycerol-sn-3-phosphate acyltransferase AMPK In the adipose tissue, insulin inhibits lipolysis, which reduces the levels of circulating FFAs, which promote glucose production. Disclaimer, National Library of Medicine Hepatic and systemic insulin resistance form the core of metabolic syndrome which is also associated with cardiovascular abnormalities, inflammation, and dyslipidemia. Ozanne SE, Wang CL, Coleman N, Smith GD: Altered muscle insulin sensitivity in the male offspring of protein-malnourished rats. Molecular mechanism by which excess diacylglycerol leads to hepatic insulin resistance and hyperglycaemia, Figure 2. Author contributions Both authors contributed equally to drafting and writing this review. ChREBP expression in the liver, adipose tissue and differentiated preadipocytes in human obesity. ), and DK-55704 and AG-20898 (R.S. The .gov means its official. PMC Wu H, Zhang T, Pan F, Steer CJ, Li Z, Chen X, Song G. J Hepatol. Cherrington A.D., Edgerton D., Sindelar D.K. Cellular and Molecular Gastroenterology and Hepatology. Selective versus total insulin resistance: a pathogenic paradox. Therapeutic approaches based on this mechanism could alleviate the related epidemics of non-alcoholic fatty liver disease and type 2 diabetes. J Biol Chem. Accounting for these factors in the clamp conditions shows that the direct effects of insulin on the liver prevail.73 Despite these experimental differences, an agreement has emerged that FFAs from the adipose tissue play essential roles in modulating HGP during the progression of insulin resistance and metabolic disease. 2011;13(Suppl 1):118125. In the current review, we would like to put forward the data and facts deploying liver and its action on lipid regulation and insulin resistance. Under the control of hormones, especially insulin, the liver stores or releases glucose as needed by the body's systems. 2022 Feb 3;8:732122. doi: 10.3389/fcvm.2021.732122. http://dx.doi.org/10.2337/diabetes.54.12.3530. The site is secure. Barthel A, Schmoll D: Novel concepts in insulin regulation of hepatic gluconeogenesis. Kawamori D., Kurpad A.J., Hu J., Liew C.W., Shih J.L., Eric L., Herrera P.L., Polonsky K.S., McGuinness O.P., Kulkarni R.N. He is the co-founder of Mastering Diabetes and Amla Green, and is an internationally recognized nutrition and 2008 Nov;25(11):1289-94. doi: 10.1111/j.1464-5491.2008.02597.x. Cherrington A.D., Moore M.C., Sindelar D.K., Edgerton D.S. Boden G, Chen X, Capulong E, Mozzoli M: Effects of free fatty acids on gluconeogenesis and autoregulation of glucose production in type 2 diabetes. WebInsulin resistance is associated with numerous metabolic disorders, such as obesity and type II diabetes, that currently plague our society. Barzilai N, She L, Liu L, Wang J, Hu M, Vuguin P, Rossetti L: Decreased visceral adiposity accounts for leptins effect on hepatic but not peripheral insulin action. In addition, Akt can promote glycogen synthesis in a manner independent of GSK3, such as activation of GYS2 by glucose-6-phosphate (G6P). Epub 2017 Apr 14. 1998;29:495501. An official website of the United States government. Federal government websites often end in .gov or .mil. WebInsulin resistance, also known as impaired insulin sensitivity, happens when cells in sharing sensitive information, make sure youre on a federal 2014 Jan;96:121-9. doi: 10.1016/j.biochi.2013.06.007. Moore M.C., Coate K.C., Winnick J.J., An Z., Cherrington A.D. Regulation of hepatic glucose uptake and storage invivo. 2021 Feb 1;320(2):E281-E290. Rebrin K., Steil G.M., Getty L., Bergman R.N. Iizuka K., Miller B., Uyeda K. Deficiency of carbohydrate-activated transcription factor ChREBP prevents obesity and improves plasma glucose control in leptin-deficient (ob/ob) mice. Indirect effect of insulin to suppress endogeneous glucose production is dominant, even with hyperglucoagonemia. KD causes hepatic insulin resistance. WebPhysiology publishes focused review articles written by leaders in their fields. Please enable it to take advantage of the complete set of features! Trajcevski KE, O'Neill HM, Wang DC, Thomas MM, Al-Sajee D, Steinberg GR, Ceddia RB, Hawke TJ. -. Infectious Diseases. In most cases, IR may be regarded as an energy-sparing mechanism favoring survival during limited food availability or increased energy 8600 Rockville Pike 2020 Nov 25;19(2):1583-1592. doi: 10.1007/s40200-020-00694-y. Insulin Action and Resistance in Peripheral Tissues. Unable to load your collection due to an error, Unable to load your delegates due to an error. Reaven G: The fourth musketeer: from Alesandre Dumas to Claude Bernard. WebPolycystic ovary syndrome (PCOS) is a highly prevalent endocrine-metabolic disorder that implies various severe consequences to female health, including alarming rates of infertility. Keywords: De Novo Lipogenesis; Hepatic Glucose Production; Hepatic Insulin Resistance; Insulin Signaling; Metabolism; PI3K/Akt Signaling Pathway. Fructose is a highly lipogenic sugar that has profound metabolic effects in the liver resulting in metabolic syndrome, and fructose does not stimulate insulin secretion [ 6 ]. Clipboard, Search History, and several other advanced features are temporarily unavailable. Enzyme. MeSH Zhang W., Bu S.Y., Mashek M.T., O-Sullivan I., Sibai Z., Khan S.A., Ikayeva O., Newgard C.B., Mashek D.G., Unterman T.G. Would you like email updates of new search results? Four weeks exercise training enhanced the hepatic insulin sensitivity in high fat- and high carbohydrate-diet fed hyperinsulinemic rats. MeSH Unable to load your collection due to an error, Unable to load your delegates due to an error. Insulin mediates precise regulation of glucose metabolism and plasma concentrations, not only by promoting glucose uptake by skeletal muscle, liver and adipose tissue, but also by suppressing hepatic glucose production. Pathogenesis of selective insulin resistance in isolated hepatocytes. Too much fat in the liver can cause liver inflammation and liver damage. After activation, the receptor recruits and activates IRS, which then activates PI3K. Desai M, Byrne CD, Zhang J, Petry CJ, Lucas A, Hales CN: Programming of hepatic insulin-sensitive enzymes in offspring of rat dams fed a protein-restricted diet. S100 Proteins in Fatty Liver Disease and Hepatocellular Carcinoma. Li S, He J, Zhang X, Cai Y, Liu J, Nie X, Shi L. Front Cardiovasc Med. Careers. Epub 2007 Mar 17. da Silva IV, Rodrigues JS, Rebelo I, Miranda JPG, Soveral G. Cell Mol Life Sci. The canonical model of insulin suppression of glycogen synthesis is Akt-mediated phosphorylation and inhibition of GSK367 (Figure1). 2022 Nov 21;13:1028846. doi: 10.3389/fendo.2022.1028846. 2007 May;42(5):427-37. doi: 10.1007/s11745-007-3039-3. Because insulin signaling enhances glucose uptake in the liver, ChREBP becomes activated. Excessive hepatic mitochondrial TCA cycle and gluconeogenesis in humans with nonalcoholic fatty liver disease. Fatty acids (FAs) derived from lipolysis and from chylomicron remnants are taken up through fatty-acid transport proteins (FATPs), mainly FATP2 and FATP5 in the liver; chylomicron remnants are also taken up through the low-density lipoprotein (LDL) receptor. The impetus of the membership remains research-based academic surgery, and to promote the shared vision of research and academic pursuits through the exchange of ideas between senior surgical residents, Insulin resistance and altered hepatic mitochondrial function are central Joseph A, Parvathy S, Varma KK, Nandakumar A. J Diabetes Metab Disord. Heparin Resistance During Cardiopulmonary Bypass in Adult Cardiac Surgery. Epub 2012 Nov 8. Jois T., Chen W., Howard V., Harvey R., Youngs K., Thalmann C., Saha P., Chan L., Cowley M.A., Sleeman M.W. J Biol Chem. Bethesda, MD 20894, Web Policies Global and societal implications of the diabetes epidemic. 2022 Jan-Dec;36:3946320221137435. doi: 10.1177/03946320221137435. It is also responsible for an important part of non-esterified fatty-acid and aminoacid metabolism. The WebThe Medical Services Advisory Committee (MSAC) is an independent non-statutory committee established by the Australian Government Minister for Health in 1998. Haeusler R.A., Hartil K., Vaitheesvaran B., Arrieta-Cruz I., Knight C.M., Cook J.R., Kammoun H.L., Febbraio M.A., Gutierrez-Juarez R., Kurland I.J., Accili D. Integrated control of hepatic lipogenesis versus glucose production requires FoxO transcription factors. Lu M., Wan M., Leavens K.F., Chu Q., Monks B.R., Ahima R.S., Ueki K., Kahn C.R., Birnbaum M.J. Insulin regulates liver metabolism invivo in the absence of hepatic Akt and Foxo1. Insulin resistance is associated with numerous metabolic disorders, such as obesity and type II diabetes, that currently plague our society. The role of fatty acids in mediating the effects of peripheral insulin on hepatic glucose production in the conscious dog. Here, we examined cross-sectional associations of breaks in sedentary time and timing of physical activity with liver fat content and insulin resistance in a Dutch cohort. Selective versus total insulin resistance: a pathogenic paradox. Desai M, Byrne CD, Meeran K, Martenz ND, Bloom SR, Hales CN: Regulation of hepatic enzymes and insulin levels in offspring of rat dams fed a reduced-protein diet. Clipboard, Search History, and several other advanced features are temporarily unavailable. Cherrington AD, Edgerton D, Sindelar DK: The direct and indirect effects of insulin on hepatic glucose production in vivo. Glucagon is the principal counter-regulatory hormone that stimulates glycogenolysis and gluconeogenesis during fasting and opposes the hepatic actions of insulin.84 Glucagon increases HGP by acutely stimulating glycogenolysis and chronically promoting gluconeogenesis3, 85, 86 (Figure2). The direct and indirect effects of insulin on hepatic glucose production invivo. Exp Biol Med (Maywood). Biddinger S.B., Hernandez-Ono A., Rask-Madsen C., Haas J.T., Alemn J.O., Suzuki R., Scapa E.F., Agarwal C., Carey M.C., Stephanopoulos G., Cohen D.E., King G.L., Ginsberg H.N.N., Kahn C.R. Before Cell Death Dis 2013; 4:e964; PMID:24336084; Hirabara SM, Gorjo SM, Vinolo MA, Rodrigues AC, Nachbar RT, Curi R. Molecular targets related to inflammation and insulin resistance and potential interventions. Miyake K., Ogawa W., Matsumoto M., Nakamura T., Sakaue H., Kasuga M. Hyperinsulinemia, glucose intolerance, and dyslipidemia induced by acute inhibition of phosphoinositide 3-kinase signaling in the liver. eCollection 2021. This study was supported by National Institutes of Health Grants K08-HD-042172 (P.V. doi: 10.1371/journal.pone.0049030. Non-alcoholic fatty liver disease across endocrinopathies: Interaction with sex hormones. 2012 Nov;61(11):2711-7. doi: 10.2337/db12-0206. Unraveling the regulation of hepatic metabolism by insulin. 2012 May 2;15(5):574-84. doi: 10.1016/j.cmet.2012.03.005. We propose that the interplay between both of these pathways controls insulin signaling and that mis-regulation between the 2 results in the paradoxic effects seen in the insulin-resistant liver instead of the commonly proposed deficiencies in particular branches of only the direct hepatic pathway. Cell Metab. For the remainder of this review, we focus on the molecular mechanisms mediating insulins control of HGP. 2021 Aug 23;13:721858. doi: 10.3389/fnagi.2021.721858. 2010 Aug 21;30:273-90. doi: 10.1146/annurev.nutr.012809.104726. Introduction. This site needs JavaScript to work properly. James O.F.W., Day C.P. Bookshelf Phosphorylation and Regulation of Akt/PKB by the rictor-mTOR complex. The fact that insulin may be inadequate or excessive at any one point in differing organs and tissues has many biologic ramifications. Critical nodes in signalling pathways: insights into insulin action. The clinical findings corroborate the concept that the liver is the key driver of insulins whole-body action on glucose and lipid homeostasis.13 Further supporting this statement, fat-specific deletion of the insulin receptor results in lipodystrophy along with insulin resistance and hyperglycemia.15 However, these mice are not protected from NAFLD, and eventually develop nonalcoholic steatohepatitis, unlike the LIRKO mice and human beings with insulin-receptor mutations. Hepatic insulin resistance is sufficient to produce dyslipidemia and susceptibility to atherosclerosis. Hormone and glucose signalling in POMC and AgRP neurons. Association of serum leptin and insulin levels among type 2 diabetes mellitus patients: A case-control study. Ramnanan C.J., Edgerton D.S., Kraft G., Cherrington A.D. Physiologic action of glucagon on liver glucose metabolism. Our bodies are too efficient to both burn and create fat at the same time. Epub 2015 Apr 14. Epub 2022 Nov 3. Wan M., Leavens K.F., Saleh D., Easton R.M., Guertin D.A., Peterson T.R., Kaestner K.H., Sabatini D.M., Birnbaum M.J. Postprandial hepatic lipid metabolism requires signaling through Akt2 independent of the transcription factors FoxA2, FoxO1, and SREBP1c. Lochhead PA, Coghlan M, Rice SQ, Sutherland C: Inhibition of GSK-3 selectively reduces glucose-6-phosphatase and phosphatase and phosphoenolpyruvate carboxykinase gene expression. An official website of the United States government. Restoration of nuclear SREBP1c signaling in liver-specific ChREBP knockout mice increased the expression of the lipogenic genes ACLY, ACC2, SCD1, and GPAT, but failed to restore them to control levels, suggesting that both SREBP1c and ChREBP are needed to fully regulate lipogenesis in the liver. Differences in experimental clamp conditions could underlie these contrasting results on the role of FFAs in the control of HGP. doi: 10.26508/lsa.202201665. Hepatic insulin resistance is a chief pathogenic determinant in the development of type 2 diabetes, which is often associated with abnormal hepatic lipid regulation. However, recent studies have argued that FoxO1 directly represses the transcription of SREBP1c.63 In addition, FoxO1 has been implicated in regulating the expression of glucokinase (Gck) through a repression mechanism mediated by Sin3a and Sin3b62, 64, 65 (Figure1). Barzilai N, Rossetti L: Relationship between changes in body composition and insulin responsiveness in models of the aging rat. Maintaining healthy insulin and blood sugar levels is so important. Hepatic insulin resistance and dyslipidemia. Work in the canine model has shown that insulin inhibition of lipolysis contributes to the acute inhibition of hepatic glucose production.93 Increased gluconeogenic flux largely contributes to this effect on HGP.94 Recent genetic studies from several groups have supported these classic physiology studies and assert that FFA action on the liver drives HGP in insulin-resistant livers or livers completely devoid of hepatic insulin signaling.32, 72, 95 Perry etal95 proposed that insulins indirect action on the liver negates the requirement for direct hepatic insulin signaling in the control of HGP. 2008 Dec;34(6 Pt 2):649-57. doi: 10.1016/S1262-3636(08)74600-7. Kim J.K., Kim Y.J., Fillmore J.J., Chen Y., Moore I., Lee J., Yuan M., Li Z.W., Karin M., Perret P., Shoelson S.E., Shulman G.I. Sharma A., Varghese R.T., Shah M., Man C.D., Cobelli C., Rizza R.A., Bailey K.R., Vella A. 8600 Rockville Pike Before Cherrington A.D. Control of glucose uptake and release by the liver invivo. 4.3. He L., Hou X., Kanel G., Zeng N., Galicia V., Wang Y., Yang J., Wu H., Birnbaum M.J., Stiles B.L. Taniguchi C.M., Emanuelli B., Kahn C.R. Rahman MS, Hossain KS, Das S, Kundu S, Adegoke EO, Rahman MA, Hannan MA, Uddin MJ, Pang MG. Int J Mol Sci. Research supported by CNPq (Grant number 563870/20109 and 477249/20116) and PRONEX/Fundao Araucria (Protocol 24861/2012). Insulin Resistance Promotes the Formation of Aortic Dissection by Inducing the Phenotypic Switch of Vascular Smooth Muscle Cells. 2022 Nov 21;5(1):1276. doi: 10.1038/s42003-022-04214-x. Functional compartmentalization of liver: periportal hepatocytes on left and perivenous hepatocytes on right, with arrow in direction of blood flow. and transmitted securely. Global and societal implications of the diabetes epidemic. Among tracers, stable isotope-labelled glucose molecules are particularly advantageous over radioactive isotope-labelled glucose and are, therefore, the tracers of choice. PMC Chen C., Williams P.F., Cooney G.J., Caterson I.D., Turtle J.R. Hepatocellular insulin signaling, assessed for the first time in humans, Horie Y., Suzuki A., Kataoka E., Sasaki T., Hamada K., Sasaki J., Mizuno K., Hasegawa G., Kishimoto H., Iizuka M., Naito M., Enomoto K., Watanabe S., Mak T.W., Nakano T. Hepatocyte-specific Pten deficiency results in steatohepatitis and hepatocellular carcinomas. Mechanism by which selective skeletal muscle insulin resistance contributes to hepatic insulin resistance, MeSH Disclaimer, National Library of Medicine Akt mediates these processes through multiple downstream pathways. 8600 Rockville Pike Blagosklonny MV. sharing sensitive information, make sure youre on a federal Accretion of visceral fat and hepatic insulin resistance in pregnant rats. Pathway-selective insulin resistance and metabolic disease: the importance of nutrient flux. 2021 Aug 12;12:687586. doi: 10.3389/fendo.2021.687586. Regular exercise enhances insulin sensitivity in skeletal muscle, but its underlying mechanisms remain unknown. Banerjee S, Saenger P, Mitsu H, Chen W, Barzilai N: Fat accretion and the regulation of insulin-mediated glycogen synthesis following puberty in rats. Assessing hepatic insulin resistance is almost always synonymous with measuring hepatic glucose production (HGP) and calculating indices of hepatic insulin resistance. Data represent the percent of control and are given as means SE of values from five rats in each group. Search for other works by this author on: Address correspondence and reprint requests to Patricia Vuguin, MD, Division of Pediatric Endocrinology, 111 E. 210th St., Bronx, NY 10476. The 1921 discovery of insulin was a Big Bang from which a vast and expanding universe of research into insulin action and resistance has issued. Insulin resistance is associated with numerous metabolic disorders, such as obesity and type II diabetes, that currently plague our society. Armiyaw L, Sarcone C, Fosam A, Muniyappa R. J Clin Endocrinol Metab. Relationship between hepatic/visceral fat and hepatic insulin resistance in nondiabetic and type 2 diabetic subjects. Severe diabetes, age-dependent loss of adipose tissue, and mild growth deficiency in mice lacking Akt2/PKB, Cho H., Mu J., Kim J.K., Thorvaldsen J.L., Chu Q., Crenshaw E.B., III, Kaestner K.H., Bartolomei M.S., Shulman G.I., Birnbaum M.J. Insulin resistance and a diabetes mellitus-like syndrome in mice lacking the protein kinase Akt2 (PKBbeta). First, we described well-characterized pathways by which fructose metabolism indirectly leads to hepatic insulin resistance. 2022 Mar;22(3):254-267. doi: 10.1007/s12012-022-09727-9. Titchenell P.M., Lazar M.A., Birnbaum M.J. eCollection 2021. Glycogen synthesis is induced through Akt inhibition of GSK3. An official website of the United States government. Trends Endocrinol Metab. Studies in rats have shown that hyperinsulinemia stimulates TAG turnover and VLDL secretion.56 In addition, disrupting insulin signaling in mouse livers by deleting Akt or the insulin receptor reduces VLDL secretion.57 Downstream of Akt, inhibiting or activating mTORC1 in the liver leads to decreased or increased VLDL secretion, respectively, through the regulation of phosphatidylcholine synthesis, a crucial part of VLDL synthesis and secretion.58 As such, insulin regulation of VLDL-TAG secretion is complex and the coordinated control of apolipoproteins, phospholipids, and TAG synthesis are essential for proper control of VLDL-TAG secretion. Please enable it to take advantage of the complete set of features! Although insulin normally promotes anabolic metabolism in the liver by increasing glucose consumption and lipid synthesis, insulin-resistant individuals fail to inhibit hepatic glucose production and paradoxically have increased liver lipid synthesis, leading to hyperglycemia and hypertriglyceridemia. Because several studies support an obligate role of hepatic insulin action to regulate lipid metabolism, defining the mechanisms downstream of Akt are essential for understanding the pathogenesis of NAFLD during insulin resistance. The https:// ensures that you are connecting to the Bethesda, MD 20894, Web Policies 2011;14:919. Medicine (Baltimore). Sindelar D.K., Chu C.A., Rohlie M., Neal D.W., Swift L.L., Cherrington A.D. WebHepatocellular insulin signaling, assessed for the first time in humans, exhibited a Intersection of the Orphan G Protein-Coupled Receptor, GPR19, with the Aging Process. 2022 Sep 20;23(19):11030. doi: 10.3390/ijms231911030. Human insulin is produced from the INS gene, located on chromosome 11. government site. Yang Z, Huang X, Zhang J, You K, Xiong Y, Fang J, Getachew A, Cheng Z, Yu X, Wang Y, Wu F, Wang N, Feng S, Lin X, Yang F, Chen Y, Wei H, Li YX. Dvel K., Yecies J.L., Menon S., Raman P., Lipovsky A.I., Souza A.L., Triantafellow E., Ma Q., Gorski R., Cleaver S., Vander Heiden M.G., MacKeigan J.P., Finan P.M., Clish C.B., Murphy L.O., Manning B.D. Careers. In addition Clinical Therapeutics features updates on specific topics collated by expert Topic Mora A., Lipina C., Tronche F., Sutherland C., Alessi D.R. The biggest cause of insulin resistance is consuming too much carbohydrates and fat together. The https:// ensures that you are connecting to the Classic studies invivo and in the perfused liver have shown that insulins direct action on glucose regulation suppresses HGP in a fashion dependent on Akt.68, 71, 72, 73 Along with its roles in inhibiting lipogenesis, FoxO1 also regulates HGP downstream of Akt. 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