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. 2011 Oct 21;286(42):36163-70.
doi: 10.1074/jbc.M111.228817. Epub 2011 Aug 5.

Influence of the hepatic eukaryotic initiation factor 2alpha (eIF2alpha) endoplasmic reticulum (ER) stress response pathway on insulin-mediated ER stress and hepatic and peripheral glucose metabolism

Affiliations

Influence of the hepatic eukaryotic initiation factor 2alpha (eIF2alpha) endoplasmic reticulum (ER) stress response pathway on insulin-mediated ER stress and hepatic and peripheral glucose metabolism

Andreas L Birkenfeld et al. J Biol Chem. .

Abstract

Recent studies have implicated endoplasmic reticulum (ER) stress in insulin resistance associated with caloric excess. In mice placed on a 3-day high fat diet, we find augmented eIF2α signaling, together with hepatic lipid accumulation and insulin resistance. To clarify the role of the liver ER stress-dependent phospho-eIF2α (eIF2α-P) pathway in response to acute caloric excess on liver and muscle glucose and lipid metabolism, we studied transgenic mice in which the hepatic ER stress-dependent eIF2α-P pathway was inhibited by overexpressing a constitutively active C-terminal fragment of GADD34/PPP1R15a, a regulatory subunit of phosphatase that terminates ER stress signaling by phospho-eIF2α. Inhibition of the eIF2α-P signaling in liver led to a decrease in hepatic glucose production in the basal and clamped state, which could be attributed to reduced gluconeogenic gene expression, resulting in reduced basal plasma glucose concentrations. Surprisingly, hepatic eIF2α inhibition also impaired insulin-stimulated muscle and adipose tissue insulin sensitivity. This latter effect could be attributed at least in part by an increase in circulating IGFBP-3 levels in the transgenic animals. In addition, infusion of insulin during a hyperinsulinemic-euglycemic clamp induced conspicuous ER stress in the 3-day high fat diet-fed mice, which was aggravated through continuous dephosphorylation of eIF2α. Together, these data imply that the hepatic ER stress eIF2α signaling pathway affects hepatic glucose production without altering hepatic insulin sensitivity. Moreover, hepatic ER stress-dependent eIF2α-P signaling is implicated in an unanticipated cross-talk between the liver and peripheral organs to influence insulin sensitivity, probably via IGFBP-3. Finally, eIF2α is crucial for proper resolution of insulin-induced ER stress.

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Figures

FIGURE 1.
FIGURE 1.
Effect of a 3-day HFD on hepatic triglyceride content, hepatic insulin responsiveness, and markers of hepatic ER stress in WT mice. A, liver triglyceride content was increased by 20% in 3-day HFD-fed mice (3d HFF) compared with regular chow (RC)-fed mice. B, 3-day HFD-fed mice had hepatic insulin resistance compared with regular chow-fed mice, as reflected by increased hepatic glucose production during the hyperinsulinemic-euglycemic clamp studies (n = 3). C, phosphorylation of eIF2α was increased with 3 days of HFD, indicating increased PERK signaling (n = 5). D, mRNA expression of ER stress markers: GRP78, XBPs, and CHOP were not induced in 3-day HFD mice compared with regular chow-fed mice despite increased hepatic triglyceride content and hepatic insulin resistance. n = 3–5.
FIGURE 2.
FIGURE 2.
Fasting- and insulin-stimulated hepatic and peripheral glucose metabolism during the hyperinsulinemic-euglycemic clamp in Alb:GC Tg mice and WT littermate control mice (also see supplemental Table S1). A, body weights of WT and the Alb:GC Tg mice after 3 days of HFD (n = 8/group). B, fasting plasma glucose concentrations were reduced in the Alb:GC transgenic mice compared with the WT mice (n = 5–6/group). C, basal and clamp insulin concentrations in Alb:GC Tg mice and WT mice (n = 6–8/group). D, basal rates of hepatic glucose production were lower in the Alb:GC Tg mice compared with the WT mice (n = 6–8/group). E, during the hyperinsulinemic-euglycemic clamp, endogenous glucose production was not further reduced by insulin in the Alb:GC Tg mice, indicating no measureable effect of eIF2α on hepatic insulin sensitivity. F, C/EBP transcription factors and PEPCK mRNA expressions were reduced in the Alb:GC Tg mice compared with the WT mice (n = 6–8/group). *, p < 0.05.
FIGURE 3.
FIGURE 3.
Hepatic eIF2α signaling affects peripheral insulin sensitivity. A, plasma glucose concentrations in Alb:GC Tg mice and WT mice during the hyperinsulinemic-euglycemic clamp (n = 6–8/group). B, glucose infusion rates (GINF) tended to be lower in the Alb:GC Tg mice compared with the WT mice during the hyperinsulinemic-euglycemic clamp (n = 6–8/group). C, insulin-stimulated peripheral glucose uptake was decreased in the in the Alb:GC Tg mice compared with the WT mice (n = 6–8/group).
FIGURE 4.
FIGURE 4.
Insulin-stimulated glucose uptake in muscle and white adipose tissue, insulin-stimulated AKT2 activity in muscle, and plasma IGFBP-3 levels in Alb:GC Tg and WT littermate control mice. A, insulin-stimulated 2-deoxyglucose (2-DOG) uptake by the gastrocnemius muscle was decreased in Alb:GC Tg mice compared with the WT mice at the end of the hyperinsulinemic-euglycemic clamp (n = 6–8/group). B, insulin-stimulated 2-deoxyglucose uptake by white adipose tissue (WAT) was reduced in Alb:GC Tg mice compared with the WT mice at the end of the hyperinsulinemic-euglycemic clamp (n = 6/group). C, insulin-stimulated Akt2 activity in gastrocnemius muscle was reduced in Alb:GC Tg mice compared with WT mice at the end of the hyperinsulinemic-euglycemic clamp (n = 5/group). D, plasma IGFBP-3 concentrations were increased in the Alb:GC Tg mice (n = 6/group). E, Smad-2 phosphorylation was increased in skeletal muscle of Alb:GC Tg mice (n = 5).
FIGURE 5.
FIGURE 5.
Effect of blocking the hepatic eIF2α signaling pathway on markers of hepatic ER stress before and at the end of the hyperinsulinemic-euglycemic (HE) clamp. A, hepatic expression of XBPs mRNA was increased following the hyperinsulinemic-euglycemic clamp in Alb:GC Tg mice compared with WT littermate mice. B, hepatic expression of CHOP mRNA was increased in the Alb:GC Tg mice compared with WT littermate mice following the hyperinsulinemic-euglycemic clamp in Alb:GC Tg mice compared with WT littermate mice. C, hepatic protein expression of GRP78 was increased following the hyperinsulinemic-euglycemic clamp in Alb:GC Tg mice (Tg) compared with WT littermate mice (WT) (n = 6/group).
FIGURE 6.
FIGURE 6.
Insulin induces hepatic ER stress in vitro and in vivo. Primary hepatocytes were incubated with control medium or medium supplemented with 100 nm insulin for 4 h with or without pretreatment with the PI3K inhibitor wortmannin. A, insulin infusion during hyperinsulinemic-euglycemic clamp induces hepatic mRNA expression of XBPs and CHOP in vivo (n = 8/group). B, insulin infusion during the hyperinsulinemic-euglycemic clamp induces hepatic GRP78 protein expression (n = 8/group). Lanes c, clamp; lanes b, basal. C, insulin induces mRNA expression of CHOP in primary hepatocytes. The PI3K inhibitor wortmannin (Wortm.) inhibits the insulin-mediated induction of CHOP (n = 3/group). D, insulin induces mRNA expression of XBPs in primary hepatocytes. The PI3K inhibitor wortmannin inhibits the insulin-mediated induction of XBPs (n = 3/group).

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