Human muscle fiber type-specific insulin signaling: Impact of obesity and type 2 diabetes

Peter Hjorth Albers, Andreas J T Pedersen, Jesper Bratz Birk, Dorte Enggaard Kristensen, Birgitte F Vind, Otto Baba, Jane Nøhr, Kurt Højlund, Jørgen Wojtaszewski

85 Citationer (Scopus)

Abstract

Skeletal muscle is a heterogeneous tissue composed of different fiber types. Studies suggest that insulin-mediated glucose metabolism is different between muscle fiber types. We hypothesized that differences are due to fiber type-specific expression/regulation of insulin signaling elements and/or metabolic enzymes. Pools of type I and II fibers were prepared from biopsies of the vastus lateralis muscles from lean, obese, and type 2 diabetic subjects before and after a hyperinsulinemic-euglycemic clamp. Type I fibers compared with type II fibers have higher protein levels of the insulin receptor, GLUT4, hexokinase II, glycogen synthase (GS), and pyru-vate dehydrogenase-E1a (PDH-E1a) and a lower protein content of Akt2, TBC1 domain family member 4 (TBC1D4), and TBC1D1. In type I fibers compared with type II fibers, the phosphorylation response to insulin was similar (TBC1D4, TBC1D1, and GS) or decreased (Akt and PDH-E1a). Phosphorylation responses to insulin adjusted for protein level were not different between fiber types. Independently of fiber type, insulin signaling was similar (TBC1D1, GS, and PDH-E1a) or decreased (Akt and TBC1D4) in muscle from patients with type 2 diabetes compared with lean and obese subjects. We conclude that human type I muscle fibers compared with type II fibers have a higher glucose-handling capacity but a similar sensitivity for phosphoregulation by insulin.

OriginalsprogEngelsk
TidsskriftDiabetes
Vol/bind64
Udgave nummer2
Sider (fra-til)485-497
Antal sider13
ISSN0012-1797
DOI
StatusUdgivet - 1 feb. 2015

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