Abstract
The finding of a reduced insulin-stimulated glucose uptake and glycogen synthesis in the skeletal muscle of glucose-tolerant first-degree relatives of patients with NIDDM, as well as in cultured fibroblasts and skeletal muscle cells isolated from NIDDM patients, has been interpreted as evidence for a genetic involvement in the disease. The mode of inheritance of the common forms of NIDDM is as yet unclear, but the prevailing hypothesis supports a polygenic model. In the present study, we tested the hypothesis that the putative inheritable defects of insulin-stimulated muscle glycogen synthesis might be caused by genetic variability in the genes encoding proteins shown by biochemical evidence to be involved in insulin-stimulated glycogen synthesis in skeletal muscle. In 70 insulin-resistant Danish NIDDM patients, mutational analysis by reverse transcription-polymerase chain reaction-single strand conformation polymorphism-heteroduplex analysis was performed on genomic DNA or skeletal muscle-derived cDNAs encoding glycogenin, protein phosphatase inhibitor-1, phophatase targeting to glycogen, protein kinase B-alpha and -beta, and the phosphoinositide-dependent protein kinase-1. Although a number of silent variants were identified in some of the examined genes, we found no evidence for the hypothesis that the defective insulin-stimulated glycogen synthesis in skeletal muscle in NIDDM is caused by structural changes in the genes encoding the known components of the insulin-sensitive glycogen synthesis pathway of skeletal muscle.
Original language | English |
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Journal | Diabetes |
Volume | 48 |
Issue number | 2 |
Pages (from-to) | 403-7 |
Number of pages | 5 |
ISSN | 0012-1797 |
Publication status | Published - Feb 1999 |
Keywords
- 3-Phosphoinositide-Dependent Protein Kinases
- Carrier Proteins
- DNA Mutational Analysis
- Diabetes Mellitus, Type 2
- Endoribonucleases
- Female
- Genetic Variation
- Glucosyltransferases
- Glycogen
- Glycoproteins
- Humans
- Insulin
- Intracellular Signaling Peptides and Proteins
- Isomerism
- Male
- Middle Aged
- Muscle, Skeletal
- Phenotype
- Phosphoprotein Phosphatases
- Protein-Serine-Threonine Kinases
- Proto-Oncogene Proteins
- Proto-Oncogene Proteins c-akt
- RNA-Binding Proteins