Markers of autophagy are adapted to hyperglycaemia in skeletal muscle in type 2 diabetes

Aims/hypothesis Autophagy is a catabolic process that maintains cellular homeostasis by degradation of protein aggregates and selective removal of damaged organelles, e.g. mitochondria (mitophagy). Insulin resistance in skeletal muscle has been linked to mitochondrial dysfunction and altered protein...

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Veröffentlicht in:Diabetologia 2015-09, Vol.58 (9), p.2087-2095
Hauptverfasser: Kruse, Rikke, Vind, Birgitte F., Petersson, Stine J., Kristensen, Jonas M., Højlund, Kurt
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container_issue 9
container_start_page 2087
container_title Diabetologia
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creator Kruse, Rikke
Vind, Birgitte F.
Petersson, Stine J.
Kristensen, Jonas M.
Højlund, Kurt
description Aims/hypothesis Autophagy is a catabolic process that maintains cellular homeostasis by degradation of protein aggregates and selective removal of damaged organelles, e.g. mitochondria (mitophagy). Insulin resistance in skeletal muscle has been linked to mitochondrial dysfunction and altered protein metabolism. Here, we investigated whether abnormalities in autophagy are present in human muscle in obesity and type 2 diabetes. Methods Using a case–control design, skeletal muscle biopsies obtained in the basal and insulin-stimulated states from patients with type 2 diabetes during both euglycaemia and hyperglycaemia, and from glucose-tolerant lean and obese individuals during euglycaemia, were used for analysis of mRNA levels, protein abundance and phosphorylation of autophagy-related proteins. Results Muscle transcript levels of autophagy-related genes ( ULK1 , BECN1 , PIK3C3 , ATG5 , ATG7 , ATG12 , GABARAPL1 , MAP1LC3B , SQSTM1 , TP53INP2 and FOXO3A [also known as FOXO3 ]), including some specific for mitophagy (BNIP3 , BNIP3L and MUL1) , and protein abundance of autophagy-related gene (ATG)7 and Bcl-2/adenovirus E1B 19-kDa-interacting protein 3 (BNIP3), as well as content and phosphorylation of forkhead box O3A (FOXO3A) were similar among the groups. Insulin reduced lipidation of microtubule-associated protein light chain 3 (LC3)B-I to LC3B-II, a marker of autophagosome formation, with no effect on p62/sequestosome 1 (SQSTM1) content in muscle of lean and obese individuals. In diabetic patients, insulin action on LC3B was absent and p62/SQSTM1 content increased when studied under euglycaemia, whereas the responses of LC3B and p62/SQSTM1 to insulin were normalised during hyperglycaemia. Conclusions/interpretation Our results demonstrate that the levels of autophagy-related genes and proteins in muscle are normal in obesity and type 2 diabetes. This suggests that muscle autophagy in type 2 diabetes has adapted to hyperglycaemia, which may contribute to preserve muscle mass.
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Insulin resistance in skeletal muscle has been linked to mitochondrial dysfunction and altered protein metabolism. Here, we investigated whether abnormalities in autophagy are present in human muscle in obesity and type 2 diabetes. Methods Using a case–control design, skeletal muscle biopsies obtained in the basal and insulin-stimulated states from patients with type 2 diabetes during both euglycaemia and hyperglycaemia, and from glucose-tolerant lean and obese individuals during euglycaemia, were used for analysis of mRNA levels, protein abundance and phosphorylation of autophagy-related proteins. Results Muscle transcript levels of autophagy-related genes ( ULK1 , BECN1 , PIK3C3 , ATG5 , ATG7 , ATG12 , GABARAPL1 , MAP1LC3B , SQSTM1 , TP53INP2 and FOXO3A [also known as FOXO3 ]), including some specific for mitophagy (BNIP3 , BNIP3L and MUL1) , and protein abundance of autophagy-related gene (ATG)7 and Bcl-2/adenovirus E1B 19-kDa-interacting protein 3 (BNIP3), as well as content and phosphorylation of forkhead box O3A (FOXO3A) were similar among the groups. Insulin reduced lipidation of microtubule-associated protein light chain 3 (LC3)B-I to LC3B-II, a marker of autophagosome formation, with no effect on p62/sequestosome 1 (SQSTM1) content in muscle of lean and obese individuals. In diabetic patients, insulin action on LC3B was absent and p62/SQSTM1 content increased when studied under euglycaemia, whereas the responses of LC3B and p62/SQSTM1 to insulin were normalised during hyperglycaemia. 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Insulin resistance in skeletal muscle has been linked to mitochondrial dysfunction and altered protein metabolism. Here, we investigated whether abnormalities in autophagy are present in human muscle in obesity and type 2 diabetes. Methods Using a case–control design, skeletal muscle biopsies obtained in the basal and insulin-stimulated states from patients with type 2 diabetes during both euglycaemia and hyperglycaemia, and from glucose-tolerant lean and obese individuals during euglycaemia, were used for analysis of mRNA levels, protein abundance and phosphorylation of autophagy-related proteins. Results Muscle transcript levels of autophagy-related genes ( ULK1 , BECN1 , PIK3C3 , ATG5 , ATG7 , ATG12 , GABARAPL1 , MAP1LC3B , SQSTM1 , TP53INP2 and FOXO3A [also known as FOXO3 ]), including some specific for mitophagy (BNIP3 , BNIP3L and MUL1) , and protein abundance of autophagy-related gene (ATG)7 and Bcl-2/adenovirus E1B 19-kDa-interacting protein 3 (BNIP3), as well as content and phosphorylation of forkhead box O3A (FOXO3A) were similar among the groups. Insulin reduced lipidation of microtubule-associated protein light chain 3 (LC3)B-I to LC3B-II, a marker of autophagosome formation, with no effect on p62/sequestosome 1 (SQSTM1) content in muscle of lean and obese individuals. In diabetic patients, insulin action on LC3B was absent and p62/SQSTM1 content increased when studied under euglycaemia, whereas the responses of LC3B and p62/SQSTM1 to insulin were normalised during hyperglycaemia. 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Insulin resistance in skeletal muscle has been linked to mitochondrial dysfunction and altered protein metabolism. Here, we investigated whether abnormalities in autophagy are present in human muscle in obesity and type 2 diabetes. Methods Using a case–control design, skeletal muscle biopsies obtained in the basal and insulin-stimulated states from patients with type 2 diabetes during both euglycaemia and hyperglycaemia, and from glucose-tolerant lean and obese individuals during euglycaemia, were used for analysis of mRNA levels, protein abundance and phosphorylation of autophagy-related proteins. Results Muscle transcript levels of autophagy-related genes ( ULK1 , BECN1 , PIK3C3 , ATG5 , ATG7 , ATG12 , GABARAPL1 , MAP1LC3B , SQSTM1 , TP53INP2 and FOXO3A [also known as FOXO3 ]), including some specific for mitophagy (BNIP3 , BNIP3L and MUL1) , and protein abundance of autophagy-related gene (ATG)7 and Bcl-2/adenovirus E1B 19-kDa-interacting protein 3 (BNIP3), as well as content and phosphorylation of forkhead box O3A (FOXO3A) were similar among the groups. Insulin reduced lipidation of microtubule-associated protein light chain 3 (LC3)B-I to LC3B-II, a marker of autophagosome formation, with no effect on p62/sequestosome 1 (SQSTM1) content in muscle of lean and obese individuals. In diabetic patients, insulin action on LC3B was absent and p62/SQSTM1 content increased when studied under euglycaemia, whereas the responses of LC3B and p62/SQSTM1 to insulin were normalised during hyperglycaemia. Conclusions/interpretation Our results demonstrate that the levels of autophagy-related genes and proteins in muscle are normal in obesity and type 2 diabetes. This suggests that muscle autophagy in type 2 diabetes has adapted to hyperglycaemia, which may contribute to preserve muscle mass.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26048236</pmid><doi>10.1007/s00125-015-3654-0</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenoviruses
Apoptosis Regulatory Proteins - metabolism
Autophagy
Biopsy
Case-Control Studies
Diabetes
Diabetes Mellitus, Type 2 - immunology
Diabetes Mellitus, Type 2 - metabolism
Female
Forkhead Box Protein O3
Forkhead Transcription Factors - metabolism
Genes
Glucose
Glucose Clamp Technique
Glucose Tolerance Test
Homeostasis
Human Physiology
Humans
Hyperglycemia
Hyperglycemia - immunology
Hyperglycemia - metabolism
Insulin Resistance
Internal Medicine
Kinases
Male
Medicine
Medicine & Public Health
Metabolic Diseases
Metabolism
Microtubule-Associated Proteins - metabolism
Middle Aged
Mitochondria
Mitochondria - metabolism
Muscle, Skeletal - immunology
Muscle, Skeletal - metabolism
Musculoskeletal system
Obesity
Obesity - immunology
Phosphorylation
Proteins
RNA, Messenger - metabolism
TOR Serine-Threonine Kinases - metabolism
title Markers of autophagy are adapted to hyperglycaemia in skeletal muscle in type 2 diabetes
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