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Diabetes, Vol 46, Issue 2 215-223, Copyright © 1997 by American Diabetes Association
High-fat feeding impairs insulin-stimulated GLUT4 recruitment via an early insulin-signaling defect
JR Zierath, KL Houseknecht, L Gnudi and BB Kahn
Department of Medicine at Harvard Medical School and Beth Israel Hospital, Boston, Massachusetts, USA. jrz@klinfys.ks.se
Glucose transport in skeletal muscle can be mediated by two separate
pathways, one stimulated by insulin and the other by muscle contraction.
High-fat feeding impairs glucose transport in muscle, but the mechanism
remains unclear. FVB mice (3 weeks old) were fed a high-fat diet (55% fat,
24% carbohydrate, 21% protein) or standard chow for 3-4 weeks or 8 weeks.
Insulin-stimulated glucose transport, assessed with either 2-deoxyglucose
or 3-O-methylglucose was decreased 35-45% (P < 0.001) in isolated soleus
muscle, regardless of diet duration. Similarly, glucose transport
stimulated by okadaic acid, a serine/threonine phosphatase inhibitor, was
also 45% lower with high-fat feeding, but the glucose transport response to
hypoxia or N-(6-aminohexyl)-5-chloro-1-naphthalenesulfonamide (W-7) (which
are stimulators of the "contraction pathway") was intact. Hexokinase I, II,
and total activity were normal in soleus muscle from high-fat-fed mice.
GLUT4 expression in soleus muscle from the high-fat-fed mice was also
normal, but the insulin-stimulated cell surface recruitment of GLUT4
assessed by exofacial photolabeling with [3H]-ATB bis-mannose was reduced
by 50% (P < 0.001). Insulin-receptor substrate 1 (IRS-1) associated
phosphatidylinositol (PI) 3-kinase activity stimulated by insulin was also
reduced by 36% (P < 0.001), and expression of p85 and p110b subunits of
PI 3-kinase was normal. In conclusion, high-fat feeding selectively impairs
insulin-stimulated, but not contraction-pathway-mediated, glucose transport
by reducing GLUT4 translocation to the plasma membrane. This appears to
result from an acquired defect in insulin activation of PI 3-kinase. Since
effects of okadaic acid on glucose transport are independent of PI
3-kinase, a second signaling defect may also be induced.

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Copyright © 1997 by the American Diabetes Association.
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