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Diabetes, Vol 49, Issue 7 1194-1202, Copyright © 2000 by American Diabetes Association
The IR1152 mutant insulin receptor selectively impairs insulin action in skeletal muscle but not in liver
M Caruso, C Miele, A Oliva, G Condorelli, F Oriente, G Riccardi, B Capaldo, F Fiory, D Accili, P Formisano and F Beguinot
Dipartimento di Biologia e Patologia Cellulare e Molecolare & Centro di Endocrinologia ed Oncologia Sperimentale del Consiglio Nazionale delle Ricerche, Federico II University of Naples Medical School, Italy.
In patients harboring the IR1152 mutant insulin receptor, hepatic glucose
production was normally suppressed by insulin. Hepatocytes without the
insulin receptor gene and expressing IR1152 (Hep(MUT)) also showed normal
insulin suppression of glucose production and full insulin response of
glycogen synthase. In contrast, expression of the IR1152 mutant in skeletal
muscle maximally increased glucose uptake and storage, preventing further
insulin stimulation. IRS-1 phosphorylation was normally stimulated by
insulin in both intact Hep(MUT) and L6 skeletal muscle cells expressing the
IR1152 mutant (L6(MUT)). At variance, IRS-2 phosphorylation exhibited high
basal levels with no further insulin-dependent increase in L6(MUT) but
almost normal phosphorylation, both basal and insulin-stimulated, in the
Hep(MUT) cells. In vitro, IR1152 mutant preparations from both the L6(MUT)
and the Hep(MUT) cells exhibited increased basal and no insulin-stimulated
phosphorylation of IRS-2 immobilized from either muscle or liver cells.
IR1152 internalization in liver and muscle cells closely paralleled the
ability of this mutant to phosphorylate IRS-2 in vivo in these cells. Block
of receptor internalization (wild-type and mutant) in the liver and muscle
cells also inhibited IRS-2, but not IRS-1, phosphorylation. Thus, the
mechanisms controlling insulin receptor internalization differ in liver and
skeletal muscle cells and may enable IR1152 to control glucose metabolism
selectively in liver. In both cell types, receptor internalization seems
necessary for IRS-2 but not IRS-1 phosphorylation.

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Copyright © 2000 by the American Diabetes Association.
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