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Diabetes 54:1157-1163, 2005
© 2005 by the American Diabetes Association, Inc.

Direct Activation of Glucose Transport in Primary Human Myotubes After Activation of Peroxisome Proliferator–Activated Receptor {delta}

David Kitz Krämer1,2, Lubna Al-Khalili1,2, Sebastio Perrini1,2, Josefin Skogsberg3, Per Wretenberg1, Katja Kannisto3, Harriet Wallberg-Henriksson1,2, Ewa Ehrenborg3, Juleen R. Zierath1,2, and Anna Krook1,2

1 Department of Surgical Science, Karolinska Institute, Stockholm, Sweden
2 Department of Physiology and Pharmacology, Karolinska Institute, Stockholm, Sweden
3 Gustaf V Research Institute, Karolinska Hospital, Stockholm, Sweden

Activators of peroxisome proliferator–activated receptor (PPAR){gamma} have been studied intensively for their insulin-sensitizing properties and antidiabetic effects. Recently, a specific PPAR{delta} activator (GW501516) was reported to attenuate plasma glucose and insulin levels when administered to genetically obese ob/ob mice. This study was performed to determine whether specific activation of PPAR{delta} has direct effects on insulin action in skeletal muscle. Specific activation of PPAR{delta} using two pharmacological agonists (GW501516 and GW0742) increased glucose uptake independently of insulin in differentiated C2C12 myotubes. In cultured primary human skeletal myotubes, GW501516 increased glucose uptake independently of insulin and enhanced subsequent insulin stimulation. PPAR{delta} agonists increased the respective phosphorylation and expression of AMP-activated protein kinase 1.9-fold (P < 0.05) and 1.8-fold (P < 0.05), of extracellular signal–regulated kinase 1/2 mitogen-activated protein kinase (MAPK) 2.2-fold (P < 0.05) and 1.7-fold (P < 0.05), and of p38 MAPK 1.2-fold (P < 0.05) and 1.4-fold (P < 0.05). Basal and insulin-stimulated protein kinase B/Akt was unaltered in cells preexposed to PPAR{delta} agonists. Preincubation of myotubes with the p38 MAPK inhibitor SB203580 reduced insulin- and PPAR{delta}-mediated increase in glucose uptake, whereas the mitogen-activated protein kinase kinase inhibitor PD98059 was without effect. PPAR{delta} agonists reduced mRNA expression of PPAR{delta}, sterol regulatory element binding protein (SREBP)-1a, and SREBP-1c (P < 0.05). In contrast, mRNA expression of PPAR{gamma}, PPAR{gamma} coactivator 1, GLUT1, and GLUT4 was unaltered. Our results provide evidence to suggest that PPAR{delta} agonists increase glucose metabolism and promote gene regulatory responses in cultured human skeletal muscle. Moreover, we provide biological validation of PPAR{delta} as a potential target for antidiabetic therapy.


Address correspondence and reprint requests to Anna Krook, Integrative Physiology, Department of Physiology and Pharmacology, Karolinska Institute, 171 77 Stockholm, Sweden. E-mail: anna.krook{at}fyfa.ki.se


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