Diabetes 56:2710-2714, 2007 DOI: 10.2337/db07-0155 © 2007 by the American Diabetes Association
Low Birth Weight and Zygosity Status Is Associated With Defective Muscle Glycogen and Glycogen Synthase Regulation in Elderly Twins
1 Steno Diabetes Center, Gentofte, Denmark Address correspondence and reprint requests to Dr. Pernille Poulsen, Steno Diabetes Center, Niels Steensens Vej 2, DK-2820 Gentofte, Denmark. E-mail: pepn{at}steno.dk
Abbreviations:
GS, glycogen synthase; GSK, GS kinase; NOGM, nonoxidative glucose metabolism
OBJECTIVE— An adverse intrauterine environment indicated by both low birth weight and monozygosity is associated with an age- or time-dependent reduction in glucose disposal and nonoxidative glucose metabolism in twins, suggesting impaired regulation of muscle glycogen synthesis.
RESEARCH DESIGN AND METHODS— We measured the activities of glycogen synthase (GS), GS kinase (GSK)3
RESULTS— Elderly monozygotic twins had significantly lower fractional GS activity amidst higher glycogen and GS protein levels compared with dizygotic twins. In addition, we demonstrated strong nongenetic associations between birth weight and defect muscle glycogen metabolism in elderly—but not in younger—twins. Thus, for every 100 g increase in birth weight within pairs, GS fractional activity, GS protein level, and glycogen content was increased by 4.2, 8.7, and 4.5%, respectively, in elderly twins. Similarly, for every 100 g increase in birth weight, GSK3
CONCLUSIONS— The age- or time-dependent nongenetic impact of birth weight on insulin action in twins may partly be explained by reduced insulin activation of muscle GS, mediated through increased GSK3
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