Hepatic Akt Activation Induces Marked Hypoglycemia, Hepatomegaly, and Hypertriglyceridemia With Sterol Regulatory Element Binding Protein Involvement
- Hiraku Ono1,
- Hitoshi Shimano2,
- Hideki Katagiri3,
- Naoya Yahagi4,
- Hideyuki Sakoda1,
- Yukiko Onishi1,
- Motonobu Anai1,
- Takehide Ogihara3,
- Midori Fujishiro4,
- Amelia Y.I. Viana5,
- Yasushi Fukushima4,
- Miho Abe4,
- Nobuhiro Shojima4,
- Masatoshi Kikuchi1,
- Nobuhiro Yamada2,
- Yoshitomo Oka3 and
- Tomoichiro Asano4
- 1Institute for Adult Diseases, Asahi Life Foundation, Shinjuku-ku, Tokyo, Japan
- 2Division of Endocrinology and Metabolism, Department of Internal Medicine, Institute of Clinical Medicine, University of Tsukuba, Tsukuba City, Ibaraki, Japan
- 3Division of Molecular Metabolism and Diabetes, Department of Internal Medicine, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai, Japan
- 4Department of Internal Medicine, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, Japan
- 5Research Center of Health, Physical Fitness and Sports, Nagoya University, Chikusa-ku, Nagoya, Japan
- Address correspondence and reprint requests to Tomoichiro Asano, Department of Internal Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113, Japan. E-mail: asano-tky{at}umin.ac.jp
Abstract
Akt is critical in insulin-induced metabolism of glucose and lipids. To investigate functions induced by hepatic Akt activation, a constitutively active Akt, NH2-terminally myristoylation signal-attached Akt (myr-Akt), was overexpressed in the liver by injecting its adenovirus into mice. Hepatic myr-Akt overexpression resulted in a markedly hypoglycemic, hypoinsulinemic, and hypertriglyceridemic phenotype with fatty liver and hepatomegaly. To elucidate the sterol regulatory element binding protein (SREBP)-1c contribution to these phenotypic features, myr-Akt adenovirus was injected into SREBP-1 knockout mice. myr-Akt overexpression induced hypoglycemia and hepatomegaly with triglyceride accumulation in SREBP-1 knockout mice to a degree similar to that in normal mice, whereas myr-Akt-induced hypertriglyceridemia in knockout mice was milder than that in normal mice. The myr-Akt-induced changes in glucokinase, phosphofructokinase, glucose-6-phosphatase, and PEPCK expressions were not affected by knocking out SREBP-1, whereas stearoyl-CoA desaturase 1 induction was completely inhibited in knockout mice. Constitutively active SREBP-1-overexpressing mice had fatty livers without hepatomegaly, hypoglycemia, or hypertriglyceridemia. Hepatic acetyl-CoA carboxylase, fatty acid synthase, stearoyl-CoA desaturase 1, and glucose-6-phosphate dehydrogenase expressions were significantly increased by overexpressing SREBP-1, whereas glucokinase, phospho-fructokinase, glucose-6-phosphatase, and PEPCK expressions were not or only slightly affected. Thus, SREBP-1 is not absolutely necessary for the hepatic Akt-mediated hypoglycemic effect. In contrast, myr-Akt-induced hypertriglyceridemia and hepatic triglyceride accumulation are mediated by both Akt-induced SREBP-1 expression and a mechanism involving fatty acid synthesis independent of SREBP-1.
- ACC, acetyl-CoA carboxylase
- FAO, fatty acid oxidation
- FAS, fatty acid synthase
- G6Pase, glucose-6-phosphatase
- G6PD, glucose-6-phosphate dehydrogenase
- GK, glucokinase
- GSK-3, glycogen synthase kinase 3
- LacZ, E. coli β-galactosidase gene
- LPL, lipoprotein lipase
- myr-Akt, NH2-terminally myristoylation signal-attached Akt
- PFK, phosphofructokinase
- PK, l-type pyruvate kinase
- PPARα, peroxisome proliferator-activated receptor-α
- SCD1, stearoyl-CoA desaturase 1
- SREBP, sterol regulatory element binding protein
Footnotes
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- Accepted September 18, 2003.
- Received March 14, 2003.
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