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Hepatic Akt Activation Induces Marked Hypoglycemia, Hepatomegaly, and Hypertriglyceridemia With Sterol Regulatory Element Binding Protein Involvement

  1. Hiraku Ono1,
  2. Hitoshi Shimano2,
  3. Hideki Katagiri3,
  4. Naoya Yahagi4,
  5. Hideyuki Sakoda1,
  6. Yukiko Onishi1,
  7. Motonobu Anai1,
  8. Takehide Ogihara3,
  9. Midori Fujishiro4,
  10. Amelia Y.I. Viana5,
  11. Yasushi Fukushima4,
  12. Miho Abe4,
  13. Nobuhiro Shojima4,
  14. Masatoshi Kikuchi1,
  15. Nobuhiro Yamada2,
  16. Yoshitomo Oka3 and
  17. Tomoichiro Asano4
  1. 1Institute for Adult Diseases, Asahi Life Foundation, Shinjuku-ku, Tokyo, Japan
  2. 2Division of Endocrinology and Metabolism, Department of Internal Medicine, Institute of Clinical Medicine, University of Tsukuba, Tsukuba City, Ibaraki, Japan
  3. 3Division of Molecular Metabolism and Diabetes, Department of Internal Medicine, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai, Japan
  4. 4Department of Internal Medicine, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, Japan
  5. 5Research Center of Health, Physical Fitness and Sports, Nagoya University, Chikusa-ku, Nagoya, Japan
  1. 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.

Footnotes

    • Accepted September 18, 2003.
    • Received March 14, 2003.
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