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Skeletal muscle and exercise |
1 Department of Internal Medicine, State University of Campinas (UNICAMP), 13081-970-Campinas, São Paulo, Brazil
| Abstract |
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(Received 25 August 2006;
accepted after revision 25 September 2006;
first published online 28 September 2006)
Corresponding author J. B. C. Carvalheira: Departamento de Clínica, Médica, FCM-UNICAMP, Cidade Universitária Zeferino Vaz, Campinas, São Paulo, Brazil, 13081-970. Email: carvalheirajbc{at}uol.com.br
| Introduction |
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The action of insulin is mediated by receptor binding at the surface of insulin-sensitive tissue (Czech & Corvera, 1999). The insulin receptor (IR) is a protein with endogenous tyrosine kinase activity that, following activation by insulin, undergoes rapid autophophorylation and subsequently phophorylates intracelular protein substrates, such as insulin receptor substrate 1 and 2 (IRS-1 and IRS-2) (Cheatham & Kahn, 1995). Phosphorylation of IRS-1 and IRS-2 tyrosine residues induces activation of phosphatidylinositol 3-kinase (PI3-K) by binding the p85 subunit and activating the catalytic p110 subunit (White & Kahn, 1994). Activation of a serine/threonine kinase Akt occurs downstream from PI3-K. Once phosphorylated, Akt contributes to various biological processes including regulation of glucose uptake (Virkamaki et al. 1999).
Dephosphorylation of IR and IRS-1 or serine phosphorylation of IR substrates are the main mechanisms that suppress the insulin pathway (Ventre et al. 1997; Greene et al. 2003). Protein tyrosine phosphatases (PTPs) are important regulators of tyrosine phosphorylation-dependent signalling events and may represent novel targets for therapeutic intervention in a variety of human diseases (Tonks, 2003). Several PTPs, including PTP
, PTP
, CD45, SHP2, LAR and PTP1B, have been implicated as negative regulators of insulin signalling (Asante-Appiah & Kennedy, 2003). PTP1B is a major PTP implicated in the regulation of insulin action, including in the insulin-resistant state (Seely et al. 1996; Elchebly et al. 1999). c-Jun N-terminal kinase (JNK) is a member of the mitogen-activated protein (MAP) kinase family (Weston et al. 2002) and can be activated by tumour necrosis factor
(TNF
) (Hirosumi et al. 2002) and interleukin 1ß (IL 1ß) (Major & Wolf, 2001). In addition, JNK might serve as a feedback inhibitor during insulin stimulation (Lee et al. 2003). Three JNK isoforms have been described, JNK1, 2 and 3 (Ip & Davis, 1998), of which JNK1 is most involved in the pathophysiology of obesity and insulin resistance (Hirosumi et al. 2002). JNK activation induces inhibitory serine 307 (Ser307) phosphorylation of IRS-1, (Aguirre et al. 2000; Lee et al. 2003). Ser307 is located next to the PTB domain in IRS-1 and its phosphorylation inhibits the interaction of the PTB domain with the phosphorylated NPEY motif in the activated insulin receptor, causing insulin resistance (Aguirre et al. 2002). Previous studies suggest that, in addition to JNK, I
B kinase beta (IKKß) phoshorylation also increases serine phosphorylation of IRS-1. Thus, the IKK complex appears to be another candidate that plays a key role in the phosphorylation of IRS-1 and in the regulation of insulin sensitivity.
As much of the molecular basis underlying the beneficial effects of exercise in the insulin-resistant state remains unclear, the current study was designed to investigate the effects of a single bout of exercise on PTP1B activity and IRS-1 serine phosphorylation associated with insulin resistance induced by DIO.
| Methods |
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Male Wistar rats from the University of Campinas Central Animal Breeding Center were used in the experiments. All experiments were approved by the Ethics Committee of the State University of Campinas (UNICAMP).
The 4-week-old Wistar rats were divided into three groups, control rats fed standard rodent chow (Table 1), obese rats fed on an obesity-inducing diet for 3 months (DIO) (Table 1) and DIO rats submitted to a single bout of exercise (DIO + EXE).
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Rats were acclimated to 10 min swimming for 2 days. The animals swam for two 3 h bouts separated by a 45 min rest period and the water temperature was maintained at
34°C. This exercise protocol was adaptated from a published procedure (Chibalin et al. 2000). After the last bout of exercise, animals were fed ad libitum and food was withdrawn 6 h before the tissue extraction. The rats were anaesthetized with intraperitoneal injection of sodium thiopental (40 mg (kg body weight)1) 8 and 16 h after the exercise protocol. Following the experimental procedures, the rats were killed under anaesthesia (200 mg kg1 thiopental) following the recommendations of the NIH.
Insulin tolerance test, serum insulin quantification and glycogen formation
The rats were given an insulin tolerance test (ITT; 1.5 IU insulin (kg body weight)1) 16 h after the exercise protocol. Briefly, 1.5 IU kg1 human recombinant insulin (Humulin R) from Eli Lilly (Indianapolis, IN, USA) was infused intraperitoneally to anaesthetized rats, the blood samples were collected at 0, 5, 10, 15, 20, 25 and 30 min from the tail for serum glucose determination. The rate constant for plasma glucose disappearance (Kitt) was calculated using the formula 0.693/biological half life (t1/2). The plasma glucose (t1/2) was calculated from the slope of last square analysis of the plasma glucose concentration during the linear phase of decline (Bonora et al. 1989). Plasma glucose level was determined using a glucose meter (Advantage, Boehringer Mannheim, USA). Plasma was separated by centrifugation (1100 g) for 15 min at 4°C and stored at 80°C until assayed. Radioimmunoassay was employed to measure serum insulin level, according to a previous description (Scott et al. 1981). Glycogen content in gastrocnemius muscle fragments was measured, according to a previously described method (Pimenta et al. 1989).
Hyperinsulinaemiceuglycaemic clamp procedures
HPLC-purified 2-deoxy-D-[1-14C]glucose (2-[14C]DG) was obtained from Amersham Biosciences Group (UK). The Harvard apparatus (model 11) and Harvard compact infusion pumps (model 975) were obtained from South Natick, MA, USA.
After 6 h of fasting, animals were anaesthetized intraperitoneally and catheters were then inserted into the left jugular vein (for tracer infusions) and carotid artery (for blood sampling), as previously described (Prada et al. 2000). Experiments were started when glycaemia had returned to stable levels, 30 min after the end of the surgical procedure. A 120 min hyperinsulinaemiceuglycaemic clamp procedure was conducted in anaesthetized catheterized rats, as shown previously (Prada et al. 2000, 2005), with continuous infusion of human insulin at a rate of 3.6 mU (kg body wt) 1 min1 to raise the plasma insulin concentration to approximately 800900 pmol l1. Blood samples (20 µl) were collected at 5 min intervals for the immediate measurement of plasma glucose concentrations, and 10% unlabelled glucose was infused at variable rates to maintain plasma glucose at fasting levels. To estimate insulin-stimulated glucose transport and metabolism in skeletal muscle, (2-[14C]DG) was administered as a bolus (10 µCi) 45 min before the end of the clamp procedure. All infusions were performed using Harvard infusion pumps. At the end of the clamp procedure, animals were killed by an intravenous injection of ketamin and diazepam. Within 2 min, both portions of gastrocnemius from hindlimbs were removed. Each tissue, once exposed, was dissected out within 2 s, weighed, frozen with liquid N2 and stored at 80°C for later analysis.
Analytical procedures for hyperinsulinemic-euglycemic clamping
Plasma glucose was measured using a glucometer (Advantage, Boehringer Mannheim, USA). The whole blood glucose uptake was obtained from averaged rates of the last 30 min of 10% unlabelled glucose infusion during clamp procedures. Glucose transport activity in skeletal muscle was calculated from the tissue 2-deoxy-D-glucose (2DG) profile, as described before (Ferre et al. 1985; McGuinness & Mari, 1997; Prada et al. 2005).
Protein analysis by immunoblotting
As soon as anaesthesia was assured by the loss of pedal and corneal reflexes, the abdominal cavity was opened, the cava vein exposed, and 0.2 ml normal saline or insulin (109 M) injected. At 90 s after insulin injection, both portions of gastrocnemius were ablated, pooled, minced coarsely and homogenized immediately in extraction buffer containing (mM): Tris 100 (pH 7.4), sodium pyrophosphate 100, sodium fluoride 100, EDTA 10, sodium vanadate 10 and phenylmethylsulfonyl fluoride (PMSF) 2, and 0.1 mg aprotinin ml1 and 1% Triton-X 100 at 4°C with a Polytron PTA 20S generator (Brinkmann Instruments model PT 10/35) operated at maximum speed for 30 s. The extracts were centrifuged at 15 000 r.p.m. (9000 g) and 4°C in a Beckman 70.1 Ti rotor (Palo Alto, CA, USA) for 45 min to remove insoluble material, and the supernatants of these tissues were used for protein quantification using the Bradford method (Bradford, 1976).
Proteins were denaturated by boiling in Laemmli (Laemmli, 1970) sample buffer containing 100 mM DTT, run on SDS-PAGE, transferred to nitrocellulose membranes, which were blocked, probed and developed as previously described (Saad et al. 1997). The ß subunit of the IR (IRß), IRS-1 and IRS-2 were immunoprecipitated from rat muscle with or without previous insulin infusion. Antibodies used for immunoblotting were anti-phosphotyrosine, anti-IR, anti-IRS-1, anti-IRS-2, anti-PTP1B, anti-PI3-K, antiphosphoserine-IRS-1307 (Upstate Biotechnology, NY, USA), antiphospho-Akt (Cell Signalling Technology, MA, USA), anti-Akt, anti-JNK, antiphospho-JNK, antiphospho-c-jun, anti-I
B
and anti-SOCS3 (Santa Cruz Biotechnology Inc., CA, USA). Blots were exposed to preflashed Kodak XAR film with Cronex Lightning Plus intensifying screens at 80°C for 1248 h. Band intensities were quantified by optical desitometry (Scion Image software, ScionCorp, Frederick, MD, USA) of the developed autoradiographs.
Protein tyrosine phosphatase activity assay
The gastrocnemius muscles were removed and homogenized in the solubilization buffer containing (mM): Tris 20 (pH 7.6), EDTA 5, PMSF 2, EGTA 1 and NaCl 130, and 0.1 mg aprotinin ml1 and 1% Triton X-100. The lysates were centrifuged (15 000 g for 25 min at 4°C) and the supernatants were collected for immunoprecipitation, as previously described. Immunoprecipitates were washed in PTP assay buffer containing (mM): Hepes 100 (pH 7.6), EDTA 2, DTT 1 and NaCl 150, and 0.5 mg ml1 bovine serum albumin. The pp60c-src C-terminal phosphoregulatory peptide (TSTEPQpYQPGENL; Biomol) was added to a final concentration of 200 µM in a total reaction volume of 60 µl in a PTP assay buffer for the immunoprecipitation. The reaction was then allowed to proceed for 1 h at 30°C. At the end of the reaction, 40 µl aliquots were placed into a 96-well plate, 100 µl Biomol Green reagent (Biomol) was added, and absorbance was measured at 630 nm (Taghibiglou et al. 2002).
Statistical analysis
Where appropriate, the results were expressed as the means ± S.E.M. Differences between the control group and DIO and between DIO and DIO + EXE were evaluated using one-way analysis of variance (ANOVA). When the ANOVA indicated significance, a Bonferroni post hoc test was performed.
| Results |
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Table 2 shows comparative data regarding control, DIO and DIO + EXE rats. Rats fed on the high-fat diet for 12 weeks had a greater body weight, epididymal fat and fasting serum insulin than age-matched controls. No significant variations were found in body weight, epididymal fat and fasting serum insulin in DIO + EXE compared to DIO rats. The fasting glucose concentration was similar between the groups; however, the decrease in the glucose disappearance rate (Kitt), induced by the high-fat diet, returned to the basal levels 16 h after acute exercise.
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A single bout of exercise improves insulin signalling in the muscle of DIO rats
The effect of in vivo intravenous insulin infusion on IR tyrosine phosphorylation was examined in the gastrocnemius muscle of control, DIO and DIO + EXE rats. The muscles were immunoprecipitated with anti-IR antibody and then blotted with anti-phosphotyrosine antibody. Insulin induced an increase in IR tyrosine phosphorylation levels in muscle from control, DIO and DIO + EXE rats. In the control animals, insulin increased IR tyrosine phosphorylation by 9.6-fold, compared with 3.1-fold increases in the muscle of DIO rats, representing reductions in IR tyrosine phosphorylation of 4.0-fold. Insulin increased IR tyrosine phosphorylation by 6.6-fold in the muscle from DIO + EXE rats, representing an increase in IR tyrosine phosphorylation of 2.6-fold compared with DIO rats (Fig. 2A upper panel). There was no difference in basal levels of IR tyrosine phosphorylation between the three groups (data not shown). The protein expression of IR in the gastrocnemius muscle of control, DIO and DIO + EXE rats was quantified by immunoprecipitation and immunoblotting with anti-IR antibody. The IR protein levels were not different between the groups (Fig. 2A lower panel).
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Acute exercise-mediated suppression of PTP1B activity in DIO rats
Obesity induced by diet increased the expression of PTP1B in DIO rats by 2.0-fold compared to control rats, a phenomenon that was reversed by acute exercise (Fig. 3A). Figure 3B shows that PTP1B activity increased in the muscle of DIO rats by 95% when compared to controls and acute exercise decreased PTP1B by 61% compared to DIO rats. To further explore the possibility that acute exercise mediated suppression of PTP1B activity in DIO rats, we observed that insulin induced IR tyrosine phosphorylation and IR/PTP1B interaction in muscle from DIO + EXE rats. The high-fat diet increased the IR/PTP1B association by 10.6-fold in the gastrocnemius muscle of DIO rats when compared with control rats and, in the muscle of DIO + EXE rats, IR/PTP1B association was decreased by 2.1-fold when compared with DIO rats (Fig. 3C upper panel). The IR protein levels were not different between the groups (Fig. 3C lower panel). As shown in Fig. 3D, insulin, in a time-dependent manner, induced increases in IR tyrosine phosphorylation in muscle from DIO rats after the exercise protocol, with a concomitant reduction of IRPTP1B association. We also evaluated the IRS-1PTP1B association in muscle from controls, DIO and DIO + EXE rats. The high-fat diet induced an increase in IRS-1PTP1B association by 8.8-fold in gastrocnemius muscle of DIO rats when compared with control rats, and in the muscle of DIO + EXE rats IRS-1PTP1B association was decreased by 1.7-fold when compared with DIO rats (Fig. 3E upper panel). The IRS-1 protein levels were not different between the groups (Fig. 3E lower panel).
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B
degradation in DIO ratsAmong the serine residues that become phosphorylated in response to risk factors of insulin resistance, Ser307 has been studied extensively and Ser307 phosphorylation has become a molecular indicator of insulin resistance (Eldar-Finkelman & Krebs, 1997; Aguirre et al. 2002; Hirosumi et al. 2002; Lee et al. 2003); however, the effect of acute exercise on high-fat diet-induced IRS-1 serine phosphorylation has not been identified. To address this issue, we tested Ser307 phosphorylation in the gastrocnemius muscle of control, DIO and DIO + EXE rats. The muscles were blotted with anti-IRS-1 phosphoserine antibody. The high-fat diet increased IRS-1 serine phosphorylation levels in the muscle of DIO rats by 4.5-fold when compared with control rats. In the muscle of DIO + EXE rats, IRS-1 serine phosphorylation decreased by 1.7-fold when compared with DIO rats (Fig. 4A).
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B pathway, an important regulator of inflammation, in obesity- and inflammation-induced insulin resistance. The main function of the IKK complex is the activation of NF-
B through phosphorylation and degradation of I
B
(Hevener et al. 2003; Greten et al. 2004; Viatour et al. 2005). Thus, to assess NF-
B activation, we observed I
B
degradation in the muscle of control, DIO and DIO + EXE rats. The high-fat diet led to a decrease in I
B
expression levels in the muscle of DIO rats by 1.9-fold, compared with control rats. However, in the muscle of DIO + EXE rats, I
B
degradation was decreased by 1.4-fold when compared to DIO rats (Fig. 4D). The high-fat diet increased SOCS 3 expression in the muscle of DIO rats by 2.0-fold when compared to the control; however, acute exercise did not change the high-fat diet-induced modulation of SOCS 3 expression in this tissue (Fig. 4E). | Discussion |
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B
degradation. However, the acute exercise had no effect on high-fat diet-induced SOCS3 expression. Several mechanisms may be involved in the pathogenesis of insulin resistance in muscle. The ability of PTP1B to negatively regulate insulin receptor kinase has been established at the molecular level (Myers et al. 2001) and ablation of the PTP1B gene yields mice displaying characteristics which suggest that inhibition of PTP1B function may be an effective strategy for the treatment of diabetes and obesity (Elchebly et al. 1999). In accordance with this, our results show decreased activity and expression of PTP1B in DIO rats after a single bout of exercise. Furthermore, the reduction of PTP1B activity in rats submitted to acute exercise was accompanied by increased insulin sensitivity in skeletal muscle and correlates with increases in tyrosyl phosphorylation of IR, IRS-1 and IRS-2 and with reduction of IRPTP1B and IRS-1PTP1B association in skeletal muscle. In contrast to our results, it has been recently was reported that the amount of PTP1B associated with IR-ß is not different in the muscle of normal rats at 5, 29 and 53 h after cessation of chronic voluntary exercise (Kump & Booth, 2005). These apparent contradictory results may be related to the protocol of exercise and changes in physiological and metabolic parameters in DIO rats.
Serine phosphorylation of IRS proteins is believed to be a major mechanism of suppression of IRS-1 and IRS-2 activity that contributes to insulin resistance (Saltiel & Olefsky, 1996; Saltiel & Kahn, 2001). Regulation of serine phosphorylation of IR, IRS-1 and IRS-2 proteins has been a focus of investigation in the search for the molecular mechanism of insulin resistance. Our results show a marked reduction in IRS-1 serine phosphorylation, 16 h after acute exercise in DIO rats in parallel with an increase in IR autophosphorylation. A previous study demonstrated that treatment of cultured murine adipocytes with TNF-
induces serine phosphorylation of IRS-1 and converts it into an inhibitor of the IR tyrosine kinase activity in vitro (Hotamisligil et al. 1996). The IRS-1-mediated inhibition of IR tyrosine kinase activity could occur by direct or indirect interactions between the IR and IRS-1 (Backer et al. 1993; O'Neill et al. 1994). Serine-phosphorylated IRS-1 might associate with the IR to block the autophosphorylation reaction; alternatively, serine-phosphorylated IRS-1 might act indirectly on the IR through an association with an inhibitor that acts on the IR in a stoichometric or catalytic fashion (Hotamisligil et al. 1996). Taken together, these data suggest that a high-fat diet mediates insulin resistance, at least in part, by inducing IRS-1 serine phosphorylation and decreasing IRS-1 and IRS-2 tyrosine phosphorylation and that this effect is inhibited by acute exercise. Studies suggest that overexpression of SOCS3 decreases insulin-induced IRS-1 and IRS-2 tyrosine phosphorylation levels, inducing insulin resistance (Ueki et al. 2004). However, this modulation of SOCS3 by DIO was not reversed by acute exercise. As the IRIRS-1/2 pathway is involved in glucose uptake and glycogen synthesis in muscle, we suggest that acute exercise, by acting on this pathway, reverses insulin resistance of DIO animals.
Activation of inflammatory signalling, including of the I
BNF
B pathway may also contribute to mediated the serine phosphorylation of IRS-1(Gao et al. 2002). However, few studies have examined the effect of acute exercise on the I
BNF
B pathway. In rats, exercise activates I
BNF
B signalling in muscle (Ji et al. 2004), and acute fatiguing exercise in humans reduces NF
B activity. Similar to a recent study showing that 8 weeks of aerobic exercise training reduced I
BNF
B signalling in vastus lateralis muscle from subjects with type 2 diabetes (Sriwijitkamol et al. 2006), our results show that the high levels of IRS-1, phosphorylated at Ser307, in DIO rats correlated with the disappearance of I
B
. This finding is an indication of IKK activation and suggests that acute exercise is able to reduce IKK activation and restore the I
B
expression.
Recently, JNK has been linked to the regulation of insulin signalling by several studies (Aguirre et al. 2000, 2002; Rui et al. 2001; Hirosumi et al. 2002; Lee et al. 2003). It has been suggested that JNK contributes to insulin resistance by phosphorylating IRS-1 at Ser307, and this phosphorylation leads to inhibition of the IRS-1 function (Aguirre et al. 2000, 2002; Rui et al. 2001; Lee et al. 2003; Prattali et al. 2005). However, the effect of exercise on JNK activity remains unclear. Several studies suggest that the activity of JNK intracellular signalling cascade is increased following prolonged running exercise (Boppart et al. 2000; Thompson et al. 2003). In contrast, JNK phosphorylation was reduced after resistance exercise in old men (Williamson et al. 2003). In this study, we observed that a single bout of exercise inhibited DIO-induced JNK activity, and that this inhibition was accompanied by a reduction in IRS-1 serine phosphorylation at Ser307.
In accordance with the results of Oakes et al. (1997) we observed that a single bout of exercise completely normalized the insulin action in the diet-induced obese state; however, our data show only a partial amelioration of insulin signalling. Taken together, these data suggest that the complete normalization, by acute exercise, of the insulin action in obesity induced by diet may be caused by other factors. One possibility may be associated with the increase in other insulin-independent signalling pathways. It has been postulated that AMP kinase is a important mediator of acute exercise-induced glucose uptake in muscle (Sakamoto & Goodyear, 2002; Wojtaszewski et al. 2002; Krook et al. 2004). In addition, in human subjects with type 2 diabetes, where there is impaired insulin signalling in skeletal muscle, acute exercise results in normal activation of AMP kinase (Musi et al. 2001; Koistinen et al. 2003).
In summary, a single bout of exercise improves insulin sensitivity in DIO rats by reversing high-fat diet-induced decreases in insulin-stimulated IR, IRS-1 and IRS-2 tyrosine phosphorylation. The effect of acute exercise on insulin action is further supported by our findings that DIO + EXE rats show a reduction in PTP1B activity and IRS-1 serine phosphorylation, mechanisms by which a single session of exercise may protect against high-fat diet-induced insulin resistance. Overall, these results provide new insights into the mechanism by which physical activity restores insulin sensitivity.
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