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J Biol Chem, Vol. 275, Issue 12, 8456-8460, March 24, 2000

Mechanism of Insulin Resistance in A-ZIP/F-1 Fatless Mice*

Jason K. KimDagger §, Oksana Gavrilova, Yan ChenDagger , Marc L. Reitman, and Gerald I. ShulmanDagger ||

From the Dagger  Howard Hughes Medical Institute and the Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06536 and the  Diabetes Branch, NIDDK, National Institutes of Health, Bethesda, Maryland 20892

Insulin resistance is a major factor in the pathogenesis of type 2 diabetes and may be related to alterations in fat metabolism. Fatless mice have been created using dominant-negative protein (A-ZIP/F-1) targeted gene expression in the adipocyte and shown to develop diabetes. To understand the mechanism responsible for the insulin resistance in these mice, we conducted hyperinsulinemic-euglycemic clamps in awake fatless and wild type littermates before the development of diabetes and examined insulin action and signaling in muscle and liver. We found the fatless mice to be severely insulin-resistant, which could be attributed to defects in insulin action in muscle and liver. Both of these abnormalities were associated with defects in insulin activation of insulin receptor substrate-1 and -2-associated phosphatidylinositol 3-kinase activity and a 2-fold increase in muscle and liver triglyceride content. We also show that upon transplantation of fat tissue into these mice, triglyceride content in muscle and liver returned to normal as does insulin signaling and action. In conclusion, these results suggest that the development of insulin resistance in type 2 diabetes may be due to alterations in the partitioning of fat between the adipocyte and muscle/liver leading to accumulation of triglyceride in the latter tissues with subsequent impairment of insulin signaling and action.


* This study was supported by United States Public Health Service Grants R01 DK-40936 and P30 DK-45735.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

§ Research associate of the Howard Hughes Medical Institute.

|| Investigator of the Howard Hughes Medical Institute. To whom correspondence should be addressed: Howard Hughes Medical Institute, Yale University School of Medicine, Boyer Center for Molecular Medicine, 295 Congress Ave., BCMM 254C, Box 9812, New Haven, CT 06536-8012. Tel.: 203-737-1115; Fax: 203-737-4059; E-mail: gerald. shulman{at}yale.edu.


Copyright © 2000 by The American Society for Biochemistry and Molecular Biology, Inc.
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J. Biol. Chem., June 28, 2002; 277(27): 24484 - 24489.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
A. S. Attele, Y.-P. Zhou, J.-T. Xie, J. A. Wu, L. Zhang, L. Dey, W. Pugh, P. A. Rue, K. S. Polonsky, and C.-S. Yuan
Antidiabetic Effects of Panax ginseng Berry Extract and the Identification of an Effective Component
Diabetes, June 1, 2002; 51(6): 1851 - 1858.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
G. F. Lewis, A. Carpentier, K. Adeli, and A. Giacca
Disordered Fat Storage and Mobilization in the Pathogenesis of Insulin Resistance and Type 2 Diabetes
Endocr. Rev., April 1, 2002; 23(2): 201 - 229.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
A. B. Mayerson, R. S. Hundal, S. Dufour, V. Lebon, D. Befroy, G. W. Cline, S. Enocksson, S. E. Inzucchi, G. I. Shulman, and K. F. Petersen
The Effects of Rosiglitazone on Insulin Sensitivity, Lipolysis, and Hepatic and Skeletal Muscle Triglyceride Content in Patients With Type 2 Diabetes
Diabetes, March 1, 2002; 51(3): 797 - 802.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
P. J. Voshol, M. C. Jong, V. E.H. Dahlmans, D. Kratky, S. Levak-Frank, R. Zechner, J. A. Romijn, and L. M. Havekes
In Muscle-Specific Lipoprotein Lipase-Overexpressing Mice, Muscle Triglyceride Content Is Increased Without Inhibition of Insulin-Stimulated Whole-Body and Muscle-Specific Glucose Uptake
Diabetes, November 1, 2001; 50(11): 2585 - 2590.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
A. Virkamaki, E. Korsheninnikova, A. Seppala-Lindroos, S. Vehkavaara, T. Goto, J. Halavaara, A.-M. Hakkinen, and H. Yki-Jarvinen
Intramyocellular Lipid Is Associated With Resistance to In Vivo Insulin Actions on Glucose Uptake, Antilipolysis, and Early Insulin Signaling Pathways in Human Skeletal Muscle
Diabetes, October 1, 2001; 50(10): 2337 - 2343.
[Abstract] [Full Text]


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ScienceHome page
H. Cho, J. Mu, J. K. Kim, J. L. Thorvaldsen, Q. Chu, E. B. Crenshaw III, K. H. Kaestner, M. S. Bartolomei, G. I. Shulman, and M. J. Birnbaum
Insulin Resistance and a Diabetes Mellitus-Like Syndrome in Mice Lacking the Protein Kinase Akt2 (PKBbeta )
Science, June 1, 2001; 292(5522): 1728 - 1731.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
K. Ebihara, Y. Ogawa, H. Masuzaki, M. Shintani, F. Miyanaga, M. Aizawa-Abe, T. Hayashi, K. Hosoda, G. Inoue, Y. Yoshimasa, et al.
Transgenic Overexpression of Leptin Rescues Insulin Resistance and Diabetes in a Mouse Model of Lipoatrophic Diabetes
Diabetes, June 1, 2001; 50(6): 1440 - 1448.
[Abstract] [Full Text]


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Proc. Natl. Acad. Sci. USAHome page
J. K. Kim, J. J. Fillmore, Y. Chen, C. Yu, I. K. Moore, M. Pypaert, E. P. Lutz, Y. Kako, W. Velez-Carrasco, I. J. Goldberg, et al.
Tissue-specific overexpression of lipoprotein lipase causes tissue-specific insulin resistance
PNAS, May 30, 2001; (2001) 121164498.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
J. M. Zabolotny, Y.-B. Kim, O. D. Peroni, J. K. Kim, M. A. Pani, O. Boss, L. D. Klaman, S. Kamatkar, G. I. Shulman, B. B. Kahn, et al.
Overexpression of the LAR (leukocyte antigen-related) protein-tyrosine phosphatase in muscle causes insulin resistance
PNAS, April 12, 2001; (2001) 71050398.
[Abstract] [Full Text]


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FASEB J.Home page
R. H. UNGER and L. ORCI
Diseases of liporegulation: new perspective on obesity and related disorders
FASEB J, February 1, 2001; 15(2): 312 - 321.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
S. F. Previs, D. J. Withers, J.-M. Ren, M. F. White, and G. I. Shulman
Contrasting Effects of IRS-1 Versus IRS-2 Gene Disruption on Carbohydrate and Lipid Metabolism in Vivo
J. Biol. Chem., December 8, 2000; 275(50): 38990 - 38994.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
L. L. Listenberger, D. S. Ory, and J. E. Schaffer
Palmitate-induced Apoptosis Can Occur through a Ceramide-independent Pathway
J. Biol. Chem., April 27, 2001; 276(18): 14890 - 14895.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
J. M. Zabolotny, Y.-B. Kim, O. D. Peroni, J. K. Kim, M. A. Pani, O. Boss, L. D. Klaman, S. Kamatkar, G. I. Shulman, B. B. Kahn, et al.
Overexpression of the LAR (leukocyte antigen-related) protein-tyrosine phosphatase in muscle causes insulin resistance
PNAS, April 24, 2001; 98(9): 5187 - 5192.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
J. K. Kim, J. J. Fillmore, Y. Chen, C. Yu, I. K. Moore, M. Pypaert, E. P. Lutz, Y. Kako, W. Velez-Carrasco, I. J. Goldberg, et al.
Tissue-specific overexpression of lipoprotein lipase causes tissue-specific insulin resistance
PNAS, June 19, 2001; 98(13): 7522 - 7527.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
S. Neschen, I. Moore, W. Regittnig, C. L. Yu, Y. Wang, M. Pypaert, K. F. Petersen, and G. I. Shulman
Contrasting effects of fish oil and safflower oil on hepatic peroxisomal and tissue lipid content
Am J Physiol Endocrinol Metab, February 1, 2002; 282(2): E395 - E401.
[Abstract] [Full Text] [PDF]




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