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Originally published In Press as doi:10.1074/jbc.M305474200 on November 5, 2003

J. Biol. Chem., Vol. 279, Issue 5, 3254-3264, January 30, 2004
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IRS-1 Mediates Inhibition of Ca2+ Mobilization by Insulin via the Inhibitory G-protein Gi*

Irlando Andrade Ferreira{ddagger}§, Kurt L. Eybrechts{ddagger}§, Astrid I. M. Mocking{ddagger}§, Christine Kroner¶, and Jan-Willem N. Akkerman{ddagger}§||

From the {ddagger}Thrombosis and Haemostasis Laboratory, Department of Hematology, University Medical Center Utrecht, Heidelberlaan 100, 3584 CX Utrecht, The Netherlands, §Institute for Biomembranes, Utrecht University, Padualaan 8, 3584 CH Utrecht, The Netherlands, and Unilever Health Institute, Unilever Research and Development, 3133 AT Vlaardingen, The Netherlands

Platelet agonists initiate aggregation and secretion by activating receptors coupled to the G-protein Gq, thereby raising cytosolic Ca2+, [Ca2+]i. The rise in [Ca2+]i is facilitated via inhibition of cAMP formation by the inhibitory G-protein of adenylyl cyclase, Gi. Since insulin attenuates platelet activation, we investigated whether insulin interferes with cAMP regulation. Here we report that insulin (0.5–200 nmol/liter) interferes with agonist-induced increases in [Ca2+]i (ADP, thrombin), cAMP suppression (thrombin), and aggregation (ADP). The effects of insulin are as follows: (i) independent of the P2Y12 receptor, which mediates ADP-induced cAMP lowering; (ii) not observed during Gs-mediated cAMP formation; (iii) unaffected by treatments that affect phosphodiesterases (3-isobutyl-1-methylxanthine); and (iv) not changed by interfering with NO-mediated regulation of cAMP degradation (NG-monomethyl-L-arginine). Hence, insulin might interfere with Gi. Indeed, insulin induces the following: (i) tyrosine phosphorylation of the insulin receptor, the insulin receptor substrate-1 (IRS-1) and Gi{alpha}2; (ii) co-precipitation of IRS-1 with Gi{alpha}2 but not with other G{alpha} subunits. Despite persistent receptor activation, the association of IRS-1 with Gi{alpha}2 is transient, being optimal at 5 min and 1 nmol/liter insulin, which is sufficient to suppress Ca2+ signaling by ADP, and at 10 min and 100 nmol/liter insulin, which is required to suppress Ca2+ signaling by thrombin. Epinephrine, a known platelet sensitizer and antagonist of insulin, abolishes the effect of insulin on [Ca2+]i, tyrosine phosphorylation of Gi{alpha}2, and aggregation by interfering with the phosphorylation of the insulin receptor {beta} subunit. We conclude that insulin attenuates platelet functions by interfering with cAMP suppression through IRS-1 and Gi.


Received for publication, May 24, 2003 , and in revised form, October 13, 2003.

* This work was supported in part by Dutch Diabetes Research Foundation Grant 1999-046. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

|| Supported by the Netherlands Thrombosis Foundation. To whom correspondence should be addressed: Thrombosis and Haemostasis Laboratory, Dept. of Hematology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. Tel.: 31-30-250-7613; Fax: 31-30-251-1893; E-mail: i.a.ferreira{at}lab.azu.nl.


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