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Originally published In Press as doi:10.1074/jbc.M107001200 on October 12, 2001

J. Biol. Chem., Vol. 277, Issue 2, 1514-1523, January 11, 2002
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Glycogen-targeting Subunits and Glucokinase Differentially Affect Pathways of Glycogen Metabolism and Their Regulation in Hepatocytes*

Ruojing YangDagger §, Liwei Cao, Rosa GasaDagger §, Matthew J. Brady||, A. Dean Sherry, and Christopher B. NewgardDagger §**

From the Dagger  Departments of Biochemistry and Internal Medicine, the § Touchstone Center for Diabetes Research, and the  Rogers NMR Center, University of Texas Southwestern Medical Center, Dallas, Texas 75390 and the || Department of Internal Medicine, Section on Endocrinology, University of Chicago, Chicago, Illinois 60637

Received for publication, July 24, 2001, and in revised form, September 28, 2001


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Overexpression of the glucose-phosphorylating enzyme glucokinase (GK) or members of the family of glycogen-targeting subunits of protein phosphatase-1 increases hepatic glucose disposal and glycogen synthesis. This study was undertaken to evaluate the functional properties of a novel, truncated glycogen-targeting subunit derived from the skeletal muscle isoform GM/RGl and to compare pathways of glycogen metabolism and their regulation in cells with overexpressed targeting subunits and GK. When overexpressed in hepatocytes, truncated GM/RGl (GMDelta C) was approximately twice as potent as full-length GM/RGl in stimulation of glycogen synthesis, but clearly less potent than GK or two other native glycogen-targeting subunits, GL and PTG. We also found that cells with overexpressed GMDelta C are unique in that glycogen was efficiently degraded in response to lowering of media glucose concentrations, stimulation with forskolin, or a combination of both maneuvers, whereas cells with overexpressed GL, PTG, or GK exhibited impairment in one or both of these glycogenolytic signaling pathways. 2H NMR analysis of purified glycogen revealed that hepatocytes with overexpressed GK synthesized a larger portion of their glycogen from triose phosphates and a smaller portion from tricarboxylic acid cycle intermediates than cells with overexpressed glycogen-targeting subunits. Additional evidence for activation of distinct pathways of glycogen synthesis by GK and targeting subunits is provided by the additive effect of co-overexpression of the two types of proteins upon glycogen synthesis and a much larger stimulation of glucose utilization, glucose transport, and lactate production elicited by GK. We conclude that overexpression of the novel targeting subunit GMDelta C confers unique regulation of glycogen metabolism. Furthermore, targeting subunits and GK stimulate glycogen synthesis by distinct pathways.


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Hepatic glucose production is poorly controlled in type II diabetes due to increased gluconeogenesis and impaired glycogen storage (1-3). The glucose-phosphorylating enzyme glucokinase (GK)1 plays a key role in determining the balance between glucose disposal and production in the liver. Increased expression of GK in hepatoma cells (4), isolated hepatocytes (5, 6), and livers of intact animals (7-10) potently affects glucose disposal and glycogen deposition. Conversely, overexpression of key components of the glucose-6-phosphatase enzyme complex, which catalyzes glucose 6-phosphate hydrolysis, causes a sharp reduction in glycogen storage in liver cells (11-13).

Although the control strength of GK in hepatic glucose metabolism is substantial, it has become clear that it is also possible to stimulate glycogen synthesis by expression of proteins that function distal to the glucose phosphorylation step. In particular, recent studies have highlighted an important role for glycogen-targeting subunits of protein phosphatase-1 in spatial organization and regulation of glycogen metabolism (14). Four members of a gene family encoding these proteins are known. GM or RGl (hereafter referred to as GM/RGl) is expressed primarily in striated skeletal muscle (15); GL is expressed primarily in liver (16); and PTG (protein targeting to glycogen) (17, 18) and PPPR6 (19) are expressed in a wide range of tissues. These proteins bind to glycogen and protein phosphatase-1 and have differential capacities for binding to glycogen synthase, glycogen phosphorylase, and phosphorylase kinase (14-19). Overexpression of these proteins in mammalian cells results in stimulation of glycogen synthesis (17, 20), but with differential potency and response to regulatory factors, as recently demonstrated in a study comparing the effects of overexpressed PTG, GL, and GM/RGl in isolated hepatocytes (21). Overexpressed GL was the most effective targeting subunit for stimulation of glycogen synthesis, consistent with its superior capacity to activate glycogen synthase, and cells with overexpressed PTG were least responsive to forskolin as a glycogenolytic stimulus. Interestingly, cells with overexpressed GM/RGl exhibited a modest increase in glycogen storage, but also responded to forskolin by lowering glycogen to levels similar to those of control cells. The relatively weak glycogenic effect of overexpressed GM/RGl may be related to structural differences between this targeting subunit and other family members, most notably its long C-terminal tail containing a putative sarcoplasmic reticulum-binding domain that is absent in other isoforms. The brisk response to forskolin in GM/RGl-overexpressing cells may occur via protein kinase A-mediated phosphorylation of a serine in its protein phosphatase-1-binding site; this protein kinase A consensus site is lacking in targeting subunits other than GM/RGl (14).

Increased expression of GK in livers of normal rats results in lowering of blood glucose levels and increased glycogen deposition, but these are accompanied by a large increase in circulating triglycerides and fatty acids (8). PTG overexpression in livers of normal rats also improves glucose tolerance, but in contrast to GK, does so without perturbing lipid homeostasis (22). However, animals with increased hepatic PTG expression exhibit very high liver glycogen levels after an overnight fast (22), consistent with the poor response of PTG-overexpressing hepatocytes to forskolin and glucagon (20, 21). Furthermore, oral delivery of [13C]glucose to PTG-overexpressing animals and analysis of glycogen/glucose by NMR revealed that the majority of glycogen is synthesized by an indirect pathway (e.g. a pathway other than glucose right-arrow glucose-6-P right-arrow glucose-1-P right-arrow UDP-glucose right-arrow glycogen).

This study was designed to address two fundamental questions raised by the foregoing work. First, is it possible to design a glycogen-targeting subunit of protein phosphatase-1 that has a potent stimulatory effect on glucose disposal and glycogen deposition while still allowing normal regulation of glycogenolysis in response to catabolic signals? Second, are there differences in the metabolic fate of glucose in cells with overexpressed glycogen-targeting subunits relative to cells with overexpressed GK? In answer to these questions, we show that a truncated form of GM/RGl lacking its long C-terminal tail has a significantly enhanced glycogenic effect compared with native GM/RGl, but with retention of effective glycogenolytic signaling. We have also evaluated pathways of glycogen synthesis in living cells via administration of 2H2O and application of NMR (23) to identify the 2H-labeled carbon atoms in the glucose molecules of purified glycogen. This analysis revealed that overexpression of glycogen-targeting subunits or GK in hepatocytes activates discrete and complementary pathways of glucose disposal.

    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Plasmids and Recombinant Adenoviruses-- To express a truncated version of GM/RGl, PCR was used to clone a 1.1-kb fragment of the GM/RGl cDNA encoding amino acids 1-375 and lacking the 735 C-terminal amino acids from a rabbit skeletal muscle cDNA library (CLONTECH). PCR products were cloned into the pAMP1 vector (Life Technologies, Inc.), restricted with BamHI, and subcloned into BamHI-restricted pGEX-KG (a gift from Dr. Kun-Liang Guan, University of Michigan). The oligonucleotides used for amplification of the GM/RGl fragment were 5'-CAUCAUCAUCAUGGATCCATGGACCCTTCTGAA-3' and 3'-CUACUACUACUAGAGCTCCAAGTCAGTGCATGC-5'. This fragment was designated GMDelta C and cloned into the adenoviral vector pACCMV-pLpA (24) to generate plasmid pYN1. Plasmid pYN10 containing GMDelta C-FLAG was generated by PCR amplification of the rabbit GM/RGl cDNA (15) using oligonucleotide primers 5'-GCTCTCTAGACCAGAGAGCCCAATGGAGCCTTCTGAAGTACCTGGTCAGAACAGCAAA-3' (5'-primer) and 5'-GCGCAAGCTTCTACTTGTCATCGTCGTCCTTGTAGTCAAGCCTTTGGGACAAGTCAGT-3' (3'-primer). The 3'-primer contains an XbaI site followed by a stop codon and 24 bases encoding the FLAG sequence (25); the remaining 21 bases are homologous to the GM/RGl cDNA sequence from nucleotides 1105 to 1125. The 5'-primer contains a HindIII site followed by 47 bases homologous to the rabbit GM/RGl cDNA sequence, including 12 bases of 5'-untranslated sequence. The resultant 1.1-kb PCR fragment was restricted with HindIII and XbaI, subcloned into plasmid pACCMV-pLpA to generate plasmid pYN10, and verified by sequencing. Plasmid pYN11 containing GL-FLAG was generated by PCR amplification of the rat GL cDNA (16, 21) using oligonucleotide primers 5'-GCTCTCTAGAAACTTCTCTTCAGGCTCTCCCATGAGGCCAGCGAGCAGCGACCCCGGC-3' (5'-primer) and 5'-GCGCAAGCTTCTACTTGTCATCGTCGTCCTTGTAGTCGTAATAGGGCCCCAGCTTTTC-3' (3'-primer). The 3'-primer contains an XbaI site followed by a stop codon and 24 bases encoding the FLAG sequence (25); the remaining 21 bases are homologous to the GL cDNA sequence from nucleotides 923 to 943. The 5'-primer contains a HindIII site followed by 47 bases homologous to the rat GL cDNA sequence from nucleotides 1 to 47 in the 5'-untranslated region of the cDNA (16). The resultant 1.1-kb PCR fragment was restricted with HindIII and XbaI, subcloned into plasmid pACCMV-pLpA to generate plasmid pYN11, and verified by sequencing. Recombinant adenoviruses containing GMDelta C (AdCMV-GMDelta C), GMDelta C-FLAG (AdCMV-GMDelta C-FLAG), and GL-FLAG (AdCMV-GL-FLAG) were generated by cotransfecting pYN1, pYN10, or pYN11 and plasmid pJM17 into 293 cells as described previously (26). Preparation and testing of recombinant adenoviruses expressing rat GL (AdCMV-GL), mouse PTG-FLAG (AdCMV-PTG-FLAG), wild-type rabbit GM/RGl (AdCMV-GM/RGl), rat liver glucokinase (AdCMV-GKL), and the Escherichia coli beta -galactosidase gene (AdCMV-beta gal) have been described elsewhere (17, 20-22, 27, 28).

Cell Culture and Viral Treatment-- Primary hepatocytes were isolated from 200-250-g Wistar rats after an overnight fast by collagenase perfusion as described (29). Cells were suspended in attachment medium (Dulbecco's modified Eagle's medium with 25 mM glucose, 10% fetal bovine serum, 100 nM insulin, 100 nM dexamethasone, 2 mM sodium pyruvate, and antibiotics) and plated onto collagen-coated plastic at a density of 2.4 × 106 cells/60-mm culture dish, 1.2 × 106 cells/6-well dish, or 2 × 107 cells/150-mm dish at 37 °C for 1-3 h. Viruses were diluted in culture medium (Dulbecco's modified Eagle's medium containing 0.07% bovine serum albumin, 1 nM insulin, 10 nM dexamethasone, 2 mM sodium pyruvate, antibiotics, and 2 mM glucose) and incubated at 37 °C for 70 min. The virus-containing medium was removed, and the cells were washed once with phosphate-buffered saline. Cells were incubated further in culture medium containing various concentrations of glucose for varying time periods as specified under "Results" and in the figure legends. The titer of viral preparations was determined as described (26), and a range of 2-200 × 106 pfu/ml was used for hepatocyte gene transfer experiments as specified under "Results" and in the figure legends.

Immunoblot Analysis-- Hepatocytes were homogenized in lysis buffer (50 mM Tris-HCl, pH 7.5, 5 mM EDTA, 1% Triton X-100, and proteinase inhibitors) by two rounds of freeze-thawing. Cell lysates were centrifuged at 3000 × g for 5 min, and total protein concentration was measured by the method of Bradford (30). Samples were resolved on SDS-polyacrylamide gels and transferred to nitrocellulose membranes. The membranes were incubated in blocking buffer (50 mM Tris-HCl, pH 7.5, 150 mM NaCl, and 1% bovine serum albumin) for 1 h and treated overnight at 4 °C with rabbit polyclonal serum specific for GM/RGl (15) or glucokinase (27) at dilutions of 1:1000 and 1:5000, respectively. The membranes were washed and subsequently treated with horseradish peroxidase-labeled anti-rabbit IgG secondary antibody at 4 °C for 2 h. The FLAG epitope-tagged proteins were detected with a mouse monoclonal antibody recognizing the FLAG peptide (Stratagene) diluted 1:1000 in blocking buffer, followed by treatment with horseradish peroxidase-labeled anti-mouse IgG secondary antibody. The protein-antibody complexes were visualized using an enhanced chemiluminescence detection kit (ECL, PerkinElmer Life Sciences).

Glycogen, Glucose, and Lactate Assays-- Glycogen was measured by extraction in 10% trichloroacetic acid, precipitation with methanol, and digestion of glycogen to free glucose by incubation with 0.4 mg/ml amyloglucosidase as previously described (31). Media glucose and lactate levels were measured using kits from Sigma and normalized to cell number.

Glucose Uptake-- Primary hepatocytes were treated with the various recombinant adenoviruses or were left untreated for 70 min. Cells were incubated in tissue culture medium containing 12 mM glucose for 42 h and washed prior to assay of glucose uptake. To measure the rate of glucose uptake, cells were incubated for 3-360 min in culture medium containing 12 mM glucose and 1 µCi/ml [2-3H]deoxyglucose (PerkinElmer Life Sciences). Reactions were terminated by three washes with ice-cold phosphate-buffered saline. Cells were collected and lysed using lysis buffer as described above. A portion of the lysate was used for measurement of total protein levels, and the remainder was used for scintillation counting, with results expressed as cpm in the cell lysate/mg of total protein. In another set of experiments, cells were incubated in tissue culture medium containing 12 mM glucose for 24 h and switched to medium containing 12 mM glucose and 1 µCi/ml [2-3H]deoxyglucose for 18 h. 2-Deoxyglucose uptake was then measured as described above.

Analysis of Pathways of Glycogen Synthesis by 2H NMR-- To analyze pathways of glycogen synthesis by application of 2H NMR, hepatocytes were prepared and treated with various recombinant adenoviruses as described above. Following virus removal, cells were incubated in medium containing various glucose concentrations and 4% 2H2O for 42 h. Following this incubation, glycogen was purified as described (31) and converted to glucose by amyloglucosidase treatment. NMR analysis of 2H labeling of glucose was achieved by conversion of glucose to monoacetone glucose by a modification of the method of Landau et al. (32). Briefly, glucose samples (2-10 mg) were vacuum-dried overnight and dissolved in 5 ml of acetone containing 4% H2SO4. After stirring for 5 h at room temperature, the pH was adjusted to 2.0 by addition of 1 N NaOH, and the solution was stirred overnight at room temperature. The samples were then further neutralized to pH 8.0 by addition of Na2CO3 and lyophilized.

Monoacetone glucose was dissolved in 150 µl of 90% acetonitrile and 10% deuterium-depleted water. 2H NMR spectra were obtained with a Varian Inova 14.1T spectrometer operating at 92.1 MHz and equipped with a 3-mm broadband probe. 2H NMR spectra were gathered at 50 °C using a 90° pulse and a 1-s acquisition time. Typically, between 4000 and 50,000 scans were averaged, and the resulting free induction decay was zero-filled to 4096 points and multiplied by a 1-Hz exponential prior to Fourier transformation. Peak areas were derived by a bayesian analysis of the raw free induction decay (software provided by Varian). The relative contributions of glucose, triose phosphates, and trichloroacetic acid cycle intermediates to glycogen synthesis were calculated from the relative H2, H5, and H6(S) resonance areas using the following formulas: glycogen from glucose (direct pathway): (H2 - H5)/H2; glycogen from the trichloroacetic acid cycle (indirect pathway): H6(S)/H2; and glycogen from triose phosphates (indirect pathway): (H5 - H6(S))/H2

    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Truncation of the C-terminal Tail of GM/RGl Increases Its Glycogenic Effect in Hepatocytes-- GM/RGl is highly homologous to other glycogen-targeting subunits such as GL and PTG in its N-terminal region, but is distinct from the other forms in that it contains a long C-terminal tail that includes a putative sarcoplasmic reticulum-binding domain (14, 15). It is possible that this unique C terminus could contribute to the limited glycogenic effect of overexpressed GM/RGl in hepatocytes relative to that of other glycogen-targeting subunits. This idea was tested by constructing a recombinant adenovirus encoding a truncated form of GM/RGl (AdCMV-GMDelta C) consisting of the 375 N-terminal amino acids with direct homology to other targeting subunit isoforms, but lacking the entire 735-amino acid C-terminal domain of native GM/RGl. Immunoblot analysis of hepatocyte extracts following treatment with AdCMV-GMDelta C or AdCMV-GM/RGl revealed expression of the truncated and wild-type GM/RGl proteins of the anticipated molecular masses (Fig. 1A). Interestingly, the truncated protein was expressed more efficiently than the full-length targeting subunit, with approximately six times more AdCMV-GM/RGl virus required than AdCMV-GMDelta C virus to achieve comparable levels of protein expression. When normalized for protein expression, glycogen accumulation was consistently higher in AdCMV-GMDelta C-treated cells than in AdCMV-GM/RGl-treated cells. For example, glycogen content in cells treated with 5 × 106 pfu/ml AdCMV-GMDelta C was 76 µg/mg of protein compared with 30 µg/mg of protein in cells treated with 30 × 106 pfu/ml AdCMV-GM/RGl (Fig. 1A). These results suggest that the presence of an intact C terminus in the GM/RGl molecule inhibits its capacity to stimulate glycogenesis in hepatocytes.


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Fig. 1.   Differential glycogenic potency of overexpressed glycogen-targeting subunits and GK in hepatocytes. Hepatocytes were prepared from fasted rats and treated with the indicated titers of recombinant adenoviruses encoding various glycogen-targeting subunits (PTG-FLAG, GL-FLAG, GMDelta C-FLAG, and GM/RGl) or GK. After exposure to these viruses for 70 min, cells were cultured for 42 h in the presence of 20 mM glucose and then harvested for immunoblot analysis of transgene expression and measurement of glycogen content. Control hepatocytes (No Virus) were cultured under the same conditions without adenoviral treatment. A, immunoblot analysis with a polyclonal antibody that detects both full-length GM/RGl and GMDelta C (15); B, immu- noblot analysis with an anti-FLAG antibody; C, immunoblot analysis with an antibody that detects glucokinase (27). In A-C, the lower panels show the glycogen content of the same cells used for immunoblot analysis. Each panel is representative of three independent experiments.

We next compared the glycogenic effect of the newly constructed GMDelta C molecule with that of other glycogen-targeting subunits and GK. To compare expression levels of GMDelta C, GL, and PTG, FLAG-tagged versions of these proteins were expressed using adenoviral vectors (Fig. 1B). Treatment of hepatocytes with identical titers of AdCMV-GMDelta C and AdCMV-GMDelta C-FLAG adenoviruses caused the same amount of glycogen accumulation, showing that the presence of the FLAG tag had no influence on the metabolic properties of the molecule (data not shown). When expressed at similar low levels, PTG was at least 10 times as effective, and GL was nearly 20 times as effective at stimulating glycogen accumulation as GMDelta C (e.g. 2 × 106 pfu/ml AdCMV-GMDelta C-FLAG versus 25 × 106 pfu/ml AdCMV-PTG-FLAG and 15 × 106 pfu/ml AdCMV-GL-FLAG, yielding 29, 370, and 580 µg of glycogen/mg of protein, respectively) (Fig. 1B). At higher doses of these viruses, glycogen accumulation became saturated, and GMDelta C-FLAG was expressed more effectively than PTG-FLAG or GL-FLAG; but cells with the latter two constructs still accumulated two to three times as much glycogen (Fig. 1B). Finally, incubation of hepatocytes with increasing doses of AdCMV-GKL caused a gradual increase in immunodetectable GK that was correlated with increases in glycogen accumulation (Fig. 1C). Glycogen content at the highest dose of GK virus was 350 µg/mg of protein, which was less than the highest level achieved in GL-overexpressing cells, equivalent to the highest level achieved in PTG-overexpressing cells, and higher than the highest level attained in GMDelta C-overexpressing cells (200 µg/mg of protein) (Fig. 1). In all subsequent studies, titers of the various recombinant adenoviruses shown to cause maximum levels of glycogen accumulation in Fig. 1 were used to minimize variability in results.

Hepatocytes with Overexpressed GMDelta C Exhibit Enhanced Glycogenic Potency with Retention of Forskolin-stimulated Glycogenolysis-- We next compared the capacity of hepatocytes with overexpressed PTG-FLAG, GK, GMDelta C-FLAG, or GM/RGl to respond to the glycogenolytic agent forskolin. After treatment with the various viruses, cells were cultured in 20 mM glucose and 1 nM insulin for 42 h, followed by an additional incubation in 20 mM glucose without insulin in the presence or absence of 50 µM forskolin for 6 h. Cells cultured without forskolin accumulated glycogen in an order consistent with the data of Fig. 1 (PTG-FLAG, GK > GMDelta C-FLAG > GM/RGl > beta -galactosidase; no-virus controls) (Fig. 2). Cells with overexpressed PTG-FLAG or GK exhibited very small decreases in glycogen content in response to forskolin (11 and 20%, respectively), whereas cells with overexpressed GMDelta C-FLAG or GM/RGl degraded 55 and 78% of their glycogen, respectively, in response to the same treatment. Furthermore, the absolute amount of glycogen degraded in forskolin-treated GMDelta C-overexpressing cells was higher than that in cells overexpressing other targeting subunits (82 µg of glycogen degraded in 6 h in GMDelta C-overexpressing cells compared with 34, 50, and 47 µg/6 h in PTG-, GK-, and GM/RGl-overexpressing cells, respectively). These results indicate that the novel GMDelta C construct has improved glycogenic potency relative to native GM/RGl, but with retention of sensitivity to glycogenolytic effectors.


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Fig. 2.   Differential activation of glycogenolysis by forskolin in hepatocytes with overexpressed glycogen-targeting subunits or GK. Hepatocytes were prepared from fasted rats, treated with recombinant adenoviruses as described in the legend to Fig. 1, and cultured for 42 h in the presence of 20 mM glucose. Control hepatocytes were treated with a recombinant adenovirus containing the beta -galactosidase (beta -Gal) gene (AdCMV-beta gal) or in the absence of viral treatment (No Virus). After the 42-h culture period, cells were switched either to fresh culture medium containing 20 mM glucose and lacking forskolin or to medium containing 20 mM glucose and 50 µM forskolin for a period of 6 h. Thereafter, cells were collected for measurement of glycogen content. Data represent the means ± S.E. for five independent experiments, each performed in duplicate. * and **, significant differences between forskolin-treated and untreated cells at p < 0.05 and p < 0.01, respectively.

Glycogen-targeting Subunits and GK Alter Glycogenolytic Responses to Hypoglycemia-- We also evaluated the capacity of cells expressing glycogen-targeting subunits or GK to respond to a decrease in glucose concentration. This was accomplished by culturing hepatocytes treated with the various recombinant adenoviruses in 20 mM glucose for 42 h, allowing glycogen stores to accumulate to high levels, followed by switching of the cells to medium lacking glucose or containing 20 mM glucose for an additional 24 h. Different batches of cells were collected before and after the 24-h incubations for measurement of glycogen content. As shown in Fig. 3A, all of the cell groups increased their glycogen content with an additional 24 h of culture in 20 mM glucose relative to levels after 42 h. However, cells with overexpressed PTG or GL exhibited very limited depletion of cellular glycogen stores in response to removal of glucose from the medium (8 and 11%, respectively). In sharp contrast, cells with overexpressed GMDelta C or GK degraded 60 and 82% of their glycogen stores when cultured in the absence of glucose. Additional experiments shown in Fig. 3B revealed that GMDelta C is unique with regard to its responses to forskolin and low glucose. This is manifest in two ways. First, the AdCMV-GMDelta C-treated cells were the only group in which glycogen decreased during the 24-h incubation in 20 mM glucose and 50 µM forskolin. Second, GMDelta C-overexpressing cells treated with the combined glycogenolytic stimuli of forskolin and 0 mM glucose had 60% less glycogen than cells incubated in 0 mM glucose and in the absence of forskolin (Fig. 3, compare B and A). In contrast, forskolin did not enhance the glycogenolytic effect of 0 mM glucose in GK-overexpressing cells. These experiments separated the molecules under study into three categories. PTG and GL are powerful stimulators of glycogen synthesis, but their overexpression results in poor glycogenolytic signaling in response to forskolin or a fall in glucose. GK is also a potent glycogenic agent and allows a robust glycogenolytic response to a fall in glucose, but renders the cells insensitive to forskolin. Finally, GMDelta C is unique in that it combines the features of moderate stimulation of glycogen synthesis with robust responsiveness to both types of glycogenolytic signaling. The data in Fig. 3 pertaining to PTG- and GL-overexpressing cells are generally consistent with a previous study from our laboratory (21), except that forskolin was found to be less effective as a glycogenolytic signal in GL-overexpressing cells in this work. The most likely explanation for this discrepancy is the longer time of preincubation in 20 mM glucose in this study (42 h versus 24 h in the previous study), allowing a higher level of GL overexpression and more complete saturation of glycogen stores, making the effects of forskolin less obvious.


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Fig. 3.   Differential activation of glycogenolysis by lowering of media glucose concentrations in hepatocytes with overexpressed glycogen-targeting subunits or GK. Hepatocytes were prepared from fasted rats, treated with recombinant adenoviruses as described in the legend to Fig. 1, and cultured for 42 h in the presence of 20 mM glucose. A, after the 42-h period, one group of cells was collected for measurement of glycogen content (Start Point). A second group of cells was cultured for an additional 24 h in medium containing 20 mM glucose without insulin (20 mM Glucose), and a third group of cells was cultured for an additional 24 h in medium lacking glucose or insulin (0 mM Glucose). Glycogen content was measured in the latter two groups of cells after the 24-h culture period. B, the same procedure was used as described for A, except that the cell groups cultured for 24 h in 20 or 0 mM glucose were also exposed to 50 µM forskolin for the full 24-h period prior to measurement of glycogen content. Data represent the means ± S.E. for three independent experiments, each performed in duplicate. * and **, significant differences between cells in 0 mM glucose versus cells at the start point at p < 0.05 and p < 0.01, respectively. ND, not detectable.

Overexpression of Glycogen-targeting Subunits and GK Modulates the Glucose Dependence of Glycogen Synthesis-- We have previously demonstrated that overexpression of PTG or GL in hepatocytes stimulates glycogen synthesis even in the complete absence of glucose in the culture medium (20, 21). We therefore compared the glycogenic effects of overexpressed PTG with those of GK, GMDelta C, and full-length GM/RGl as a function of glucose concentration. This was accomplished by incubating hepatocytes overexpressing the different glycogen-targeting subunits or GK for 42 h in medium lacking glucose or containing 1, 5, 12, or 20 mM glucose. Consistent with our previous finding, overexpression of PTG caused a large increase in glycogen content even in the absence of glucose (Fig. 4). In the absence of glucose, overexpression of GMDelta C, GK, or GM/RGl caused glycogen to accumulate to levels greater than those in control cells, but these values were only 31, 7, and 7% of those in PTG-overexpressing cells, respectively. As glucose concentrations were raised to a maximum concentration of 20 mM, PTG-, GMDelta C-, and GM/RGl-overexpressing cells exhibited 12-, 20-, and 26-fold increases in glycogen content, respectively. Much larger increases in glycogen content were observed as glucose concentrations were raised in GK-overexpressing cells, such that total glycogen content became equal in PTG- and GK-overexpressing cells cultured in 20 mM glucose, representing a 160-fold increase in GK-expressing cells relative to their levels in 0 mM glucose (Fig. 4). Thus, glycogen synthesis in GK-overexpressing cells is much more sensitive to changes in glucose concentration than in cells with overexpressed glycogen-targeting subunits.


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Fig. 4.   Glucose dependence of glycogen synthesis in hepatocytes with overexpressed glycogen-targeting subunits or GK. Hepatocytes were isolated from fasted rats and treated with recombinant adenoviruses as described in the legend to Fig. 1. After viral treatment, cells were incubated for 42 h in culture medium containing 0, 1, 5, 12, or 20 mM glucose, after which they were harvested for measurement of glycogen content. Data represent the means ± S.E. for four independent experiments, each performed in duplicate. Note that results are plotted on a log scale to accommodate the very large changes in glycogen content occurring as a function of glucose concentration in GK-overexpressing cells. For control cells, glycogen content was measurable only at 12 or 20 mM glucose.

Effects of GK and Targeting Subunit Overexpression on Glucose Utilization, Glucose Uptake, and Lactate Production in Hepatocytes-- The different glucose dependences of glycogen synthesis in GK-overexpressing compared with glycogen-targeting subunit-overexpressing hepatocytes suggest that the two types of proteins activate glycogen synthesis via distinct mechanisms. To investigate this further, we evaluated the effects of co-overexpression of GK and glycogen-targeting subunits. As shown in Fig. 5, overexpression of PTG, GMDelta C, or GK caused large increases in glycogen content compared with control hepatocytes. Co-overexpression of PTG + GK or GMDelta C + GK had additive effects on glycogen accumulation relative to expression of the glycogen-targeting subunits alone. In contrast, co-overexpression of PTG + GMDelta C did not increase glycogen levels relative to expression of PTG alone.


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Fig. 5.   Additive glycogenic effects of GK and glycogen-targeting subunit overexpression. Hepatocytes were isolated from fasted rats and treated with individual recombinant adenoviruses or combinations thereof, as indicated. After viral treatment, cells were incubated overnight in medium containing 2 mM glucose, followed by a switch to 12 mM glucose for 24 h, after which glycogen content was measured. Data represent the means ± S.E. for three independent experiments, each performed in duplicate. **, significant differences between the PTG + GK versus PTG-alone groups and the GMDelta C + GK versus GMDelta C-alone groups, respectively, at p < 0.01.

Another clear difference in metabolic function in glycogen-targeting subunit-overexpressing versus GK-overexpressing cells is illustrated in Fig. 6A. When cultured in 12 mM glucose for 24 h, hepatocytes with overexpressed PTG or GMDelta C caused a modest (<= 1.2 mM) but significant decrease in media glucose concentrations. In sharp contrast, cells with overexpressed GK lowered media glucose concentrations from 12 mM to between 6 and 7 mM. The effect of GK was dominant in that cells with co-overexpression of GK and either PTG or GMDelta C exhibited the same decrease in media glucose concentrations as cells with GK overexpression alone. Consistent with these findings, cells with overexpressed GK also increased their lactate production by 6-fold relative to control cells or cells with overexpressed PTG or GMDelta C (Fig. 6B). Lactate output was slightly but significantly lower in PTG-overexpressing cells relative to controls and showed a trend toward being lower in cells with overexpressed GK + PTG or GK + GMDelta C relative to GK alone, possibly indicating a "pull" or diversion of a small fraction of glucose 6-phosphate from the glycolytic pathway to glycogen synthesis in targeting subunit-overexpressing cells.


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Fig. 6.   Differential effects of glycogen-targeting subunits and GK on glucose consumption and lactate production. Hepatocytes were isolated from fasted rats and treated with individual recombinant adenoviruses or combinations thereof, as indicated. After viral treatment, cells were incubated overnight in medium containing 2 mM glucose, followed by a switch to 12 mM glucose for 24 h, after which media samples were taken for measurement of glucose and lactate concentrations, normalized to cell number. A, media glucose concentrations; B, media lactate concentrations. Data represent the means ± S.E. for six independent experiments, each performed in duplicate. * and **, significant differences relative to cells not treated with virus (None) at p < 0.002 and p < 0.001, respectively.

The decrease in media glucose concentrations caused by glycogen-targeting subunit expression shown in Fig. 6A, although significant, is modest relative to cells with overexpressed GK. To compare the effects of targeting subunits and GK on glucose transport in a more direct fashion, we measured uptake of [2-3H]deoxyglucose in hepatocytes treated with the various recombinant adenoviruses. As shown in Fig. 7A (left panel), overexpression of GK caused a dramatic increase in the rate of 2-deoxyglucose uptake, such that by 360 min, it was 19-fold higher than in untreated cells. As shown in Fig. 7A (right panel), overexpression of PTG also caused an increase in the rate of 2-deoxyglucose uptake relative to controls, but to a much smaller extent. 2-Deoxyglucose uptake in control cells reached a plateau at 60 min, whereas it continued to increase to 360 min in PTG-overexpressing cells, such that cumulative uptake was 70% higher in these cells at this time point. Over a longer time period (18 h incubation with 12 mM [2-3H]deoxyglucose), overexpression of GL, PTG, or GMDelta C caused 6.6-, 4.4-, and 2.1-fold increases in 2-deoxyglucose uptake, respectively, relative to AdCMV-beta gal-treated cells, an order consistent with the effects of these molecules on glycogen synthesis (e.g. GL > PTG > GMDelta C) (Fig. 7B). Again, GK overexpression increased glucose uptake by a full order of magnitude relative to any of the targeting subunits. In sum, the data presented in Figs. 5-7 provide clear evidence for activation of distinct pathways of glucose disposal in cells with overexpressed glycogen-targeting subunits versus those with overexpressed GK.


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Fig. 7.   [2-3H]Deoxyglucose uptake in hepatocytes with overexpressed glycogen-targeting subunits or GK. Hepatocytes were isolated from fasted rats and treated with the indicated recombinant adenoviruses for 70 min. A, cells were incubated in tissue culture medium containing 12 mM glucose for 42 h and then switched to medium containing 12 mM glucose and 1 µCi/ml [2-3H]deoxyglucose for measurement of glucose uptake over the indicated time periods, as described under "Materials and Methods." Note the logarithmic scale used in the left panel versus the linear scale used in the right panel. Data represent the means ± S.E. for three independent experiments. *, points at which 2-deoxyglucose uptake was greater in PTG-overexpressing cells than in controls, with p < 0.02. Differences were significant at all time points in GK-overexpressing cells versus controls. B, after viral treatment, cells were incubated in tissue culture medium containing 12 mM glucose for 24 h and switched to medium containing 12 mM glucose and 1 µCi/ml [2-3H]deoxyglucose for 18 h, over which time glucose uptake was measured as described under "Materials and Methods." Data represent the means ± S.E. for two to five independent experiments per group. Note the logarithmic scale. All cell groups expressing GK or targeting subunits were significantly different from controls at p < 0.001.

2H NMR Discriminates between Pathways of Glycogen Synthesis as a Function of Glucose Concentration-- Our finding that GK overexpression simultaneously activates glycolytic flux and glycogen deposition, whereas glycogen-targeting subunit overexpression appears to have little effect on glycolysis, suggests that the pathways used for glycogen synthesis may also be different in the two groups of cells. This was investigated by incubation of hepatocytes in medium containing 4% 2H2O, allowing the pathways by which glycogen was formed to be traced in GK-overexpressing versus glycogen-targeting subunit-overexpressing cells by NMR analysis of glucose from purified glycogen. The use of isotopic water to evaluate glucose metabolism is based on prior studies by Landau et al. (32). The concept behind the method is that 2H2O will be incorporated into glucose at the levels of the malate/fumarate equilibration step of the trichloroacetic acid cycle (labeling carbon 6 of glucose), the triose-phosphate isomerase step (labeling carbon 5 of glucose), or the hexose-phosphate isomerase step (labeling carbon 2 of glucose). The relative labeling of these carbons can be deduced by mass spectrometry (after chemical degradation of the glucose) or, much more simply, from a single 2H NMR of glucose (23).

To test the method, hepatocytes were treated with AdCMV-PTG and incubated in 0, 1, or 20 mM glucose for 40 h, at which time glycogen was purified and degraded to glucose by incubation with amyloglucosidase, and the glucose was converted to monoacetone glucose as described under "Materials and Methods." The initial trial was performed with PTG-overexpressing hepatocytes because this facilitated glycogen purification from cells incubated even in the absence of glucose. 2H NMR spectra of monoacetone glucose derived from glycogen isolated from the three groups of hepatocytes are shown in Fig. 8A. Several points can be made from simple inspection of these spectra. First, the 2H labels on each of the six carbons of glucose were all well resolved and clearly quantifiable. Second, the 2H resonances of H6(R) and H6(S) were also distinguishable; and therefore, glucose derived from the level of fumarase in the trichloroacetic acid cycle could be quantified. Third, there were major and obvious differences in the relative size of the peaks dependent upon the media glucose concentration. For example, glycogen isolated from cells incubated in 20 mM glucose had a large H2 peak relative to all other positions, whereas the labeling at each position was similar in glycogen isolated from cells incubated without glucose. These data are consistent with a larger contribution of a "direct" pathway of glycogen synthesis in 20 mM glucose, in which glucose is converted to glycogen via glucose right-arrow glucose-6-P right-arrow glucose-1-P right-arrow UDP-glucose right-arrow glycogen. In this pathway, labeling at H2 is expected as a result of rapid equilibration of glucose-6-P and fructose-6-P in the hexose-phosphate isomerase reaction, whereas other positions would remain unlabeled. In contrast, the relative increase in labeling at H5 and H6(S) in cells incubated in 0 or 1 mM glucose is consistent with a larger contribution of gluconeogenic or "indirect" pathways of glycogen synthesis in these cells, allowing 2H incorporation at the triose phosphate level (H5) or in the trichloroacetic acid cycle (H6(S)).


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Fig. 8.   2H NMR analysis of hepatocytes overexpressing PTG at various glucose concentrations. Hepatocytes were isolated from fasted rats and treated with AdCMV-PTG for 70 min. Following viral treatment, cells were incubated with medium containing 4% 2H2O and 0, 1, or 20 mM glucose for 42 h. At this point, glycogen was purified from extracted cells and degraded to glucose by treatment with amyloglucosidase. The glucose was then converted into monoacetone glucose, and 2H NMR spectra were obtained as described under "Materials and Methods." Data were further analyzed by the bayesian curve-fitting program. A, representative 2H spectra for glycogen/glucose purified from PTG-overexpressing hepatocytes incubated in 0, 1, or 20 mM glucose. 2H labeling of carbons 1-5 and the R and S positions of carbon 6 are labeled H1, H2, H3, H4, H5, H6(R), and H6(S), respectively. B, relative contributions of different pathways of glycogen synthesis (derived from media glucose (black bars), triose phosphates (hatched bars), and trichloroacetic acid cycle intermediates (open bars)) in PTG-overexpressing cells cultured in 0, 1, or 20 mM glucose calculated as described under "Materials and Methods." Data represent the means ± S.E. for 5, 7, and 11 independent experiments performed in 0, 1, and 20 mM glucose, respectively.

Based on these spectra, the relative contributions of carbon coming from the trichloroacetic acid cycle, the level of the triose phosphates, or the level of hexose phosphates to glycogen synthesis can be estimated using the formulas described under "Materials and Methods." Fig. 8B provides such an estimate based on the spectra of Fig. 8A for PTG-overexpressing hepatocytes incubated in 0, 1, or 20 mM glucose. At 0 mM glucose, >80% of the glycogen was synthesized from the level of trichloroacetic acid cycle intermediates, whereas only a very small portion came from the level of the triose phosphates or via the direct pathway. As glucose was raised to 1 mM, the contribution of the direct pathway increased by 4-fold, at the expense of a 14% decrease in the contribution of trichloroacetic acid cycle intermediates. Finally, at 20 mM glucose, a large increase in the relative contribution of the direct pathway was observed, such that it contributed >60% of glycogen synthesis. Again, this increase occurred at the expense of flux from the trichloroacetic acid cycle intermediates, with little effect on the contribution of triose phosphates.

2H NMR Provides Direct Evidence of Activation of Alternative Pathways of Glycogen Synthesis by Overexpressed GK and Glycogen-targeting Subunits-- Having established the method, we next compared the relative contributions of the different pathways of glycogen synthesis in cells with overexpressed glycogen-targeting subunits or GK. This analysis was performed in cells incubated in 1 or 20 mM glucose (Fig. 9, A and B, respectively). As shown in Fig. 9A, incubation of PTG- or GMDelta C-expressing cells in 1 mM glucose resulted in virtually identical labeling patterns, with the large majority of glycogen being derived from trichloroacetic acid cycle intermediates. In contrast, GK-overexpressing cells incubated in 1 mM glucose had larger contributions of the direct and triose phosphate pathways, with a proportionally lower contribution of trichloroacetic acid cycle precursors relative to cells with overexpression of either targeting subunit. In all cell groups cultured in 20 mM glucose, the direct pathway of glycogen synthesis was dominant (Fig. 9B). However, the remaining glycogen was derived in roughly equal proportion from trichloroacetic acid cycle intermediates and triose phosphates in cells expressing glycogen-targeting subunits, whereas in GK-overexpressing cells, the contribution of triose phosphates was more than double that of trichloroacetic acid cycle intermediates. At the higher glucose concentration (where more glycogen was made), it was possible to include control cells for which no viruses were added. Interestingly, these cells bore a closer resemblance to GK-overexpressing cells than to the targeting subunit-overexpressing groups, with a larger proportional contribution of triose phosphates compared with trichloroacetic acid cycle intermediates to glycogen synthesis. These data clearly show that glycogen-targeting subunits and GK stimulate distinct pathways of glycogen synthesis, consistent with the additive effects of co-overexpression of these two kinds of proteins.


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Fig. 9.   Comparison of 2H labeling patterns of glycogen in hepatocytes with overexpressed glycogen-targeting subunits or GK. Hepatocytes were prepared from fasted rats, treated with various recombinant adenoviruses, and cultured for 42 h in the presence of 4% deuterium and 1 mM (A) or 20 mM (B) glucose. Relative contributions of different pathways of glycogen synthesis were determined by 2H NMR analysis of purified glycogen as described under "Materials and Methods" and in the legend to Fig. 8. Data represent the means ± S.E. for four independent experiments for each cell group studied in 1 mM glucose and for three to five independent experiments for each cell group studied in 20 mM glucose. *, significant differences in the contribution of the indicated pathways of glycogen synthesis between GK-overexpressing cells and all groups of glycogen-targeting subunit-overexpressing cells, with p < 0.002.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Hepatic glycogen stores are depleted in all major forms of diabetes (1-3). For example, activity-lowering mutations in the glucokinase gene cause maturity-onset diabetes of youth type II, and patients experience a clear decline in liver glycogen stores (3). Animals with experimental suppression of GK expression in liver exhibit a similar deficit (33). The potential role of glycogen-targeting subunits of protein phosphatase-1 in the pathogenesis of diabetes is less clear (see Ref. 14 for review), in part because genetic analysis of all of the different members of the gene family has not yet been accomplished. However, overexpression of one family member, PTG, stimulates glycogen synthesis and improves glucose disposal without perturbation of lipid homeostasis in rodents (22). Thus, this study continues a line of investigation in our laboratory in which GK and glycogen-targeting subunits are being evaluated as potential therapeutic targets for enhancing hepatic glucose disposal and lowering blood glucose levels in diabetes (14, 20-22).

This study had two major goals. The first was to compare the metabolic and regulatory properties of hepatocytes overexpressing a truncated form of GM/RGl (GMDelta C) with those of cells with overexpressed GK or native glycogen-targeting subunit isoforms. The second was to investigate the distinct pathways by which GK and glycogen-targeting subunits stimulate glycogen synthesis in liver cells. The accomplishment of these goals has led to the following key findings. 1) Cells with overexpressed GMDelta C accumulate more glycogen than cells with overexpression of wild-type GM/RGl, but not as much as cells with overexpressed PTG, GL, or GK. 2) The molecules tested can be divided into three classes with regard to responses to glycogenolytic signals. Cells with overexpressed PTG or GL are poorly responsive to lowering of media glucose concentrations or addition of forskolin. GK-overexpressing cells exhibit an intermediate response, with brisk glycogenolysis in response to lowering of media glucose concentrations, but with a poor response to forskolin and no additive response to a combination of low glucose and forskolin. Finally, cells with overexpressed GMDelta C are unique in that they activate glycogenolysis in response to lowering of media glucose concentrations, stimulation with forskolin, or a combination of both maneuvers. Thus, overexpression of GMDelta C causes significant stimulation of glycogen deposition, but with retention of exquisite sensitivity to nutritional and pharmacological catabolic signals. 3) The difference in sensitivity to glycogenolytic agents of cells with overexpressed GMDelta C relative to cells with overexpressed PTG is not reflective of stimulation of different pathways of glycogen synthesis. Thus, analysis of 2H2O labeling of glycogen/glucose shows essentially identical patterns for cells with overexpressed GMDelta C or PTG at either glucose concentration tested, with major contributions made by the direct pathway and flux from the level of the trichloroacetic acid cycle and a smaller contribution from the triose phosphates. 4) The labeling pattern just described for cells with overexpressed targeting subunits is clearly different from that for cells with overexpressed GK, with a larger contribution of flux from the triose phosphates apparent in GK-overexpressing cells at either glucose concentration. Additional evidence for activation of distinct and complementary pathways of glycogen synthesis by GK and targeting subunit overexpression is provided by the additive effect of the two types of proteins on glycogen synthesis and the much more dramatic stimulation of glucose utilization, glucose uptake, and lactate production caused by overexpression of GK.

The mechanism underlying the enhanced glycogenic potency of GMDelta C versus native GM/RGl is unknown. Possible explanations include the following. 1) Removal of the C-terminal domain alters the nature of interactions of GM/RGl with protein phosphatase-1 and/or with the protein phosphatase-1 substrates, glycogen synthase, phosphorylase kinase, and glycogen phosphorylase. 2) Removal of the C-terminal domain prevents interaction of GM/RGl with cellular membranes, allowing more of the protein to bind to glycogen. 3) A combination of these possibilities may be the explanation. Consistent with possibility 2, the C-terminal region of GM/RGl contains a patch of hydrophobic amino acids that may mediate binding of the native protein to membranes of the sarcoplasmic reticulum in muscle (34). Glycogen particles accumulate around the sarcoplasmic reticulum in muscle, suggesting that targeting of key enzymes to this site may be facilitated/guided by GM/RGl. When the native GM/RGl protein is overexpressed in hepatocytes, which lack sarcoplasmic reticulum, this may cause "mistargeting" of GM/RGl to membranes or other cellular sites that are non-ideal environments for glycogen synthesis. In this model, removal of the C terminus of GM/RGl may allow the molecule to target mainly to glycogen, enhancing its stimulatory effect on deposition of the glucose polymer.

Another interesting feature of cells with overexpressed GMDelta C is their enhanced capacity for response to catabolic stimuli relative to cells with overexpression of other targeting subunits or GK. Native GM/RGl differs from other targeting subunits in that it has two serine-containing consensus sequences for protein kinase A-mediated phosphorylation. Indeed, phosphorylation of one of these serines, residing within the known protein phosphatase-1-binding site (serine 67 in the human GM/RGl sequence), has been reported to be stimulated by glycogenolytic agents such as forskolin, resulting in disassociation of protein phosphatase-1 (35, 36). Of note is the fact that truncated GMDelta C and native GM/RGl share the consensus protein kinase A sites, and their overexpression in hepatocytes results in the same brisk responses to forskolin (Fig. 2). Whether phosphorylation of these sites is sufficient to explain the responses to both the nutritional and pharmacological glycogenolytic signals remains to be tested.

This work clearly demonstrates that glycogen-targeting subunits and GK stimulate glycogen accumulation by distinct mechanisms. In the 2H2O labeling experiments, the fundamental difference in the glycogen labeling pattern between these groups of cells was the relatively large contribution of carbon from the level of triose phosphates (indicated by labeling of carbon 3 of glucose) in GK-overexpressing cells, which was replaced by a larger portion of labeling from the level of trichloroacetic acid cycle intermediates (indicated by labeling of carbon 6) in cells with overexpressed targeting subunits. Based on these findings and the data of Figs. 6 and 7 that demonstrate increased glucose consumption, glucose uptake, and lactate output in GK-overexpressing cells, we propose the following model to explain our results (see Fig. 10 for schematic summary). In cells with overexpressed glycogen-targeting subunits, activation of glycogen synthase exerts a pull on the glucose 6-phosphate pool, which in turn activates gluconeogenesis from 2- and 3-carbon precursors and uptake of glucose. Since the medium contained little or no glycerol, fructose, or other immediate precursors of the triose phosphates, the main precursors used for glycogen synthesis under these conditions are likely to be those that pass through the mitochondrial compartment and the fumarase reaction on their way to glucose 6-phosphate, e.g. pyruvate, lactate, and amino acids, all of which are abundant in the culture medium. In cells with overexpressed GK, the glucose 6-phosphate pool is expanded by the increase in glucose phosphorylation (6). A large portion of this glucose 6-phosphate is pushed directly into glycogen, facilitated in part by the known allosteric activation of glycogen synthase by this metabolic intermediate. However, an even larger percentage of the pool enters glycolysis, making the major contribution to the fall in media glucose concentration and the rise in lactate. A portion of this flux apparently represents metabolism of glucose 6-phosphate to the level of the triose phosphates, where labeling at carbon 3 occurs, followed by incorporation of these labeled precursors into glycogen. With the major contributions of the direct (hexose phosphates right-arrow glycogen) and modified direct (hexose phosphates right-arrow triose phosphates right-arrow hexose phosphatesright-arrow glycogen) pathways to glycogen synthesis in GK-overexpressing cells, gluconeogenesis from the level of trichloroacetic acid cycle intermediates is not stimulated.


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Fig. 10.   Model for explaining activation of distinct pathways of glycogen synthesis by GK and glycogen-targeting subunit overexpression. A, effects of glycogen-targeting subunit overexpression; B, effects of GK overexpression. See "Discussion" for an explanation. G-6-P, glucose 6-phosphate; TCA, trichloroacetic acid.

What, then, are the implications of our findings for whole animal physiology and diabetes therapy? First, our work establishes that most of the glucose 6-phosphate produced by GK overexpression enters glycolysis, with a far smaller portion contributing to glycogen synthesis. Thus, although GK overexpression will clearly lower circulating glucose concentrations, there will also be undesirable increases in lactate production and lipogenesis, consistent with our previous findings (8). In previous studies, adenovirus-mediated overexpression of PTG in normal rats resulted in improved disposal of an oral glucose load relative to controls, with no perturbation of lipid homeostasis (22). However, these animals did not lower their liver glycogen levels in response to fasting, in effect presenting with a phenotype of glycogen storage disease. In this study, we have described a novel, modified glycogen-targeting subunit (GMDelta C) that appears to provide substantial stimulation of glycogen accumulation while also allowing the cells to remain sensitive to two different kinds of catabolic signals. It will be of interest to test this targeting isoform in the in vivo setting.

    ACKNOWLEDGEMENTS

We are grateful to Kimberly Jones-Ross and Paul Anderson for expert technical assistance, Drs. Guoxun Chen and Danhong Lu for helpful discussion, and Dr. Anna A. DePaoli-Roach (University of Indiana School of Medicine) for provision of the anti-GM/RGl antibody used in this study.

    FOOTNOTES

* This work was supported by Grants P01-DK58398 (to C. B. N. and A. D. S.) and P41-RR02584 (to A. D. S.) from the National Institutes of Health.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.

** To whom correspondence should be addressed: Touchstone Center for Diabetes Research, Rm. Y8.212, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75290. Tel.: 214-648-2930; Fax: 214-648-9191; E-mail: newgard@utsw.swmed.edu.

Published, JBC Papers in Press, October 12, 2001, DOI 10.1074/jbc.M107001200

    ABBREVIATIONS

The abbreviations used are: GK, glucokinase; pfu, plaque-forming units.

    REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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