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M311956200v1
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Papers In Press, published online ahead of print March 17, 2004
J. Biol. Chem, 10.1074/jbc.M311956200
Submitted on October 31, 2003
Revised on March 1, 2004
Accepted on March 17, 2004

Both insulin signaling defects in the liver and obesity contribute to insulin resistance and cause diabetes in Irs2-/- mice

Ryo Suzuki, Kazuyuki Tobe, Masashi Aoyama, Toshimasa Yamauchi, Junji Kamon, Naoto Kubota, Yasuo Terauchi, Hironobu Yoshimatsu, Munehide Matsuhisa, Shoichiro Nagasaka, Hitomi Ogata, Kumpei Tokuyama, Ryozo Nagai, and Takashi Kadowaki

Department of Metabolic Diseases, Graduate School of Medicine, University of Tokyo, Tokyo 113-8655

Corresponding Author: SUZUKIR-INT{at}h.u-tokyo.ac.jp

We previously reported that insulin receptor substrate-2 (IRS-2)-deficient mice develop diabetes as a result of insulin resistance in the liver and failure of beta -cell hyperplasia. In this study we introduced the IRS-2 gene specifically into the liver of Irs2-/- mice with adenovirus vectors. Glucose tolerance tests revealed that the IRS-2 restoration in the liver ameliorated the hyperglycemia, but the improvement in hyperinsulinemia was only partial. Endogenous glucose production (EGP) and glucose utilization (Rd) were measured during hyperinsulinemic-euglycemic clamp studies: EGP was increased two-fold in the Irs2-/- mice, while Rd decreased by 50%. Restoration of IRS-2 in the liver suppressed EGP to a level similar to that in wild-type mice, but Rd remained decreased in the adeno-IRS-2-infected Irs2-/- mice. Irs2-/- mice also exhibit obesity and hyperleptinemia associated with impairment of hypothalamic PI 3-kinase activation. Continuous intracerebroventricular (ICV) leptin infusion or caloric restriction yielded Irs2-/- mice whose adiposity was comparable to that of Irs2+/+ mice, and both the hyperglycemia and the hyperinsulinemia of these mice improved with increased Rd, albeit partially. Finally, combination treatment consisting of adenovirus-mediated gene transfer of IRS-2 and continuous ICV leptin infusion completely reversed the hyperglycemia and hyperinsulinemia in Irs2-/- mice. EGP and Rd also became normal in these mice as well as in mice treated by caloric restriction plus adenoviral gene-transfer. We therefore concluded that a combination of increased EGP due to insulin signaling defects in the liver and reduced Rd due to obesity accounts for the systemic insulin resistance in Irs2-/- mice.


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