Altered response of skeletal muscle to IL-6 in type 2 diabetic patients.

Altered response of skeletal muscle to IL-6 in type 2 diabetic patients.
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DOI:
10.2337/db11-1790
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发表时间:
2013-02
期刊:
影响因子:
7.7
通讯作者:
Krook A
Krook A
中科院分区:
医学1区
文献类型:
--
作者:
Jiang LQ;Duque-Guimaraes DE;Machado UF;Zierath JR;Krook A

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白细胞介素-6(IL-6)在调节胰岛素敏感性方面具有双重作用,有证据表明这种细胞因子既是胰岛素作用的增强剂又是抑制剂。我们确定了IL-6暴露对正常糖耐量或2型糖尿病患者建立的培养肌管中葡萄糖和脂质代谢的影响。急性IL-6暴露增加糖原合成,葡萄糖摄取,和信号转导和转录激活因子3(STAT 3)磷酸化培养的肌管从正常的葡萄糖耐量的受试者。然而,在2型糖尿病患者中,IL-6对葡萄糖代谢和STAT 3信号传导没有影响,伴随着细胞因子信号传导抑制因子3(SOCS 3)表达的增加。IL-6增加2型糖尿病和正常葡萄糖耐量受试者肌管中的脂肪酸氧化。IL-6,IL-6受体(IL-6 R),或糖蛋白130的表达,以及IL-6的分泌,是从正常的葡萄糖耐量或2型糖尿病受试者培养的肌管之间不变。正常糖耐量和2型糖尿病受试者之间的循环血清IL-6浓度不变。总之,来自2型糖尿病患者的骨骼肌细胞显示对葡萄糖而不是脂质代谢的选择性IL-6抗性。总之,IL-6在2型糖尿病患者中与正常糖耐量受试者相比,在调节代谢方面似乎起着不同的作用。
Interleukin-6 (IL-6) has a dual role in modulating insulin sensitivity, with evidence for this cytokine as both an enhancer and inhibitor of insulin action. We determined the effect of IL-6 exposure on glucose and lipid metabolism in cultured myotubes established from people with normal glucose tolerance or type 2 diabetes. Acute IL-6 exposure increased glycogen synthesis, glucose uptake, and signal transducer and activator of transcription 3 (STAT3) phosphorylation in cultured myotubes from normal glucose tolerant subjects. However, in type 2 diabetic patients, IL-6 was without effect on glucose metabolism and STAT3 signaling, concomitant with increased suppressor of cytokine signaling 3 (SOCS3) expression. IL-6 increased fatty acid oxidation in myotubes from type 2 diabetic and normal glucose tolerant subjects. Expression of IL-6, IL-6 receptor (IL-6R), or glycoprotein 130, as well as IL-6 secretion, was unaltered between cultured myotubes from normal glucose tolerant or type 2 diabetic subjects. Circulating serum IL-6 concentration was unaltered between normal glucose tolerant and type 2 diabetic subjects. In summary, skeletal muscle cells from type 2 diabetic patients display selective IL-6 resistance for glucose rather than lipid metabolism. In conclusion, IL-6 appears to play a differential role in regulating metabolism in type 2 diabetic patients compared with normal glucose tolerant subjects.
DOI: 10.2337/dc09-0979
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