Targeting RalGAPα1 in skeletal muscle to simultaneously improve postprandial glucose and lipid control

Targeting RalGAPα1 in skeletal muscle to simultaneously improve postprandial glucose and lipid control
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靶向骨骼肌中的 RalGAPα1,同时改善餐后血糖和血脂控制

DOI:
10.1126/sciadv.aav4116
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发表时间:
2019-04-01
期刊:
影响因子:
13.6
通讯作者:
Chen, Shuai
Chen, Shuai
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Chen, Qiaoli;Rong, Ping;Chen, Shuai

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胰岛素如何刺激餐后葡萄糖和长链脂肪酸(LCFAs)进入骨骼肌,以及这些事件在饮食诱导的肥胖中被抑制的机制尚不完全清楚。在这里,我们发现RalGAP α 1是肌肉胰岛素作用的关键调节因子,并控制葡萄糖和脂质稳态。高脂肪饮食增加了RalGAP α 1蛋白,但降低了骨骼肌中胰岛素反应性的Thr(735)-磷酸化。RalGAP α 1(Thr735Ala)突变破坏了胰岛素刺激的肌肉对葡萄糖和LCFAs的同化,并导致小鼠代谢综合征。相反,骨骼肌特异性缺失RalGAP α 1可改善餐后血糖和脂质控制。从机制上讲,这些RalGAP α 1突变通过RalA影响胰岛素反应性葡萄糖转运蛋白GLUT4和脂肪酸转位酶CD36的易位,从而影响葡萄糖和脂质稳态。这些数据表明RalGAP α 1是一个双重靶点,我们为此开发了一种肽阻断剂来改善肌肉胰岛素敏感性。我们的发现对对抗代谢紊乱的药物发现具有启示意义。
How insulin stimulates postprandial uptake of glucose and long-chain fatty acids (LCFAs) into skeletal muscle and the mechanisms by which these events are dampened in diet-induced obesity are incompletely understood. Here, we show that RalGAP alpha 1 is a critical regulator of muscle insulin action and governs both glucose and lipid homeostasis. A high-fat diet increased RalGAP alpha 1 protein but decreased its insulin-responsive Thr(735)-phospho-rylation in skeletal muscle. A RalGAP alpha 1(Thr735Ala) mutation impaired insulin-stimulated muscle assimilation of glucose and LCFAs and caused metabolic syndrome in mice. In contrast, skeletal muscle-specific deletion of RalGAP alpha 1 improved postprandial glucose and lipid control. Mechanistically, these mutations of RalGAP alpha 1 affected translocation of insulin-responsive glucose transporter GLUT4 and fatty acid translocase CD36 via RalA to affect glucose and lipid homeostasis. These data indicated RalGAP alpha 1 as a dual-purpose target, for which we developed a peptide-blockade for improving muscle insulin sensitivity. Our findings have implications for drug discovery to combat metabolic disorders.