Insulin resistance in adipose is highly selective for glucose transport (#240)
Insulin
resistance is thought to involve a defect in insulin signalling at the level of
IRS or Akt signalling. Since this pathway controls numerous actions of insulin
including glucose disposal, protein synthesis and lypolysis it is
logical then that all such pathways should be disrupted in the insulin
resistant state. However we have recently shown that changes in Akt signalling
do not necessarily translate into defective insulin action and so we wanted to
examine how broad insulin resistance is in regard to the many metabolic effects
of this hormone. Therefore we have undertaken a systematic approach to
examine insulin signalling in combination with insulin regulated glucose
transport, anti-lipolysis and protein synthesis in a range of models of insulin
resistance in 3T3-L1 adipose and in adipose tissue from animals subjected to
diet induced obesity. Insulin regulated glucose transport was impaired in
all models of insulin resistance. Intriguingly, while insulin regulated Akt
phosphorylation was defective in all insulin resistance models, decreased
insulin-stimulated glucose transport was the only consistent defect observed
from various parameters measured. These data indicate that insulin resistance
in adipose tissue is highly selective for glucose transport and likely involves
a defect in a component that is highly specific to this pathway. One of the
important implications of this work is that those pathways not defective in the
insulin resistant state may undergo hyper activation under the influence of the
compensatory hyperinsulinemic often observed under these conditions.