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

Sci Adv. 2019 Apr 3;5(4):eaav4116. doi: 10.1126/sciadv.aav4116. eCollection 2019 Apr.

Abstract

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 RalGAPα1 is a critical regulator of muscle insulin action and governs both glucose and lipid homeostasis. A high-fat diet increased RalGAPα1 protein but decreased its insulin-responsive Thr735-phosphorylation in skeletal muscle. A RalGAPα1Thr735Ala mutation impaired insulin-stimulated muscle assimilation of glucose and LCFAs and caused metabolic syndrome in mice. In contrast, skeletal muscle-specific deletion of RalGAPα1 improved postprandial glucose and lipid control. Mechanistically, these mutations of RalGAPα1 affected translocation of insulin-responsive glucose transporter GLUT4 and fatty acid translocase CD36 via RalA to affect glucose and lipid homeostasis. These data indicated RalGAPα1 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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biological Transport
  • Fatty Acids / metabolism
  • GTPase-Activating Proteins / antagonists & inhibitors*
  • GTPase-Activating Proteins / genetics
  • GTPase-Activating Proteins / metabolism*
  • Gene Expression Regulation / drug effects
  • Gene Knock-In Techniques
  • Glucose / metabolism*
  • Insulin / metabolism
  • Insulin Resistance / genetics
  • Lipid Metabolism*
  • Metabolic Diseases / etiology
  • Metabolic Diseases / metabolism
  • Mice
  • Models, Biological
  • Muscle, Skeletal / drug effects*
  • Muscle, Skeletal / metabolism*
  • Nerve Tissue Proteins / antagonists & inhibitors*
  • Nerve Tissue Proteins / genetics
  • Nerve Tissue Proteins / metabolism*
  • Obesity / genetics
  • Obesity / metabolism
  • Oxidation-Reduction
  • Phosphorylation
  • Postprandial Period
  • ral GTP-Binding Proteins

Substances

  • Fatty Acids
  • GTPase-Activating Proteins
  • Insulin
  • Nerve Tissue Proteins
  • RALGAPA1 protein, human
  • RalB protein, mouse
  • ral GTP-Binding Proteins
  • Glucose