Insulin-stimulated protein kinase C lambda/zeta activity is reduced in skeletal muscle of humans with obesity and type 2 diabetes: reversal with weight reduction

Diabetes. 2003 Aug;52(8):1935-42. doi: 10.2337/diabetes.52.8.1935.

Abstract

In humans with obesity or type 2 diabetes, insulin target tissues are resistant to many actions of insulin. The atypical protein kinase C (PKC) isoforms lambda and zeta are downstream of phosphatidylinositol-3 kinase (PI3K) and are required for maximal insulin stimulation of glucose uptake. Phosphoinositide-dependent protein kinase-1 (PDK-1), also downstream of PI3K, mediates activation of atypical PKC isoforms and Akt. To determine whether impaired PKClambda/zeta or PDK-1 activation plays a role in the pathogenesis of insulin resistance, we measured the activities of PKClambda/zeta and PDK-1 in vastus lateralis muscle of lean, obese, and obese/type 2 diabetic humans. Biopsies were taken after an overnight fast and after a 3-h hyperinsulinemic-euglycemic clamp. Obese subjects were also studied after weight loss on a very-low-calorie diet. Insulin-stimulated glucose disposal rate is reduced 26% in obese subjects and 62% in diabetic subjects (both comparisons P < 0.001). Insulin-stimulated insulin receptor substrate (IRS)-1 tyrosine phosphorylation and PI3K activity are impaired 40-50% in diabetic subjects compared with lean or obese subjects. Insulin stimulates PKClambda/zeta activity approximately 2.3-fold in lean subjects; the increment above basal is reduced 57% in obese and 65% in diabetic subjects. PKClambda/zeta protein amount is decreased 46% in diabetic subjects but is normal in obese nondiabetic subjects, indicating impaired insulin action on PKClambda/zeta. Importantly, weight loss in obese subjects normalizes PKClambda/zeta activation and increases IRS-1 phosphorylation and PI3K activity. Insulin also stimulates PDK-1 activity approximately twofold with no impairment in obese or diabetic subjects. In contrast to our previous data on Akt, reduced insulin-stimulated PKClambda/zeta activity could play a role in the pathogenesis of insulin resistance in muscle of obese and type 2 diabetic subjects.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • 3-Phosphoinositide-Dependent Protein Kinases
  • Adult
  • Diabetes Mellitus / diet therapy
  • Diabetes Mellitus / metabolism*
  • Diabetes Mellitus, Type 2 / diet therapy
  • Diabetes Mellitus, Type 2 / metabolism*
  • Diet
  • Energy Intake
  • Female
  • Humans
  • Insulin Receptor Substrate Proteins
  • Isoenzymes / metabolism*
  • Male
  • Middle Aged
  • Muscle, Skeletal / enzymology*
  • Obesity*
  • Phosphatidylinositol 3-Kinases / metabolism
  • Phosphoproteins / metabolism
  • Phosphorylation
  • Protein Kinase C / metabolism*
  • Protein Kinase C-alpha
  • Protein Kinase C-epsilon
  • Protein Kinase C-theta
  • Protein Serine-Threonine Kinases / metabolism
  • Receptor, Insulin / metabolism
  • Tyrosine / metabolism
  • Weight Loss / physiology

Substances

  • IRS1 protein, human
  • Insulin Receptor Substrate Proteins
  • Isoenzymes
  • Phosphoproteins
  • Tyrosine
  • protein kinase C gamma
  • Receptor, Insulin
  • 3-Phosphoinositide-Dependent Protein Kinases
  • Protein Serine-Threonine Kinases
  • protein kinase C zeta
  • PRKCA protein, human
  • PRKCE protein, human
  • PRKCQ protein, human
  • Protein Kinase C
  • Protein Kinase C-alpha
  • Protein Kinase C-epsilon
  • Protein Kinase C-theta
  • protein kinase C lambda