Ecscr regulates insulin sensitivity and predisposition to obesity by modulating endothelial cell functions

Nat Commun. 2013:4:2389. doi: 10.1038/ncomms3389.

Abstract

Insulin resistance is closely associated with obesity and is one of the earliest symptoms of type-2 diabetes. Endothelial cells are involved in the pathogenesis of insulin resistance through their role in insulin delivery and adipose tissue angiogenesis. Here we show that Ecscr (endothelial cell surface expressed chemotaxis and apoptosis regulator; also known as ARIA), the transmembrane protein that regulates endothelial cell signalling, is highly expressed in white and brown adipose tissues, and regulates energy metabolism and glucose homeostasis by modulating endothelial cell functions. Ecscr-deficient mice fed a normal chow show improved glucose tolerance and enhanced insulin sensitivity. We demonstrate that Ecscr deletion enhances the insulin-mediated Akt/endothelial nitric oxide synthase activation in endothelial cells, which increases insulin delivery into the skeletal muscle. Ecscr deletion also protects mice on a high-fat diet from obesity and obesity-related metabolic disorders by enhancing adipose tissue angiogenesis. Conversely, targeted activation of Ecscr in endothelial cells impairs glucose tolerance and predisposes mice to diet-induced obesity. Our results suggest that the inactivation of Ecscr enhances insulin sensitivity and may represent a new therapeutic strategy for treating metabolic syndrome.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3T3-L1 Cells
  • Adipose Tissue / blood supply
  • Adipose Tissue / drug effects
  • Adipose Tissue / metabolism
  • Animals
  • Basal Metabolism / drug effects
  • Diet
  • Disease Susceptibility / pathology*
  • Endothelial Cells / drug effects
  • Endothelial Cells / enzymology
  • Endothelial Cells / metabolism*
  • Endothelial Cells / pathology*
  • Enzyme Activation / drug effects
  • Female
  • Gene Deletion
  • Glucose / metabolism
  • Homeostasis / drug effects
  • Insulin / pharmacology*
  • Male
  • Mice
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / metabolism
  • Muscle, Skeletal / pathology
  • Neovascularization, Physiologic / drug effects
  • Neuregulin-1 / deficiency
  • Neuregulin-1 / genetics
  • Neuregulin-1 / metabolism*
  • Nitric Oxide Synthase Type III / metabolism
  • Obesity / metabolism*
  • Obesity / pathology*
  • Phenotype
  • Signal Transduction / drug effects
  • Thermogenesis / drug effects

Substances

  • Insulin
  • Neuregulin-1
  • Nrg1 protein, mouse
  • Nitric Oxide Synthase Type III
  • Glucose