Chronic erythropoietin treatment improves diet-induced glucose intolerance in rats

J Endocrinol. 2015 May;225(2):77-88. doi: 10.1530/JOE-15-0010. Epub 2015 Mar 12.

Abstract

Erythropoietin (EPO) ameliorates glucose metabolism through mechanisms not fully understood. In this study, we investigated the effect of EPO on glucose metabolism and insulin signaling in skeletal muscle. A 2-week EPO treatment of rats fed with a high-fat diet (HFD) improved fasting glucose levels and glucose tolerance, without altering total body weight or retroperitoneal fat mass. Concomitantly, EPO partially rescued insulin-stimulated AKT activation, reduced markers of oxidative stress, and restored heat-shock protein 72 expression in soleus muscles from HFD-fed rats. Incubation of skeletal muscle cell cultures with EPO failed to induce AKT phosphorylation and had no effect on glucose uptake or glycogen synthesis. We found that the EPO receptor gene was expressed in myotubes, but was undetectable in soleus. Together, our results indicate that EPO treatment improves glucose tolerance but does not directly activate the phosphorylation of AKT in muscle cells. We propose that the reduced systemic inflammation or oxidative stress that we observed after treatment with EPO could contribute to the improvement of whole-body glucose metabolism.

Keywords: glucose metabolism; high-fat diet; myotubes; skeletal muscle.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Diet, High-Fat / adverse effects
  • Erythropoietin / metabolism*
  • Glucose / metabolism
  • Glucose Intolerance / enzymology
  • Glucose Intolerance / genetics
  • Glucose Intolerance / metabolism*
  • HSP72 Heat-Shock Proteins / genetics
  • HSP72 Heat-Shock Proteins / metabolism
  • Humans
  • Insulin / metabolism
  • Male
  • Mice
  • Muscle, Skeletal / enzymology
  • Muscle, Skeletal / metabolism
  • Oxidative Stress
  • Proto-Oncogene Proteins c-akt / genetics
  • Proto-Oncogene Proteins c-akt / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Erythropoietin / genetics
  • Receptors, Erythropoietin / metabolism

Substances

  • HSP72 Heat-Shock Proteins
  • Insulin
  • Receptors, Erythropoietin
  • Erythropoietin
  • Proto-Oncogene Proteins c-akt
  • Glucose