The PDK1-FoxO1 signaling in adipocytes controls systemic insulin sensitivity through the 5-lipoxygenase-leukotriene B4 axis

Proc Natl Acad Sci U S A. 2020 May 26;117(21):11674-11684. doi: 10.1073/pnas.1921015117. Epub 2020 May 11.

Abstract

Although adipocytes are major targets of insulin, the influence of impaired insulin action in adipocytes on metabolic homeostasis remains unclear. We here show that adipocyte-specific PDK1 (3'-phosphoinositide-dependent kinase 1)-deficient (A-PDK1KO) mice manifest impaired metabolic actions of insulin in adipose tissue and reduction of adipose tissue mass. A-PDK1KO mice developed insulin resistance, glucose intolerance, and hepatic steatosis, and this phenotype was suppressed by additional ablation of FoxO1 specifically in adipocytes (A-PDK1/FoxO1KO mice) without an effect on adipose tissue mass. Neither circulating levels of adiponectin and leptin nor inflammatory markers in adipose tissue differed between A-PDK1KO and A-PDK1/FoxO1KO mice. Lipidomics and microarray analyses revealed that leukotriene B4 (LTB4) levels in plasma and in adipose tissue as well as the expression of 5-lipoxygenase (5-LO) in adipose tissue were increased and restored in A-PDK1KO mice and A-PDK1/FoxO1KO mice, respectively. Genetic deletion of the LTB4 receptor BLT1 as well as pharmacological intervention to 5-LO or BLT1 ameliorated insulin resistance in A-PDK1KO mice. Furthermore, insulin was found to inhibit LTB4 production through down-regulation of 5-LO expression via the PDK1-FoxO1 pathway in isolated adipocytes. Our results indicate that insulin signaling in adipocytes negatively regulates the production of LTB4 via the PDK1-FoxO1 pathway and thereby maintains systemic insulin sensitivity.

Keywords: 5-lipoxygenase; FoxO1; PDK1; insulin resistance; leukotriene B4.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3-Phosphoinositide-Dependent Protein Kinases* / genetics
  • 3-Phosphoinositide-Dependent Protein Kinases* / metabolism
  • Adipocytes / metabolism*
  • Animals
  • Arachidonate 5-Lipoxygenase / metabolism*
  • Cells, Cultured
  • Forkhead Box Protein O1* / genetics
  • Forkhead Box Protein O1* / metabolism
  • Insulin Resistance* / genetics
  • Insulin Resistance* / physiology
  • Leukotriene B4 / metabolism
  • Male
  • Mice
  • Mice, Knockout
  • Signal Transduction / genetics

Substances

  • Forkhead Box Protein O1
  • Foxo1 protein, mouse
  • Leukotriene B4
  • Arachidonate 5-Lipoxygenase
  • 3-Phosphoinositide-Dependent Protein Kinases
  • Pdpk1 protein, mouse