α-Ketoglutaric acid ameliorates hyperglycemia in diabetes by inhibiting hepatic gluconeogenesis via serpina1e signaling

Sci Adv. 2022 May 6;8(18):eabn2879. doi: 10.1126/sciadv.abn2879. Epub 2022 May 4.

Abstract

Previously, we found that α-ketoglutaric acid (AKG) stimulates muscle hypertrophy and fat loss through 2-oxoglutarate receptor 1 (OXGR1). Here, we demonstrated the beneficial effects of AKG on glucose homeostasis in a diet-induced obesity (DIO) mouse model, which are independent of OXGR1. We also showed that AKG effectively decreased blood glucose and hepatic gluconeogenesis in DIO mice. By using transcriptomic and liver-specific serpina1e deletion mouse model, we further demonstrated that liver serpina1e is required for the inhibitory effects of AKG on hepatic gluconeogenesis. Mechanistically, we supported that extracellular AKG binds with a purinergic receptor, P2RX4, to initiate the solute carrier family 25 member 11 (SLC25A11)-dependent nucleus translocation of intracellular AKG and subsequently induces demethylation of lysine 27 on histone 3 (H3K27) in the seprina1e promoter region to decrease hepatic gluconeogenesis. Collectively, these findings reveal an unexpected mechanism for control of hepatic gluconeogenesis using circulating AKG as a signal molecule.

MeSH terms

  • Animals
  • Diabetes Mellitus* / metabolism
  • Gluconeogenesis
  • Hyperglycemia* / drug therapy
  • Ketoglutaric Acids / metabolism
  • Ketoglutaric Acids / pharmacology
  • Liver / metabolism
  • Mice
  • Mice, Inbred C57BL

Substances

  • Ketoglutaric Acids