Regulation of insulin receptor function

Resistance to the biological actions of insulin contributes to the development of type 2 diabetes and risk of cardiovascular disease. A reduced biological response to insulin by tissues results from an impairment in the cascade of phosphorylation events within cells that regulate the activity of enzymes comprising the insulin signaling pathway. In most models of insulin resistance, there is evidence that this decrement in insulin signaling begins with either the activation or substrate kinase activity of the insulin receptor (IR), which is the only component of the pathway that is unique to insulin action. Activation of the IR can be impaired by post-translational modifications of the protein involving serine phosphorylation, or by binding to inhibiting proteins such as PC-1 or members of the SOCS or Grb protein families. The impact of these processes on the conformational changes and phosphorylation events required for full signaling activity, as well as the role of these mechanisms in human disease, is reviewed in this article. Received 3 August 2006; received after revision 1 December 2006; accepted 8 January 2007     

脑梗塞急性期胰岛素与血糖水平的研究

选择158例脑梗塞患者为观察组，另选择100例非脑梗塞患者为对照组。24h内抽取两组患者的静脉血测定空腹胰岛素值、空腹血糖值，并计算出胰岛素敏感性指数。对两组的胰岛素值、血糖及胰岛素敏感指数进行统计学比较。结果表明，观察组胰岛素水平、血糖水平明显高于对照组（P＜0．01），胰岛素敏感性指数明显低于对照组（P＜0．01），脑梗塞急性期胰岛素及血糖水平增高，胰岛素敏感性指数降低。     

Effect of protein kinase C activation and depletion on insulin stimulation of glycogen synthesis in cultured hepatoma cells

Summary Insulin stimulation of glycogen synthesis was nearly abolished in hepatoma cells shortly treated with 4 ß-phorbol 12 \-myristate, 13 -acetate (protein kinase C activation) but remained unmodified in cells chronically treated with the phorbol ester (protein kinase C depletion). Thus, although exogenous activation of protein kinase C results in an inhibition of insulin action, protein kinase C depletion has no influence on this process. The results suggest that, in hepatoma cells, no endogenous activation of protein kinase C may occur in response to the signal triggered by insulin.     

Changes in erythrocyte membrane lipid composition affect the transient decrease in membrane order which accompanies insulin receptor down-regulation

We have recently demonstrated, using electron paramagnetic resonance (EPR) spectroscopy, that insulin receptor internalization in response to insulin incubation (down-regulation) in human erythrocytes is accompanied by a transient decrease in membrane order, as measured by the 2T order parameter. Since membrane lipids play such an important role in receptor internalization, we investigated the possible effects that an alteration of the normally-occurring lipid profile might have on down-regulation and the concomitant transient decrease in membrane order. Consequently, human erythrocytes enriched with cholesterol and erythrocytes from cirrhotic patients were examined, because both of these groups of cells have a higher cholesterol/phospholipid molar ratio (CH/PL) than controls. The 5-nitroxystearate spin label, which inserts into the lipid bilayer of cell membranes, was used to monitor changes in 2T for a 3-h period at 37°C. We report here that both cholesterol-enriched and cirrhotic erythrocytes do not down-regulate, as demonstrated by binding assays, and that they do not show the typical transient decrease in membrane order observed in controls. The results seem to indicate that a more ordered membrane inhibits internalization of the insulin receptor in erythrocytes, and that an increase in membrane disorder is necessary for insulin receptor down-regulation.     

Nitric oxide-related pancreatic endocrine responses to hyperglycaemia in the conscious calf

Mean plasma insulin concentration was reduced and mean plasma glucose concentration increased following the administration of N-nitro-L-arginine methyl ester (L-NAME; 100 mol kg^–1 i.a.) in conscious calves given continuous infusions of exogenous glucose (30–60 mol min^–1 kg^–1 i.v.). It is concluded that the rise in plasma insulin concentration which occurs in these animals in response to glucose is mediated, at least in part, by a nitric oxide-related factor (NOx).     

非胰岛素依赖型糖尿病与胰岛素基因改变的实验研究

用分子生物学的实验方法对非胰岛素依赖型糖尿病（ＮＩＤＤＭ）进行胰岛素基因检测。从ＮＩＤＤＭ患者外周血的白细胞中提取ＤＮＡ，以胰岛素基因５′－末端上游的某一ＤＮＡ序列为引物，对特定的靶序列进行体外扩增，即ＴａｑＤＮＡ聚合酶链式反应（ＰＣＲ），将其扩增产物进行电泳分离，在紫外分析仪下观察结果并与正常人对照，发现１６例ＮＩＤＤＭ患者胰岛素基因有所改变，提示此型糖尿病患者的胰岛素基因改变可能与ＮＩＤＤＭ的发生有关。进一步说明遗传因素在此型糖尿病中的作用。     

胰岛素受体底物1和2的氨基酸网络特征研究

在胰岛素对脂质代谢的调控作用中,胰岛素受体底物2(IRS2)比胰岛素受体底物1(IRS1)发挥了更加重要的作用。为研究两者发挥作用的差异,分别选择IRS1、IRS2的4个结构数据,构建氨基酸相互作用网络,计算整体拓扑特征,分析网络的hub氨基酸差异,计算7种中心性特征。实验表明,IRS2氨基酸相互作用网络的平均度及聚类系数高于IRS1的1QQG、5U1M、6BNT;IRS2中的hub氨基酸ATP、LYS、ILE是IRS1所没有的;除子图中心性和特征向量中心性外,IRS2网络中节点的其他中心性特征均优于IRS1。结果表明,IRS2的氨基酸相互作用网络中,节点聚集程度较高,更容易形成模块,更容易到达其他节点,与其他节点发生通讯。可以推测:IRS2在胰岛素对肝脏的代谢调控中比IRS1发挥着更加重要的作用。     

胰岛素抵抗及高血糖对GFAT活性的影响

分别观察了胰岛素抵抗和高血糖水平对己糖胺途径限速酶GFAT活性的影响.在alloxan高血糖小鼠模型中,与正常对照组比较,血清果糖胺水平升高了15.9%,肾组织GFAT活性升高了32.8%;经胰岛素治疗后,血清果糖胺水平降低了9.7%,其肾组织GFAT活性也降低了l9.4%.在高糖高脂饲料诱导的胰岛素抵抗的IR小鼠中,与同批正常对照组比较,正糖钳实验中稳态时葡萄糖输注率G IR值降低了69.3%,胰岛素耐量实验中的AUC值升高了38.1%,其肾脏组织GFAT活性也增加了26.6%.在胰岛素诱导的具有胰岛素抵抗的IR-H IR c细胞模型中,与正常H IR c细胞比较,其10、25 nmol/L胰岛素诱导的葡萄糖摄取能力分别降低了25.3%、21.1%,而GFAT活性分别增加了29.7%、46.5%.可见,GFAT活性与一段时间的平均血糖水平和胰岛素抵抗状态密切正相关.     

Salt and pH-dependent properties of native and mutant insulin

A fast and effective model for predicting the salt and pH dependent properties of protein complexes is presented. It is based on the formal charge parameter sets of ionizable groups and applied in conjunction with the finite difference Poisson-Boltzmann (FDPB) method to calculate the electrostatic interactions. All simulations were performed on the native 2Zn insulin and its fast-acting mutants such as B9D (B9Ser→ Asp), B9E (B9Aer→ Giu), B9EB10D (B9Ser→Glu, B10His→ Asp), and B10D (B10His → Asp). The salt and pH dependent properties of these dimers were analyzed from the aspect of electrostatic interaction, and the theoretical basis of the fast-acting behavior of these mutants was explained. It is found that the results agree well with experimental observations.     

小鼠胰岛素样生长因子结合蛋白7原核表达载体的构建

胰岛素样生长因子结合蛋白7（简称IGFBP7）广泛存在于多种正常的组织中，但在相应的肿瘤细胞中的含量极微。试验表明，它在肿瘤发生的不同阶段抑制其生长。采用RT－PCR和Nest-PCR方法，从正常的小鼠脾脏中扩增得到IGFBP7 cDNA片段，测序正确后，克隆于融合表达载体pRSETC中构建原核表达重组体。