[PDF][PDF] Glucose sensing by skeletal myocytes couples nutrient signaling to systemic homeostasis

ZX Meng, J Gong, Z Chen, J Sun, Y Xiao, L Wang, Y Li… - Molecular cell, 2017 - cell.com
ZX Meng, J Gong, Z Chen, J Sun, Y Xiao, L Wang, Y Li, J Liu, XZS Xu, JD Lin
Molecular cell, 2017cell.com
Skeletal muscle is a major site of postprandial glucose disposal. Inadequate insulin action in
skeletal myocytes contributes to hyperglycemia in diabetes. Although glucose is known to
stimulate insulin secretion by β cells, whether it directly engages nutrient signaling pathways
in skeletal muscle to maintain systemic glucose homeostasis remains largely unexplored.
Here we identified the Baf60c-Deptor-AKT pathway as a target of muscle glucose sensing
that augments insulin action in skeletal myocytes. Genetic activation of this pathway …
Summary
Skeletal muscle is a major site of postprandial glucose disposal. Inadequate insulin action in skeletal myocytes contributes to hyperglycemia in diabetes. Although glucose is known to stimulate insulin secretion by β cells, whether it directly engages nutrient signaling pathways in skeletal muscle to maintain systemic glucose homeostasis remains largely unexplored. Here we identified the Baf60c-Deptor-AKT pathway as a target of muscle glucose sensing that augments insulin action in skeletal myocytes. Genetic activation of this pathway improved postprandial glucose disposal in mice, whereas its muscle-specific ablation impaired insulin action and led to postprandial glucose intolerance. Mechanistically, glucose triggers KATP channel-dependent calcium signaling, which promotes HDAC5 phosphorylation and nuclear exclusion, leading to Baf60c induction and insulin-independent AKT activation. This pathway is engaged by the anti-diabetic sulfonylurea drugs to exert their full glucose-lowering effects. These findings uncover an unexpected mechanism of glucose sensing in skeletal myocytes that contributes to homeostasis and therapeutic action.
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