[PDF][PDF] The CDP-ethanolamine pathway regulates skeletal muscle diacylglycerol content and mitochondrial biogenesis without altering insulin sensitivity

A Selathurai, GM Kowalski, ML Burch, P Sepulveda… - Cell metabolism, 2015 - cell.com
A Selathurai, GM Kowalski, ML Burch, P Sepulveda, S Risis, RS Lee-Young, S Lamon…
Cell metabolism, 2015cell.com
Accumulation of diacylglycerol (DG) in muscle is thought to cause insulin resistance. DG is a
precursor for phospholipids, thus phospholipid synthesis could be involved in regulating
muscle DG. Little is known about the interaction between phospholipid and DG in muscle;
therefore, we examined whether disrupting muscle phospholipid synthesis, specifically
phosphatidylethanolamine (PtdEtn), would influence muscle DG content and insulin
sensitivity. Muscle PtdEtn synthesis was disrupted by deleting CTP: phosphoethanolamine …
Summary
Accumulation of diacylglycerol (DG) in muscle is thought to cause insulin resistance. DG is a precursor for phospholipids, thus phospholipid synthesis could be involved in regulating muscle DG. Little is known about the interaction between phospholipid and DG in muscle; therefore, we examined whether disrupting muscle phospholipid synthesis, specifically phosphatidylethanolamine (PtdEtn), would influence muscle DG content and insulin sensitivity. Muscle PtdEtn synthesis was disrupted by deleting CTP:phosphoethanolamine cytidylyltransferase (ECT), the rate-limiting enzyme in the CDP-ethanolamine pathway, a major route for PtdEtn production. While PtdEtn was reduced in muscle-specific ECT knockout mice, intramyocellular and membrane-associated DG was markedly increased. Importantly, however, this was not associated with insulin resistance. Unexpectedly, mitochondrial biogenesis and muscle oxidative capacity were increased in muscle-specific ECT knockout mice and were accompanied by enhanced exercise performance. These findings highlight the importance of the CDP-ethanolamine pathway in regulating muscle DG content and challenge the DG-induced insulin resistance hypothesis.
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