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St. Vincents Institute and Department of Medicine (M.B.C., B.E.K., G.R.S.), University of Melbourne, Fitzroy, Victoria 3065 Australia; Commonwealth Scientific and Industrial Research Organization (S.L.M., L.A.C., B.E.K.), Health Sciences and Nutrition, Parkville, Victoria 3052 Australia; School of Exercise and Nutrition Sciences (A.J.M., D.C.-S.), Deakin University, Burwood, Victoria 3125, Australia; and Centre of Obesity Research and Education (P.E.O., J.B.D.), Monash University, Alfred Hospital, Melbourne, Victoria 3181, Australia
Address all correspondence and requests for reprints to: Gregory R. Steinberg, Ph.D., St. Vincents Institute, 9 Princes Street, Fitzroy, Victoria 3065, Australia. E-mail: gsteinberg{at}svi.edu.au.
| Abstract |
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1 and -
2 by increasing Thr172 phosphorylation, an effect associated with increased acetyl-coenzyme A carboxylase (ACCß) Ser221 phosphorylation and enhanced rates of fatty acid oxidation, effects similar to those observed after pharmacological AMPK activation by 5-aminoimidazole-4-carboxamide riboside. In obese myotubes, the activation of AMPK signaling by gAD at low concentrations (0.1 µg/ml) was blunted, but higher concentrations (0.5 µg/ml) stimulated AMPK
1 and -
2 activities, AMPK and ACCß phosphorylation, and fatty acid oxidation. In obese type 2 diabetic myotubes, high concentrations of gAD stimulated AMPK
1 activity and AMPK phosphorylation; however, ACCß phosphorylation and fatty acid oxidation were unaffected. Reduced activation of AMPK signaling and fatty acid oxidation in obese and obese diabetic myotubes was not associated with reduced protein expression of AMPK
and ACCß or the expression and activity of the upstream AMPK kinase, LKB1. These data suggest that reduced activation of AMPK by gAD in obese and obese type 2 diabetic subjects is not caused by reduced adiponectin receptor expression but that aspects downstream of the receptor may inhibit AMPK signaling. | Introduction |
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, leptin, and adiponectin in regulating skeletal muscle insulin sensitivity. Adiponectin is secreted exclusively from adipose tissue and is an abundant plasma protein that is reduced in obese and type 2 diabetic humans (1). Structurally, adiponectin is related to the complement 1q family and contains a carboxyl-terminal globular domain and an amino-terminal collagenous domain (2). Globular adiponectin (gAD) treatment has been shown to reverse skeletal muscle insulin resistance in models of genetic and diet-induced obesity. These effects are attributed to the activation of AMP-kinase (AMPK) (3, 4) by adiponectin receptor 1 (AdipoR1) (5) resulting in increased acetyl-coenzyme A carboxylase (ACCß) phosphorylation, reduced malonyl-coenzyme A production, and increased carnitine-palmitoyl-transferase-1 activity and mitochondrial fatty acid oxidation (6, 7). AMPK activity is regulated allosterically by alterations in the AMP:ATP ratio and covalently by phosphorylation at Thr172 by the upstream AMPK kinase (AMPKK)/LKB1 (8, 9). In skeletal muscle from obese and type 2 diabetic humans, suppressed rates of fatty acid oxidation (10, 11, 12), combined with increased rates of fatty acid uptake (13) and esterification (14), contribute to the accumulation of im lipid and is a key factor in the development of skeletal muscle insulin resistance. Recent studies in both rodent (15) and human (16) skeletal muscle demonstrate reduced AdipoR1 mRNA expression in type 2 diabetes, suggesting blunted adiponectin signaling may contribute to suppressed rates of fatty acid oxidation in obesity and diabetes. The purpose of this study was to investigate the effects of gAD on fatty acid oxidation and AMPK activity in primary myotubes derived from lean, obese, and type 2 diabetic skeletal muscle. We hypothesized that gAD would activate AMPK signaling in skeletal muscle myotubes from lean subjects but that this effect would be blunted in myotubes from obese subjects and obese subjects with type 2 diabetes.
| Subjects and Methods |
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The participants were seven lean (five male and two female), obese (five male and two female), and obese type 2 diabetic (four male and three female) subjects undergoing abdominal surgery. Written informed consent was obtained from all participants after approval by the Human Ethics Research committee of Deakin University, the Avenue Hospital, and Cabrini Hospital, Melbourne. After a fast (1218 h), general anesthesia was induced with a short-acting propofol and maintained by a fentanyl and rocuronium volatile anesthetic mixture, and a biopsy of rectus abdominus muscle was removed.
Cell culture
Primary skeletal muscle cell culture was established according to the method described by Blau and Webster (17) and modified by Gaster et al. (18). All cell culture reagents were purchased from Invitrogen (Melbourne, Australia) unless otherwise stated. In brief, muscle samples, weighing approximately 50100 mg, were washed in Hams F-10 medium, minced and enzymatically dissociated with 0.05% trypsin/EDTA. Cells were then collected through centrifugation and resuspended in
-MEM supplemented with 10% fetal bovine serum (FBS) (vol/vol), 0.5% penicillin (vol/vol), and 0.5% Fungizone (vol/vol) in a 37 C incubator with 5% CO2 throughout the incubation. These incubation conditions were used throughout the study. Cells were cultured on an uncoated flask for 30 min before transferring the cell media to a flask coated with extracellular matrix (from Sigma Chemical Co., Sydney, Australia). Growth medium was changed every other day. Cells were passaged at approximately 80% confluence. On passage four, cells were resuspended in growth medium and seeded on extracellular matrix-coated, 10-cm, six-well plates (Greiner, Longwood, FL) and grown to confluence before differentiation for 6 d in
-MEM, 2% horse serum, 1% penicillin, streptomycin, and amphotericin B (PSA) for all experimental procedures. On the evening before experiments, cells were serum starved overnight in
-MEM, containing 0.1% FBS and 1% PSA.
AdipoR1 and AdipoR2 mRNA expression
Total cellular RNA was extracted using RNABee (Tel-Test, Friendswood, TX). First-strand cDNA was generated from 0.5 µg RNA using an alfalfa mosaic virus RT kit (Promega, Madison, WI). PCR was performed using the ABI PRISM 5700 sequence detection system (Applied Biosystems, Foster City, CA). PCR were performed using SYBR Green I chemistry (Applied Biosystems). Forward and reverse primers and cDNA (12 ng) were run for 40 cycles of PCR in a total volume of 20 µl. To compensate for variations in input RNA amounts, and efficiency of RT, cyclophilin (GenBank accession no. X52851) mRNA was quantified, and all results were normalized to these values. Cyclophilin expression did not differ between groups. Fluorescent emission data were analyzed for the critical threshold (CT) values, with the expression of the gene of interest normalized to cyclophilin and expressed as 2
CT (19). Primers were designed using Primer Express software package version 1.0 (Applied Biosystems) from gene sequences obtained from GenBank. The sequences of the forward (F) and reverse (R) primers are listed from 5' to 3' and are as follows: AdipoR1, (NM_015999) (F) CGCCATGGAGAAGATGGAA, (R) TCATATGGGATGACCCTCCAA; AdipoR2 (NM_024551) (F) GGATCCCCGAACGCTTTTT, (R) TGAGACACCA-TGGAAGTGAACAA, and cyclophilin (X52851) (F) CATCTGCACTGCCAAGACTGA, (R) TTCATGCCTTCTTTCACTTTGC.
Production of recombinant gAD
gAD was produced as a C-terminal glutathione-S-transferase fusion protein (GST-gAD). The sequence encoding gAD, amino acid residues 108244, was produced by PCR from the full-length human adiponectin (gift from Jon Whitehead, University of Queensland, St. Lucia, Queensland, Australia) with oligonucleotides gcggatccggtgcctatgtataccgctcag and gcgaattctcagttggtgtcatggtagagaag, 5' to 3', and inserted as a BamH1-EcoR1 fragment into pGEX4T. Protein was produced after transformation of this plasmid into Escherichia coli strain BL21DE3, with ampicillin selection. The fusion protein was purified on glutathione-Sepharose (Amersham Pharmacia Biotech, Piscataway, NJ) using standard procedures (20). Protein production was induced with 0.1 mM ispropyl ß-D-thiogalactoside for 2 h. Protein was extracted from the cells by sonication; lysis in PBS (pH 7.4), 1% Triton X-100, 1 mM mercaptoethanol, 200 U/ml aprotinin, 10 µg/ml leupeptin, 1 µg/ml pepstatin, and 200 mM phenylmethylsulfonyl fluoride; and centrifugation at 12,000 x g for 10 min. Protein in the supernatant was purified on glutathione-Sepharose. GST-gAD was eluted from the resin with four 0.5-ml washes of 100 mM reduced glutathione in PBS. The GST-gAD was then dialyzed in two changes of 500 ml PBS, and the final preparation was concentrated on a YM30 centricon (Amicon, Beverly, MA). GST was produced from the same vector and was used as a vehicle control in all experiments. In preliminary experiments, the effects of GST (0.2 µg/ml) alone were examined and found to have no effect on AMPK signaling or fatty acid oxidation (n = 8; data not shown). In addition, experiments were conducted demonstrating that cleaved gAD resulted in similar stimulation of AMPK activity in lean myotubes as that obtained from GST-gAD (n = 8; data not shown). We used the GST-gAd at concentrations of 0.2 and 1.0 µg/ml, which represented absolute quantities of gAd of 0.1 and 0.5 µg/ml, respectively.
AMPK activity
For the determination of AMPK-related activity, cells were cultured in 10-cm plates and treated with vehicle (GST, 0.2 µg/ml), 5-aminoimidazole-4-carboxamide riboside (AICAR, 2 mM) or low (gAD-L, 0.1 µg/ml) and high (gAD-H, 0.5 µg/ml) concentrations of gAD. The gAD and AICAR concentrations and time points used in this study were the same as previously demonstrated to maximally activate AMPK in rodent skeletal muscle (3) and primary human muscle cells, respectively (21). After treatment, myotubes were washed once with ice-cold PBS and lysed in 250 µl of ice-cold lysis buffer [20 mM HEPES (pH 7.5), 2 mM EDTA, 50 mM NaF, 5 mM Na4P2O7, and 1% Nonidet P-40 plus 1% protease inhibitor cocktail (Complete; Roche, Castle Hill, Australia)] on ice, scraped, snap frozen in liquid nitrogen, and stored at 80 C until analysis. Frozen cell lysates were centrifuged at 14,000 x g for 25 min and an aliquot (100 µl) removed for the measurement of LKB1 activity (see below), AMPK Thr172 phosphorylation and AMPK
expression after the determination of protein content by the bicinchoninic acid method (Bio-Rad, Hercules, CA). The remaining supernatant was removed for determination of AMPK
1 and -
2 activities in immunocomplex and ACCß expression and phosphorylation using reagents and procedures described previously (22).
LKB1 activity
Sheep anti-LKB1 antibody (Upstate, Lake Placid, NY) prebound to protein A beads were incubated with the muscle lysates for 2 h at 4 C. AMPKK assays were performed on the beads using a two-step reaction with full-length, bacterially expressed, human AMPK (
1, ß1, and
1) as substrate (Jennings, I. G., and B. E. Kemp, unpublished data). The AMPKK buffer contained 20 mM Tris-HCl (pH 7.5), 0.1% Tween 20, 10 mM dithiothreitol, 8 mM MgCl2 with 0.4 mM ATP, 0.12 mM AMP, and AMPK (
1, ß1, and
1) (3 µM) in 18 µl was incubated with 12 µl of the muscle homogenate at 30 C for 30 min. The AMPK (
1, ß1, and
1) activity was then determined using the AMPK SAMS peptide assay (22). A 20-µl aliquot of the AMPKK reaction mixture was added to the peptide phosphorylation reaction to give a final volume of 40 µl and assayed as described above. The remaining beads were placed in sample buffer and exposed to SDS-PAGE.
Fatty acid oxidation
Fatty acid oxidation was measured in myotubes cultured on 10-cm plates (23). Briefly, cells were preincubated with 3 ml of 4% fatty-acid-free bovine albumin (ICN Biochemicals, Aurora, OH), 1 mM palmitate (Sigma-Aldrich Co., St. Louis, MO), 0.1% FBS, 1% PSA, and
-MEM at 37 C for 1 h. Cells were then treated with the same medium but with the addition of 1 µCi/ml of [1-14C]palmitate (Amersham Biosciences, Little Chalfont, UK) with vehicle (GST, 0.2 µg/ml), AICAR (2 mM), or gAD-L (0.1 µg/ml) or gAD-H (0.5 µg/ml) for 2 h. After the incubation, 1 ml of the medium, in duplicate, was delivered into glass scintillation vials to determine CO2 release. 14CO2 trapped within the medium was liberated by the addition of 1 ml of 1 M acetic acid and captured over 60 min in 400 µl of benzethonium hydroxide (Sigma-Aldrich). Small centrifuge tubes containing benzethonium hydroxide were then placed in liquid scintillation cocktail (Packard Bioscience Co., Meriden, CT) and counted. For the determination of acid-soluble metabolites, the same myotubes used for the determination of fatty acid oxidation were washed twice with ice-cold PBS and lysed in 250 µl of ice-cold methanol, scraped, snap frozen, and extracted as described (24). Total palmitate oxidation was calculated by the addition of aqueous phase counts representing acid-soluble metabolites to 14CO2 counts captured within the benzethonium hydroxide. The quantity of palmitate oxidized was calculated from the specific activity of labeled palmitate in the incubation medium (24).
Calculations and statistical analysis
All data are reported as mean ± SE. Results were analyzed using ANOVA procedures, and a Tukeys post hoc test was used to test for significant differences revealed by the ANOVA. Significance was accepted at P
0.05.
| Results |
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and ACCß protein expression relative to lean controls were unaltered (Fig. 2
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2 activity (Fig. 3B
1 activity (Fig. 3A
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1 (Fig. 3A
2 activities (Fig. 3B
In obese skeletal muscle, gAD-H increased AMPK
1 (Fig. 3A
) and AMPK
2 activity (Fig. 3B
). Unlike skeletal muscle from lean subjects, gAD-L failed to increase either AMPK
1 or -
2 activities. AMPK Thr172 phosphorylation was increased by both gAD-L and gAD-H (Fig. 4B
). ACCß phosphorylation was significantly elevated with gAD-H (Fig. 4C
). In line with increased ACCß phosphorylation with gAD-H, palmitate oxidation was also increased (Fig. 5
).
AMPK
2 activity was not stimulated in myotubes from obese type 2 diabetic subjects with gAD-L or gAD-H (Fig. 3B
), although gAD-H increased AMPK
1 activity (Fig. 3A
). AMPK Thr172 phosphorylation was also elevated by gAD-H (Fig. 4
, A and B) but did not result in a significant increase in ACCß phosphorylation (Fig. 4
, A and C) or palmitate oxidation (Fig. 5
).
| Discussion |
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The principal findings of this study are that gAD stimulates AMPK
1 and -
2 activities, ACCß phosphorylation, and fatty acid oxidation in skeletal muscle myotubes from lean subjects. The increased activation of AMPK in skeletal muscle was not associated with alterations in LKB1 activity. Although the effects of low concentrations of gAD on AMPK signaling were blunted in myotubes of obese subjects, higher concentrations of gAD stimulated AMPK signaling and palmitate oxidation. In obese type 2 diabetic subjects, the effects of gAD-L and gAD-H on downstream activation of ACCß phosphorylation and fatty acid oxidation were ablated.
To investigate mechanisms that may contribute to the reduced activation of AMPK in obese and obese type 2 diabetic myotubes, we measured adiponectin receptor expression. Adiponectin signaling is mediated by two classes of adiponectin receptors (5). Elegant studies by Yamauchi et al. (5) demonstrated that AdipoR1 was expressed primarily in skeletal muscle and bound gAD with high affinity, whereas AdipoR2 was expressed primarily in hepatic tissue and primarily bound full-length adiponectin. These data helped elucidate previous observations in skeletal muscle demonstrating a more potent effect of gAD on stimulating AMPK and fatty acid oxidation in skeletal muscle, whereas full-length adiponectin was capable of activating AMPK only in liver (3, 7, 30). Two reports (16, 31) in human skeletal muscle and a recent study in primary human myotubes (32) suggest that skeletal muscle contains abundant levels of both AdipoR1 and AdipoR2. In the present study, we demonstrate that AdipoR1 mRNA is expressed at higher levels relative to AdipoR2 (
7- to 8-fold) and that the ratio of AdipoR1 to AdiopR2 is not altered between groups. Taken together, these data suggest that the blunted activation of AMPK and fatty acid oxidation by gAD in obese and obese type 2 diabetic myotubes is not attributed to alterations in adiponectin receptor expression.
AMPK is a ubiquitously expressed
ß
heterotrimer consisting of a catalytic subunit (
) and two noncatalytic subunits (ß and
). The activation of AMPK is mediated allo-sterically by elevation of the AMP:ATP ratio, or covalently by LKB1, and initiates catabolic pathways, such as fatty acid oxidation, while inhibiting energy-consuming anabolic pathways such as cholesterol and triglyceride synthesis. We (22), and others (33), have recently demonstrated that the mRNA and protein expression of AMPK isoforms is not altered in skeletal muscle of obese (22) or type 2 diabetic subjects (33) (34). The factors regulating AMPK protein expression are currently unknown, but it is feasible that AMPK expression may be regulated by factors that are altered within the hormonal milieu of obese and obese type 2 diabetic subjects that may limit the interpretation of these previous findings in skeletal muscle. Our findings demonstrating that AMPK
protein expression is unaltered in primary myotubes suggest that there are no genetic differences in AMPK expression between groups. In addition, in agreement with previous reports demonstrating normal activation of AMPK of obese and type 2 diabetic skeletal muscle in response to endurance exercise (34) and AICAR (21, 22, 35), we demonstrate that AMPK activation by AICAR is also maintained in myotubes.
Previous studies in a variety of cell systems (8, 9, 36, 37) indicate that LKB1 is the primary kinase phosphorylating AMPK at Thr172 within the
-catalytic subunit. These studies (8, 9, 36, 37) and a recent report in rodent skeletal muscle (38) demonstrate that LKB1 is constitutively active despite large alterations in AMPK Thr172 phosphorylation, suggesting that alterations in the accessory proteins MO25 and STRAD may be critical for the regulation of LKB1/AMPK interactions. We extend on previous findings by demonstrating that LKB1 is not activated in human primary myotubes in response to gAD despite significant increases in AMPK activity and Thr172 phosphorylation. In addition, we also demonstrate that LKB1 expression is not altered in skeletal muscle myotubes of obese or type 2 diabetic subjects relative to lean controls.
The most significant findings of this study are that gAD activation of AMPK is blunted with obesity and in obese type 2 diabetics. We demonstrate that in obese myotubes, only high doses of gAD activated AMPK signaling and fatty acid oxidation. These effects are not caused by altered AMPK signaling capacity, because AICAR activation of AMPK
2, ACCß phosphorylation, and fatty acid oxidation are maintained in both obese and obese type 2 diabetic myotubes. In addition, we have shown that adiponectin receptor expression is unaltered. Taken together, these data suggest a similar situation to that observed within the skeletal muscle of obese subjects, which displays resistance to the metabolic effects of leptin (14, 22), despite normal expression of the leptin receptor (39). Future studies examining adiponectin receptor signaling are required to understand mechanisms that may contribute to the reduced signaling capacity observed in myotubes of obese and obese type 2 diabetic subjects.
In addition to the blunted activation of AMPK signaling by low doses of gAD in obese type 2 diabetic subjects, these subjects treated with high doses of gAD displayed an increase only in the
1 isoform of AMPK. Interestingly, the activation of AMPK
1 in obese type 2 diabetic myotubes by high doses of gAD was not sufficient to stimulate phosphorylation of ACCß or increase fatty acid oxidation, suggesting substrate specificity between the AMPK isoforms. ACCß is bound to the outer mitochondrial membrane by its hydrophobic N terminus and through this association regulates mitochondrial fatty acid oxidation by the production of malonyl-coenzyme A, which inhibits carnitine palmitoyltransferase-1 (40). It may be possible that differential subcellular localization of the AMPK isoforms may alter their ability to phosphorylate ACCß in vivo. Indeed, several lines of evidence support an important role of AMPK
2, but not
1, in the regulation of fatty acid metabolism, because both leptin (41) and endurance exercise (42) increase fatty acid oxidation and preferentially activate the AMPK
2 isoform without altering AMPK
1 activity. In addition, AMPK
2 also appears to be critical for the regulation of insulin sensitivity as AMPK
2 null mice are resistant to AICAR-stimulated glucose uptake (43) and develop whole-body insulin resistance (44), whereas AMPK
1 null mice appear normal. It is interesting to speculate that differential subcellular localization of the AMPK isoforms may result in altered sensitivity to adiponectin, but additional studies are required to examine the intracellular mechanisms by which adiponectin and other cytokines activate AMPK.
One of the limitations of the present study was that because of the difficulty in recruiting younger obese type 2 diabetic subjects, this group was significantly older than the obese group, which also displayed blunted AMPK signaling. In humans, aging is associated with mitochondrial dysfunction (45); therefore we cannot discount the possibility that our findings demonstrating reduced phosphorylation of ACCß and stimulation of palmitate oxidation by gAD in obese type 2 diabetic subjects, but not in obese subjects, may be a caused in some part by mitochondrial dysfunction. However, it should be noted that the obese type 2 diabetic group was matched in age to the lean group, which displayed normal activation of AMPK signaling, ACCß phosphorylation, and fatty acid oxidation. In addition, we detected no relationship between age and degree of stimulation of fatty acid oxidation after high doses of gAD (R2 = 0.00263; P = 0.495). Taken together, these data suggest that the blunted effects of gAD on ACCß phosphorylation and fatty acid oxidation are not attributable to an age-independent effect. In future studies, it would be interesting to observe whether defective adiponectin-stimulated AMPK signaling is observed in lean diabetic myotubes independent of obesity.
In conclusion, the present study is the first to illustrate that gAD stimulates AMPK activity and fatty acid oxidation in cultured skeletal muscle myotubes of lean subjects. Importantly, we demonstrate that despite the pronounced effects of gAD in lean subjects, obese subjects display a blunted activation of AMPK, an effect that is exasperated in obese type 2 diabetic skeletal muscle myotubes. We demonstrate that this defect is not attributable to reduced adiponectin receptor expression or altered AMPK signaling, because pharmacological activation of AMPK is maintained in obese and obese type 2 diabetic subjects. Future studies are required to examine the molecular mediators that may contribute to the suppressed activation of AMPK by gAD in obesity.
| Acknowledgments |
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| Footnotes |
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First Published Online March 15, 2005
Abbreviations: ACCß, Acetyl-coenzyme A carboxylase; AdipoR, adiponectin receptor; AICAR, 5-aminoimidazole-4-carboxamide riboside; AMPK, AMP-kinase; BMI, body mass index; FBS, fetal bovine serum; gAD, globular adiponectin; gAD-H, high concentration of gAD; gAD-L, low concentration of gAD; GST, glutathione-S-transferase; PSA, penicillin, streptomycin, and amphotericin B.
Received October 11, 2004.
Accepted March 8, 2005.
| References |
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/ß and MO25
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/
) activation in myotubes from obese patients with impaired glucose tolerance. Diabetes 51:10521059
-2 but not
-1 5'AMP-activated protein kinase isoform abolishes AICAR- but not contraction-induced glucose uptake in skeletal muscle. J Biol Chem 279:10701079
2 catalytic subunit controls whole-body insulin sensitivity. J Clin Invest 111:9198[CrossRef][Medline]
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