Abstract

PurposeSirtuin 1 may regulate glucose and lipid metabolism. We aimed to assess adipose tissue and skeletal muscle sirtuin 1 expression in relation to insulin sensitivity, the expression of proinflammatory and metabolic genes, and to study the regulation of sirtuin 1 expression by hyperinsulinemia and circulating free fatty acids elevation.MethodsWe examined 60 normal-weight, 42 overweight and 15 obese young subjects. The hyperinsulinemic-euglycemic clamp technique was applied throughout to measure insulin sensitivity. In 20 subjects, two 6 h clamps were performed, one of them with concurrent Intralipid/heparin infusion. Biopsies of subcutaneous adipose tissue and skeletal muscle were collected for the measurement of gene and protein expression.ResultsObese subjects had lower adipose sirtuin 1 in comparison with normal-weight and overweight participants. Muscle sirtuin 1 did not differ between the groups. Adipose tissue sirtuin 1 was related to insulin sensitivity, adipose tissue SLC2A4. The relationship between adipose tissue sirtuin 1 and insulin sensitivity was still present after controlling for BMI, however, it disappeared after controlling for adipose tissue SLC2A4. Muscle sirtuin 1 was not related to insulin sensitivity. Hyperisulinemia decreased adipose tissue and increased muscle sirtuin 1 expression. Intralipid/heparin infusion negated these effects.ConclusionsAdipose tissue, but not muscle, sirtuin 1 is associated with insulin sensitivity in humans, possibly because of its correlation with adipose tissue SLC2A4 expression. Insulin differentially regulates adipose tissue and skeletal muscle sirtuin 1 expression in the short-term and circulating free fatty acids elevation negates these effects, which may be associated with lipid-induced insulin resistance.

Highlights

  • Sirtuin 1 (SIRT1), is a (NAD)-dependent deacetylase, a member of the sirtuin family [1]

  • We examined the regulation of tissue SIRT1 expression by hyperinsulinemia and circulating free fatty acids (FFA) elevation

  • IL18 and CCL2 AT expression was higher whereas SLC2A4 and ADIPOQ AT expression was lower in the obese than in normal-weight and overweight subjects

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Summary

Introduction

Sirtuin 1 (SIRT1), is a (NAD)-dependent deacetylase, a member of the sirtuin family [1]. SIRT1 may influence insulin signaling in multiple insulin sensitive cells [3]. It increases insulin receptor substrate 2 (IRS2) and protein kinase B (PKB, known as Akt) phosphorylation in response to insulin whereas it decreases the expression of protein-tyrosine phosphatase 1B (PTP1B), a negative regulator of insulin signalling [4,5,6]. SIRT1 represses proinflammatory gene expression in adipocytes, possibly through nuclear factor κB (NFκB) deacetylation and inhibition of binding to its target gene promoters [8]. It increases adiponectin synthesis/secretion [9]

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