Abstract

Impaired insulin signaling is a key feature of type 2 diabetes and is associated with increased ubiquitin-proteasome-dependent protein degradation in skeletal muscle. An extract of Artemisia dracunculus L. (termed PMI5011) improves insulin action by increasing insulin signaling in skeletal muscle. We sought to determine if the effect of PMI5011 on insulin signaling extends to regulation of the ubiquitin-proteasome system. C2C12 myotubes and the KK-Ay murine model of type 2 diabetes were used to evaluate the effect of PMI5011 on steady-state levels of ubiquitylation, proteasome activity and expression of Atrogin-1 and MuRF-1, muscle-specific ubiquitin ligases that are upregulated with impaired insulin signaling. Our results show that PMI5011 inhibits proteasome activity and steady-state ubiquitylation levels in vitro and in vivo. The effect of PMI5011 is mediated by PI3K/Akt signaling and correlates with decreased expression of Atrogin-1 and MuRF-1. Under in vitro conditions of hormonal or fatty acid-induced insulin resistance, PMI5011 improves insulin signaling and reduces Atrogin-1 and MuRF-1 protein levels. In the KK-Ay murine model of type 2 diabetes, skeletal muscle ubiquitylation and proteasome activity is inhibited and Atrogin-1 and MuRF-1 expression is decreased by PMI5011. PMI5011-mediated changes in the ubiquitin-proteasome system in vivo correlate with increased phosphorylation of Akt and FoxO3a and increased myofiber size. The changes in Atrogin-1 and MuRF-1 expression, ubiquitin-proteasome activity and myofiber size modulated by PMI5011 in the presence of insulin resistance indicate the botanical extract PMI5011 may have therapeutic potential in the preservation of muscle mass in type 2 diabetes.

Highlights

  • Insulin resistance in clinical states of metabolic syndrome and type 2 diabetes involves multiple tissues, including liver, adipose tissue and skeletal muscle

  • The effect of PMI5011 on Atrogin-1 and Muscle Ring Finger-1 (MuRF-1) expression is mediated by phosphatidylinositol 3-kinase (PI3K) activity

  • To determine if PMI5011 regulates Atrogin-1 and MuRF-1 expression via PI3K signaling, a set of experiments was carried out using wortmanninmediated inhibition of PI3K activity

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Summary

Introduction

Insulin resistance in clinical states of metabolic syndrome and type 2 diabetes involves multiple tissues, including liver, adipose tissue and skeletal muscle. Skeletal muscle is the largest contributor to whole-body glucose disposal, making defective insulin signaling in skeletal muscle a primary feature of type 2 diabetes. Along with its role as the primary site of glucose uptake, skeletal muscle is the main protein reservoir in the body. Protein levels in skeletal muscle are determined by insulinmediated dual regulation of protein synthesis and protein degradation [1]. The accelerated protein degradation associated with insulin resistance can lead to loss of skeletal muscle mass and function [3]. Preservation of skeletal muscle mass and strength in this high risk population may depend on strategies designed to diminish the skeletal muscle protein degradation associated with type 2 diabetes

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