Abstract

Type 2 diabetes mellitus is a metabolic disorder defined by systemic insulin resistance. Insulin resistance in adipocytes, an important regulator of glucose metabolism, results in impaired glucose uptake. The trafficking protein, sortilin, regulates major glucose transporter 4 (Glut4) movement, thereby promoting glucose uptake in adipocytes. Here, we demonstrate the presence of an alternatively spliced sortilin variant (Sort17b), whose levels increase with insulin resistance in mouse 3T3L1 adipocytes. Using a splicing minigene, we show that inclusion of alternative exon 17b results in the expression of Sort17b splice variant. Bioinformatic analysis indicated a novel intrinsic disorder region (IDR) encoded by exon 17b of Sort17b. Root mean square deviation (RMSD) and root mean square fluctuation (RMSF) measurements using molecular dynamics demonstrated increased flexibility of the protein backbone within the IDR. Using protein–protein docking and co-immunoprecipitation assays, we show robust binding of Glut4 to Sort17b. Further, results demonstrate that over-expression of Sort17b correlates with reduced Glut4 translocation and decreased glucose uptake in adipocytes. The study demonstrates that insulin resistance in 3T3L1 adipocytes promotes expression of a novel sortilin splice variant with thus far unknown implications in glucose metabolism. This knowledge may be used to develop therapeutics targeting sortilin variants in the management of type 2 diabetes and metabolic syndrome.

Highlights

  • Type 2 Diabetes Mellitus (T2DM), affecting more than 400 million people worldwide, is a chronic progressive metabolic disorder with no cure

  • Since insulin resistance in T2DM decreases glucose uptake and sortilin is a major component of Glut4 storage vesicles (GSVs), we evaluated sortilin in 3T3L1 adipocytes under conditions rendering it resistant to insulin action

  • In vitro differentiation of 3T3L1 pre-adipocytes to mature adipocytes results in the expression of multiple proteins including those necessary to respond to insulin and promote glucose uptake. 3T3L1 adipocytes were differentiated over a course of 8 days and harvested on day 0, day 4, and day 8

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Summary

Introduction

Type 2 Diabetes Mellitus (T2DM), affecting more than 400 million people worldwide, is a chronic progressive metabolic disorder with no cure. The prevalence of T2DM has been increasing to affect nearly 10% of the population, while the age of onset of T2DM has been decreasing [1]. Systemic insulin resistance is a hallmark of T2DM resulting in endocrine dysfunction and increased glucose levels in circulation. The correlation between adiposity and T2DM is intricately studied, revealing an independent increased risk for T2DM in overweight and obese patients [2]. Adipocytes are critical energy regulators of glucose homeostasis. Circulating glucose is taken up by adipocytes and retained as energy stores. Insulin resistant adipocytes demonstrate aberrant GSV trafficking. This reduction in Glut movement to the plasma membrane results in excess glucose in circulation.

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