Abstract

Insulin resistance causes type 2 diabetes; therefore, increasing insulin sensitivity is a therapeutic approach against type 2 diabetes. Activating AMP-activated protein kinase (AMPK) is an effective approach for treating diabetes, and reduced insulin receptor substrate-1 (IRS-1) protein levels have been suggested as a molecular mechanism causing insulin resistance. Thus, dual targeting of AMPK and IRS-1 might provide an ideal way to treat diabetes. We found that 15,16-dihydrotanshinone I (DHTS), as a C1-Ten protein tyrosine phosphatase inhibitor, increased IRS-1 stability, improved glucose tolerance and reduced muscle atrophy. Identification of DHTS as a C1-Ten inhibitor revealed a new function of C1-Ten in AMPK inhibition, possibly through regulation of IRS-1. These findings suggest that C1-Ten inhibition by DHTS could provide a novel therapeutic strategy for insulin resistance-associated metabolic syndrome through dual targeting of IRS-1 and AMPK.

Highlights

  • Type 2 diabetes is the most common form of diabetes, and insulin resistance in metabolic organs contributes to the development of this disease

  • protein tyrosine phosphatase (PTPase) are readily inactivated by reactive oxygen species (ROS) through the oxidation of catalytic cysteine[12]

  • NAC treatment prevented H2O2 and Menadione-induced insulin receptor substrate-1 (IRS-1) tyrosine phosphorylation, dihydrotanshinone I (DHTS)-induced IRS-1 tyrosine phosphorylation remained in the presence of NAC

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Summary

Introduction

Type 2 diabetes is the most common form of diabetes, and insulin resistance in metabolic organs contributes to the development of this disease. Reduced IRS-1 levels contribute to two pathological features of insulin resistance in skeletal muscle: impaired glucose metabolism and decreased muscle mass[7]. Overexpression of E3 ligases targeting IRS-1 induces pathological changes such as glucose intolerance or muscle atrophy[8,9,10,11], as both are under the control of IRS-1-mediated signaling. We revealed that C1-Ten promotes IRS-1 degradation via its protein tyrosine phosphatase (PTPase) activity towards IRS-1, thereby reducing glucose uptake and muscle mass[3]. With the unexpected finding that C1-Ten inhibition leads to activation of both IRS-1 and AMP-activated protein kinase (AMPK) pathways, we elucidated a new C1-Ten-mediated signaling pathway using the C1-Ten inhibitor, DHTS. Our study potentiates the importance of C1-Ten as a novel therapeutic target for metabolic disorders

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