Abstract

Enlarged, hypertrophic adipocytes are less responsive to insulin and are a hallmark feature of obesity, contributing to many of the negative metabolic consequences of excess adipose tissue. Although the mechanisms remain unclear, the adipocyte size appears to be inversely correlated with insulin sensitivity and glucose tolerance, wherein smaller adipocytes are insulin-sensitive and larger adipocytes develop insulin resistance and exhibit an impaired glucose uptake. Thus, pharmacological strategies aimed at regulating adipocyte hypertrophy (increase in adipocyte size) in favor of promoting hyperplasia (increase in adipocyte number) have the potential to improve adipocyte insulin sensitivity and provide therapeutic benefits in the context of metabolic disorders. As white adipose tissue can metabolize large amounts of glucose to lactate, using transcriptomics and in vitro characterization we explore the functional consequences of inhibiting monocarboxylate transporter 1 (MCT1) activity in fully differentiated adipocytes. Our studies show that the pharmacological inhibition of MCT1, a key regulator of the cellular metabolism and proliferation, promotes the re-entry of mature adipocytes into the cell cycle. Furthermore, we demonstrate that inhibitor-treated adipocytes exhibit an enhanced insulin-stimulated glucose uptake as compared with untreated adipocytes, and that this outcome is dependent on the cyclin-dependent kinase 1 (CDK1) activity. In summary, we identify a mechanism though which MCT1 inhibition improves the insulin sensitivity of mature adipocytes by inducing cell cycle re-entry. These results provide the foundation for future studies investigating the role MCT1 plays in adipocyte hyperplasia, and its therapeutic potential as a drug target for obesity and metabolic disease.

Highlights

  • In this study, using the classical white adipocyte cell model, murine 3T3-L1 cells, we demonstrate that treatment with a small molecule inhibitor of monocarboxylate transporter 1 (MCT1) (AZD3965) results in the re-entry of mature adipocytes into the cell cycle

  • The successful knockdown of MCT1 expression at both the mRNA and protein levels in 3T3-L1-shMCT1 was demonstrated with a reverse transcription–quantitative polymerase chain reaction (RT-qPCR) and immunoblotting (Figure 1A–C, respectively)

  • Adipose tissue is a critical regulator of the whole-body metabolism and energy homeostasis, where its primary function is to store energy in the form of lipids with the glucose uptake playing a key role in providing substrates for lipogenesis [39]

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Summary

Introduction

Our studies show that the pharmacological inhibition of MCT1, a key regulator of the cellular metabolism and proliferation, promotes the re-entry of mature adipocytes into the cell cycle. We identify a mechanism though which MCT1 inhibition improves the insulin sensitivity of mature adipocytes by inducing cell cycle re-entry. These results provide the foundation for future studies investigating the role MCT1 plays in adipocyte hyperplasia, and its therapeutic potential as a drug target for obesity and metabolic disease. T2DM is a complex metabolic disorder characterized by hyperglycemia arising from the combination of an impaired insulin secretion, increased hepatic glucose production, and a decreased insulin-mediated glucose uptake (insulin resistance) [3].

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