Abstract

The role of insulin-degrading enzyme (IDE), a metalloprotease with high affinity for insulin, in insulin clearance remains poorly understood. OBJECTIVE: This study aimed to clarify whether IDE is a major mediator of insulin clearance, and to define its role in the etiology of hepatic insulin resistance. MethodsWe generated mice with liver-specific deletion of Ide (L-IDE-KO) and assessed insulin clearance and action. ResultsL-IDE-KO mice exhibited higher (~20%) fasting and non-fasting plasma glucose levels, glucose intolerance and insulin resistance. This phenotype was associated with ~30% lower plasma membrane insulin receptor levels in liver, as well as ~55% reduction in insulin-stimulated phosphorylation of the insulin receptor, and its downstream signaling molecules, AKT1 and AKT2 (reduced by ~40%). In addition, FoxO1 was aberrantly distributed in cellular nuclei, in parallel with up-regulation of the gluconeogenic genes Pck1 and G6pc. Surprisingly, L-IDE-KO mice showed similar plasma insulin levels and hepatic insulin clearance as control mice, despite reduced phosphorylation of the carcinoembryonic antigen-related cell adhesion molecule 1, which upon its insulin-stimulated phosphorylation, promotes receptor-mediated insulin uptake to be degraded. ConclusionIDE is not a rate-limiting regulator of plasma insulin levels in vivo.

Highlights

  • Insulin-degrading enzyme (IDE) is a 110-kDa zincmetalloendopeptidase first identified and named based on its ability to bind to and degrade insulin [1]

  • No differences in IDE expression were observed in other tissues, except for a ~20% reduction in Ide mRNA levels without changes in IDE protein levels in skeletal muscle

  • Hepatic IDE Deletion Leads to Glucose Intolerance and Insulin Resistance, but without Altered Insulin Metabolism

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Summary

Introduction

Insulin-degrading enzyme (IDE) is a 110-kDa zincmetalloendopeptidase first identified and named based on its ability to bind to and degrade insulin [1]. The protease is primarily cytosolic, but it has been reported to exist within a number of intracellular vesicles, and organelles, as well as being associated with membranes, and secreted into the extracellular space [1,3,4,5,6]. This wide distribution suggests a dynamic and multifunctional role for IDE.

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