Abstract

Insulin resistance is an indication of early stage Type 2 diabetes (T2D). Insulin resistant adipose tissues contain higher levels of insulin than the physiological level, as well as higher amounts of intracellular tumor necrosis factor-α (TNF-α) and other cytokines. However, the mechanism of insulin resistance remains poorly understood. To better understand the roles played by insulin and TNF-α in insulin resistance, we performed proteomic analysis of differentiated 3T3-L1 adipocytes treated with insulin (Ins), TNF-α (TNF), and both (Ins + TNF). Out of the 693 proteins identified, the abundances of 78 proteins were significantly different (p < 0.05). Carnitine parmitoyltransferase-2 (CPT2), acetyl CoA carboxylase 1 (ACCAC-1), ethylmalonyl CoA decarboxylase (ECHD1), and methylmalonyl CoA isomerase (MCEE), enzymes required for fatty acid β-oxidation and respiratory electron transport, and β-glucuronidase, an enzyme responsible for the breakdown of complex carbohydrates, were down-regulated in all the treatment groups, compared to the control group. In contrast, superoxide dismutase 2 (SOD2), protein disulfide isomerase (PDI), and glutathione reductase, which are the proteins responsible for cytoskeletal structure, protein folding, degradation, and oxidative stress responses, were up-regulated. This suggests higher oxidative stress in cells treated with Ins, TNF, or both. We proposed a conceptual metabolic pathway impacted by the treatments and their possible link to insulin resistance or T2D.

Highlights

  • The alarmingly increasing frequency of obesity and non-insulin-dependent diabetes mellitus (T2D) in the United States poses a serious health crisis in the near future

  • Using a threshold of p value ≤ 0.05, we identified 78 proteins that were significantly different in of p value ≤ 0.05, we identified 78 proteins that were significantly different in cells treated with Ins only, cells treated with Ins only, TNF only, or both, compared to the control (Table 1)

  • We showed that the decreased expression of mitochondrial and cytosolic proteins involved in fatty acid beta-oxidation and carbohydrate metabolism, and increased abundances of proteins involved in folding, degradation, and stress responses

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Summary

Introduction

The alarmingly increasing frequency of obesity and non-insulin-dependent (type II) diabetes mellitus (T2D) in the United States poses a serious health crisis in the near future. We need to better understand the molecular factors and cellular pathways that are responsible for insulin resistance. Insulin is a dipeptide hormone secreted by pancreatic islet β cells, which is essential. Proteomes 2019, 7, 35 for maintaining normal blood glucose levels [1]. Insulin resistance is defined as the inability of a cell to maintain glucose homeostasis, respond to the physiological level of insulin [2,3], and is a characteristic condition of the early state of T2D. Insulin lowers blood glucose levels by regulating glucose metabolism via glycolysis, gluconeogenesis, and glycogenesis pathways [4]. Glucose is converted into pyruvate or lactate via glycolysis by sequential glycolytic enzymes, including bifunctional 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase 1

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