Abstract

The complexity of the adipogenesis mechanism results from the impact of multiple cues, among which an important place is held by the components of the Wnt signaling pathway. The search for potential markers of the development of diseases related to obesity aroused an interest in the study of GSK-3 (glycogen synthase kinase), β-catenin. GSK-3β is an intracellular serine / threonine kinase found in the cytoplasm, nucleus, mitochondria, synthesized in all body tissues and involved in regulating metabolic processes, cell proliferation, apoptosis etc. The first of the discovered functions of GSK-3β was the regulation of glycogen synthesis. Active GSK-3β phosphorylates and thereby inhibits glycogen synthase. As a result of the insulin binding to the cell receptor via inositol-3-phosphate, protein kinase B (Akt1) is activated, which, in turn, phosphorylates and inhibits GSK-3β. In addition, GSK-3β is involved in the regulating glucose metabolism. The most important function of GSK-3β is the inhibition of the β-catenin protein. In a resting cell, GSK-3β in complex with the APC and Axin proteins binds and phosphorylates the β-catenin transcription factor, which leads to its ubiquitination and degradation. When Wnt proteins act on the cell, the Dvl protein is activated, which, by binding to GSK-3β, releases β-catenin, preventing its degradation, however, the role of GSK3α/β in the adipocyte inflammatory response has not yet been fully investigated, therefore it seems promising to study the role of GSK-3 in the Wnt/β-catenin signaling pathway in obesityThe aim of the study was to assess the activity of the components of the Wnt signaling pathway in obese patients by measuring the serum level of GSK-3 and β-catenin. There were enrolled 32 patients with progressive forms of I-III degree obesity in the absence of diabetes mellitus. The concentration of serum GSK-3α, GSK-3β, and β-catenin was measured by enzyme-linked immunoassay. Data are presented as absolute and relative (%) number of patients; arithmetic mean; medians, 1 and 3 quartiles – Ме (Q0.25-Q0.75). Obese patients contained a 7.5-fold increased serum level of GSK-3α (785 (371-1317.5) pg/ml) compared to healthy individuals 105 (102.5-110) pg/ml, (p < 0.001), paralleled with increased amount of GSK-3β, which level in obese patients was 295 (190-695) pg/ml, which is by 18.3% higher than those in healthy individuals 241 (218.75-287.5) pg/ml, p = 0.111. Amount of GSK-3 depending on the degree of obesity tended to increase, most often coupled to decreased β-catenin level which is consistent with the literature data and can be considered as a prognostic criterion for the course of pathological processes in obesity.

Highlights

  • “The aberrant activity of glycogen synthase kinase-3 (GSK-3) is associated with the pathogenesis of many diseases, such as athe­ rosclerosis, pathology of the cardiovascular system, neurological disorders, oncopathology, immune di­ sorders, etc

  • The me­ cha­nism of Gsk3β expression regulated by IL-6 in LPS-induced pig adipocytes is as follows: LPS increased the level of Gsk3β phosphorylation and inhibited the activity of Gsk3β kinase

  • According to studies by a number of aut­ hors [7, 8, 10, 13, 15], an increase in GSK3 activity leads to the development of insulin resistance; the role of GSK3α/β in the inflammatory response of adipocytes has not yet been fully investigated, it seems promising to study the place of GSK-3 in the Wnt/β-catenin signaling pathway in obesity

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Summary

Introduction

“The aberrant activity of GSK-3 is associated with the pathogenesis of many diseases, such as athe­ rosclerosis, pathology of the cardiovascular system, neurological disorders, oncopathology, immune di­ sorders, etc. It was found that inhibition of GSK3α/β suppresses inflammation in response to various stimuli such as TNF-α, IL-1β and LPS in vitro” It apperas that GSK-3 plays a role in many inflammatory diseases. According to studies by a number of aut­ hors [7, 8, 10, 13, 15], an increase in GSK3 activity leads to the development of insulin resistance; the role of GSK3α/β in the inflammatory response of adipocytes has not yet been fully investigated, it seems promising to study the place of GSK-3 in the Wnt/β-catenin signaling pathway in obesity. The aim of the study was to assess the activity of the Wnt signaling pathway in obese patients by determining the level of GSK-3 in the blood serum

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