Glucose Sensing by Skeletal Myocytes Couples Nutrient Signaling to Systemic Homeostasis
Skeletal muscle is a major site of postprandial glucose disposal. Inadequate insulin action in skeletal myocytes contributes to hyperglycemia in diabetes. Although glucose is known to stimulate insulin secretion by β cells, whether it directly engages nutrient signaling pathways in skeletal muscle t...
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Published in | Molecular cell Vol. 66; no. 3; pp. 332 - 344.e4 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
04.05.2017
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Subjects | |
Online Access | Get full text |
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Summary: | Skeletal muscle is a major site of postprandial glucose disposal. Inadequate insulin action in skeletal myocytes contributes to hyperglycemia in diabetes. Although glucose is known to stimulate insulin secretion by β cells, whether it directly engages nutrient signaling pathways in skeletal muscle to maintain systemic glucose homeostasis remains largely unexplored. Here we identified the Baf60c-Deptor-AKT pathway as a target of muscle glucose sensing that augments insulin action in skeletal myocytes. Genetic activation of this pathway improved postprandial glucose disposal in mice, whereas its muscle-specific ablation impaired insulin action and led to postprandial glucose intolerance. Mechanistically, glucose triggers KATP channel-dependent calcium signaling, which promotes HDAC5 phosphorylation and nuclear exclusion, leading to Baf60c induction and insulin-independent AKT activation. This pathway is engaged by the anti-diabetic sulfonylurea drugs to exert their full glucose-lowering effects. These findings uncover an unexpected mechanism of glucose sensing in skeletal myocytes that contributes to homeostasis and therapeutic action.
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•Skeletal myocytes engage in physiological glucose sensing via the KATP channel•Glucose stimulates insulin-independent AKT activation through HDAC5/Baf60c•Muscle glucose sensing is required for postprandial glucose homeostasis•Sulfonylureas lower blood glucose in part through the Baf60c-Deptor-AKT axis
Skeletal myocytes directly sense extracellular glucose concentrations and activate a signaling pathway to drive hormone-independent AKT activation. This glucose-sensing pathway acts in concert with insulin to promote muscle glucose utilization and maintain systemic glucose homeostasis. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Lead contact |
ISSN: | 1097-2765 1097-4164 |
DOI: | 10.1016/j.molcel.2017.04.007 |