Abstract
Insulin resistance and obesity are central components of the metabolic syndrome which
has become the leading cause of cardiovascular morbidity and mortality worldwide.
Direct interactions of the β3-adrenoceptor system with adipocyte signaling and function in humans remain poorly
understood. However, this might have important consequences for the regulation of
energy homeostasis and insulin resistance in states of hyperinsulinemia and sympatho-adrenergic
overactivity. We therefore investigated β3-adrenoceptor-mediated effects on insulin signaling and glucose uptake in mammary
adipocytes of healthy women that underwent breast reduction surgery. Glucose uptake
was strongly induced by insulin stimulation. This was paralleled by robust induction
of insulin receptor kinase activity, insulin receptor substrate-1-associated phosphatidylinositol-3
kinase activity, and protein kinase B phosphorylation. Treatment with the β3-adrenoceptor-selective agonist CL316,243 alone, neither induced alterations in the
early insulin signaling cascade nor changed the basal level of glucose uptake. By
contrast, pretreatment with the β3-adrenoceptor agonist inhibited the insulin-induced insulin receptor substrate-1-associated
phosphatidylinositol-3 kinase activity by 50 % and protein kinase B phosphorylation
by 40 % without affecting insulin receptor kinase activity upstream. However, on the
functional level insulin-induced glucose uptake remained unchanged by β3-adrenoceptor stimulation. Our data demonstrate an insulin receptor-independent negative
influence of β3-adrenoceptor stimulation on proximal insulin signaling. This inhibition is apparently
dissociated from glucose uptake in human adipocytes.
Key words
Insulin receptor - obesity - PD151746 - PI3 kinase - protein kinase B
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Ph.D. Marco M. Jost
Medical Research
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