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Submitted on September 29, 2003
Accepted on November 11, 2003
1 Departments of Medicine, Obstetrics and Gynecology, and Pediatrics, University of Colorado Health Sciences Center and the Research Service of the Denver Veterans Affairs Medical Center
* To whom correspondence should be addressed. E-mail: Lynn.Barbour{at}uchsc.edu.
The insulin resistance of normal pregnancy is necessary to divert fuels to the fetus to meet fetal growth demands and is mediated by placental hormones. We recently demonstrated that human placental growth hormone (hPGH) can trigger severe insulin resistance in transgenic (TG) mice and in this paper, sought to elucidate the cellular mechanisms by which hPGH interferes with insulin signaling in muscle in TG mice. Insulin-stimulated Glut-4 translocation to the plasma membrane (PM) was reduced in the TG compared with the wild-type (WT) mice (P = 0.05). Insulin receptor (IR) levels were modestly reduced by 19% (P < 0.01) in the TG mice but there were no changes in phosphorylation of IR or IRS-1 between WT and TG mice. A singular finding was a highly significant increase in the p85
regulatory subunit of PI 3-kinase (P < 0.001) yet a reduced ability of insulin to stimulate IRS-1-associated PI 3-kinase activity (P < 0.05). Although the levels of the p110 catalytic subunit protein of PI 3-kinase and IRS-1 were unchanged in the TG mice, insulin's ability to stimulate p110 association with IRS-1 was markedly reduced (P < 0.0001). We demonstrate a unique mechanism of insulin resistance and suggest hPGH may contribute to the insulin resistance of normal pregnancy by increasing expression of the p85
monomer which competes in a dominant negative fashion with the p85-p110 heterodimer for binding to IRS-1 protein.
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