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This version published online on August 17, 2006
Endocrinology, doi:10.1210/en.2006-0518
A more recent version of this article appeared on November 1, 2006
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Submitted on April 20, 2006
Accepted on August 10, 2006

The Novel Roles of Liver for Compensation of Insulin Resistance in Human Growth Hormone Transgenic Rats

Yoshitake CHO, Miyako ARIGA, Yasunobu UCHIJIMA, Kumi KIMURA, Jeung-Yon RHO, Yasufumi FURUHATA, Fumihiko HAKUNO, Keitaro YAMANOUCHI, Masugi NISHIHARA, and Shin-Ichiro TAKAHASHI*

Departments of Animal Sciences and Applied Biological Chemistry, and Department of Veterinary Medical Science, Graduate School of Agricultural and Life Sciences, and Department of Physiological Chemistry and Metabolism, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8657, Japan, and Department of Agricultural Chemistry, Faculty of Agriculture, Meiji University, Kawasaki, Kanagawa 214-8571, Japan

* To whom correspondence should be addressed. E-mail: atkshin{at}mail.ecc.u-tokyo.ac.jp.

Chronic excess of growth hormone is known to cause hyperinsulinemia and insulin resistance. We developed human GH transgenic (TG) rats, which were characterized by high plasma levels of human GH and IGF-I. These TG rats showed higher levels of plasma insulin compared with control littermates, whereas plasma glucose concentrations were normal. Insulin-dependent glucose uptake into adipocytes and muscle was impaired, suggesting that these rats developed insulin resistance. In contrast, insulin-independent glucose uptake into hepatocytes from TG rats was significantly increased, and glycogen and lipid levels in livers of TG rats were remarkably high. Because the role of liver in GH-induced insulin resistance is poorly understood, we studied insulin signaling at early stages and insulin action in liver and primary cultures of hepatocytes prepared from TG rats. There was no difference in insulin receptor kinase activity induced by insulin between TG and control rats; however, insulin-dependent IRS-2 tyrosine phosphorylation, glycogen synthase activation and expression of enzymes that induce lipid synthesis, were potentiated in hepatocytes of TG rats. These results suggest that 1) impairment of insulin-dependent glucose uptake by GH excess in adipose tissue and muscle, is compensated by up-regulation of glucose uptake in liver, and 2) potentiation of insulin signaling through IRS-2 in liver experiencing GH excess causes an increase in glycogen and lipid synthesis from incorporated glucose, resulting in accumulation of glycogen and lipids in liver. This novel mechanism explains normalization of plasma glucose levels at least in part in a GH excess model.


Key words: Growth hormone • Insulin • Glucose • Hepatocyte • IRS (insulin receptor substrate)




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