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This version published online on April 19, 2007
Endocrinology, doi:10.1210/en.2006-1441
A more recent version of this article appeared on July 1, 2007
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Submitted on October 27, 2006
Accepted on April 11, 2007

TNF-{alpha} induces insulin resistance in endothelial cells via a p38 MAPK-dependent pathway

Guolian Li, Eugene J. Barrett, Matthew O. Barrett, Wenhong Cao, and Zhenqi Liu*

Division of Endocrinology and Metabolism, Department of Internal Medicine, University of Virginia Health System, Charlottesville, VA 22908; Endocrine Biology Program, The Hamner Institutes for Health Sciences, Research Triangle Park, NC 27709

* To whom correspondence should be addressed. E-mail: zl3e{at}virginia.edu.

Chronic inflammation contributes to vascular insulin resistance and endothelial dysfunction. Systemic infusion of TNF-{alpha} abrogates insulin's action to enhance skeletal muscle microvascular perfusion. In skeletal muscle TNF-{alpha} induces insulin resistance via the p38 mitogen-activated protein kinase (p38 MAPK) pathway. To examine whether p38 MAPK also regulates TNF-{alpha}-induced vascular insulin resistance, bovine aortic endothelial cells (bAECs) were incubated ± TNF-{alpha} (5 ng/mL) for 6 hr in the presence or absence of SB203580 (p38 MAPK specific inhibitor, 10 µM) after serum starvation for 10 hr. For the last 30 min, cells were treated ± 1 nM insulin, and IRS-1, Akt, eNOS, p38 MAPK, ERK1/2, JNK and AMPK phosphorylation and eNOS activity were measured.

TNF-{alpha} increased p38 MAPK phosphorylation, potently stimulated IRS-1 serine phosphorylation and blunted insulin-stimulated IRS-1 tyrosine and Akt phosphorylation and eNOS activity. TNF-{alpha} also potently stimulated the phosphorylation of ERK1/2 and AMPK. Treatment with SB203580 decreased p38 MAPK phosphorylation back to the baseline and restored insulin sensitivity of IRS-1 tyrosine and Akt phosphorylation and eNOS activity in TNF-{alpha}-treated bAECs without affecting TNF-{alpha}-induced ERK1/2 and AMPK phosphorylation.

We conclude that in cultured bAECs TNF-{alpha} induces insulin resistance in the PI3-kinase/Akt/eNOS pathway via a p38 MAPK-dependent mechanism and enhances ERK1/2 and AMPK phosphorylation independent of p38 MAPK pathway. This differential modulation of TNF-{alpha}'s actions by p38 MAPK suggests that p38 MAPK plays a key role in TNF-{alpha}-mediated vascular insulin resistance and may contribute to the generalized endothelial dysfunction seen in type 2 diabetes mellitus and the cardiometabolic syndrome.


Key words: endothelial cells • insulin resistance • inflammation • mitogen-activated protein kinase




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