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PMID:10593862

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Citation

Jiménez-Chillarón, JC, Newgard, CB and Gómez-Foix, AM (1999) Increased glucose disposal induced by adenovirus-mediated transfer of glucokinase to skeletal muscle in vivo. FASEB J. 13:2153-60

Abstract

In non-insulin-dependent diabetes mellitus, insulin-stimulated glucose uptake is impaired in muscle, contributing in a major way to development of hyperglycemia. We previously showed that expression of the glucose phosphorylating enzyme glucokinase (GK) in cultured human myocytes improved glucose storage and disposal, suggesting that GK delivery to muscle in situ could potentially enhance glucose clearance. Here we have tested this idea directly by intramuscular delivery of an adenovirus containing the liver GK cDNA (AdCMV-GKL) into one hind limb. We injected an adenovirus containing the beta-galactosidase gene (AdCMV-lacZ) into the hind limb of newborn rats. beta-Galactosidase activity was localized in muscle for as long as 1 month after delivery, with a large percentage of fibers staining positive in the gastrocnemius. Using the same approach with AdCMV-GKL, GK protein content was increased from zero to 50-400% of the GK in normal liver sample, and total glucose phosphorylating activity was increased in GK-expressing muscles relative to the counterpart uninfected muscle. Expression of GK in muscle improved glucose tolerance rather than changing basal glycemic control. Glucose levels were reduced by approximately 35% 10 min after administration of a glucose bolus to fed animals treated with AdCMV-GKL relative to AdCMV-lacZ-treated controls. The enhanced rate of glucose clearance was reflected in increases in muscle 2-deoxy glucose uptake and blood lactate levels. We conclude that restricted expression of GK in muscle leads to an enhanced capacity for muscle glucose disposal and whole body glucose tolerance under conditions of maximal glucose-insulin stimulation, suggesting that under these conditions glucose phosphorylation becomes rate-limiting. Our findings also show that gene delivery to a fraction of the whole body is sufficient to improve glucose disposal, providing a rationale for the development of new therapeutic strategies for treatment of diabetes.-Jiménez-Chillarón, J. C., Newgard, C. B., Gómez-Foix, A. M. Increased glucose disposal induced by adenovirus-mediated transfer of glucokinase to skeletal muscle in vivo.

Links

PubMed

Keywords

Adenoviridae; Animals; Enzyme Activation; Gene Transfer Techniques; Genetic Vectors/genetics; Glucokinase/biosynthesis; Glucokinase/genetics; Glucokinase/metabolism; Glucose/metabolism; Glucose Transporter Type 4; Liver/enzymology; Monosaccharide Transport Proteins/biosynthesis; Muscle Proteins; Muscle, Skeletal/physiology; Rats; Rats, Wistar

Significance

Annotations

Gene product Qualifier GO Term Evidence Code with/from Aspect Extension Notes Status

RAT:HXK4

GO:0004340: glucokinase activity

ECO:0000315:

F

Figure 4. shows that rats enhanced with adenoviruses containing the cDNA encoding rat liver glucokinase (AdCMV-GKL) more efficiently cleared the glucose bolus than the unenhanced rats or the rats enhanced with adenoviruses containing the cDNA encoding Escherichia coli b-galactosidase nls-LacZ gene (AdCMV-lacZ). Rats with higher levels of Glucokinase enhancement cleared the bolus more efficiently than those with lower levels of Glucokinase enhancement.

complete
CACAO 10122

Notes

See also

References

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