Endoplasmic reticulum stress causes insulin resistance by inhibiting delivery of newly synthesized insulin receptors to the cell surface

Mol Biol Cell. 2020 Nov 1;31(23):2597-2629. doi: 10.1091/mbc.E18-01-0013. Epub 2020 Sep 2.

Abstract

Accumulation of unfolded proteins in the endoplasmic reticulum (ER) causes ER stress and activates a signaling network known as the unfolded protein response (UPR). Here we characterize how ER stress and the UPR inhibit insulin signaling. We find that ER stress inhibits insulin signaling by depleting the cell surface population of the insulin receptor. ER stress inhibits proteolytic maturation of insulin proreceptors by interfering with transport of newly synthesized insulin proreceptors from the ER to the plasma membrane. Activation of AKT, a major target of the insulin signaling pathway, by a cytosolic, membrane-bound chimera between the AP20187-inducible FV2E dimerization domain and the cytosolic protein tyrosine kinase domain of the insulin receptor was not affected by ER stress. Hence, signaling events in the UPR, such as activation of the JNK mitogen-activated protein (MAP) kinases or the pseudokinase TRB3 by the ER stress sensors IRE1α and PERK, do not contribute to inhibition of signal transduction in the insulin signaling pathway. Indeed, pharmacologic inhibition and genetic ablation of JNKs, as well as silencing of expression of TRB3, did not restore insulin sensitivity or rescue processing of newly synthesized insulin receptors in ER-stressed cells. [Media: see text].

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activating Transcription Factor 6 / metabolism
  • Animals
  • Antigens, CD / metabolism
  • Antigens, CD / physiology
  • Cell Culture Techniques
  • Cell Membrane / metabolism
  • Endoplasmic Reticulum / metabolism
  • Endoplasmic Reticulum Stress / physiology*
  • Fibroblasts
  • HEK293 Cells
  • Humans
  • Insulin / metabolism
  • Insulin Resistance / genetics
  • Insulin Resistance / physiology*
  • JNK Mitogen-Activated Protein Kinases / metabolism
  • Mice
  • Phosphorylation
  • Protein Precursors / metabolism*
  • Protein Precursors / physiology
  • Protein Serine-Threonine Kinases / metabolism
  • Protein Transport
  • Receptor, Insulin / metabolism*
  • Receptor, Insulin / physiology
  • Signal Transduction
  • Unfolded Protein Response / physiology
  • eIF-2 Kinase / metabolism

Substances

  • Activating Transcription Factor 6
  • Antigens, CD
  • Insulin
  • Protein Precursors
  • insulin proreceptor
  • INSR protein, human
  • Receptor, Insulin
  • Protein Serine-Threonine Kinases
  • eIF-2 Kinase
  • JNK Mitogen-Activated Protein Kinases