Increasing fructose 2,6-bisphosphate overcomes hepatic insulin resistance of type 2 diabetes

Am J Physiol Endocrinol Metab. 2002 Jan;282(1):E38-45. doi: 10.1152/ajpendo.2002.282.1.E38.

Abstract

Hepatic glucose production is increased as a metabolic consequence of insulin resistance in type 2 diabetes. Because fructose 2,6-bisphosphate is an important regulator of hepatic glucose production, we used adenovirus-mediated enzyme overexpression to increase hepatic fructose 2,6-bisphosphate to determine if the hyperglycemia in KK mice, polygenic models of type 2 diabetes, could be ameliorated by reduction of hepatic glucose production. Seven days after treatment with virus encoding a mutant 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase designed to increase fructose 2,6-bisphosphate levels, plasma glucose, lipids, and insulin were significantly reduced in KK/H1J and KK.Cg-A(y)/J mice. Moreover, high fructose 2,6-bisphosphate levels downregulated glucose-6-phosphatase and upregulated glucokinase gene expression, thereby reversing the insulin-resistant pattern of hepatic gene expression of these two key glucose-metabolic enzymes. The increased hepatic fructose 2,6-bisphosphate also reduced adiposity in both KK mice. These results clearly indicate that increasing hepatic fructose 2,6-bisphosphate overcomes the impairment of insulin in suppressing hepatic glucose production, and it provides a potential therapy for type 2 diabetes.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adipose Tissue / drug effects
  • Adipose Tissue / pathology
  • Animals
  • Blood / metabolism
  • Body Weight / drug effects
  • Diabetes Mellitus, Type 2 / pathology
  • Diabetes Mellitus, Type 2 / physiopathology*
  • Epididymis
  • Female
  • Fructosediphosphates / pharmacology*
  • Glucokinase / metabolism
  • Glucose-6-Phosphatase / metabolism
  • Glycogen / metabolism
  • Insulin / blood
  • Insulin Resistance*
  • Liver / metabolism
  • Liver / physiopathology*
  • Male
  • Mice
  • Mice, Inbred Strains
  • Phosphofructokinase-2 / pharmacology*

Substances

  • Fructosediphosphates
  • Insulin
  • fructose 2,6-diphosphate
  • Glycogen
  • Phosphofructokinase-2
  • Glucokinase
  • Glucose-6-Phosphatase