Reduced tyrosine kinase activity of the insulin receptor in obesity-diabetes. Central role of tumor necrosis factor-alpha

J Clin Invest. 1994 Oct;94(4):1543-9. doi: 10.1172/JCI117495.

Abstract

Insulin resistance is an important metabolic abnormality often associated with infections, cancer, obesity, and especially non-insulin-dependent diabetes mellitus (NIDDM). We have previously demonstrated that tumor necrosis factor-alpha produced by adipose tissue is a key mediator of insulin resistance in animal models of obesity-diabetes. However, the mechanism by which TNF-alpha interferes with insulin action is not known. Since a defective insulin receptor (IR) tyrosine kinase activity has been observed in obesity and NIDDM, we measured the IR tyrosine kinase activity in the Zucker (fa/fa) rat model of obesity and insulin resistance after neutralizing TNF-alpha with a soluble TNF receptor (TNFR)-lgG fusion protein. This neutralization resulted in a marked increase in insulin-stimulated autophosphorylation of the IR, as well as phosphorylation of insulin receptor substrate 1 (IRS-1) in muscle and fat tissues of the fa/fa rats, restoring them to near control (lean) levels. In contrast, no significant changes were observed in insulin-stimulated tyrosine phosphorylations of IR and IRS-1 in liver. The physiological significance of the improvements in IR signaling was indicated by a concurrent reduction in plasma glucose, insulin, and free fatty acid levels. These results demonstrate that TNF-alpha participates in obesity-related systemic insulin resistance by inhibiting the IR tyrosine kinase in the two tissues mainly responsible for insulin-stimulated glucose uptake: muscle and fat.

Publication types

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

MeSH terms

  • Adipose Tissue / metabolism
  • Animals
  • Diabetes Mellitus / enzymology
  • Diabetes Mellitus / metabolism*
  • Diabetes Mellitus, Type 2 / chemically induced
  • Diabetes Mellitus, Type 2 / enzymology
  • Diabetes Mellitus, Type 2 / metabolism*
  • Disease Models, Animal
  • Immunoglobulin G / genetics
  • Insulin / blood
  • Insulin / pharmacology
  • Insulin Receptor Substrate Proteins
  • Insulin Resistance
  • Liver / metabolism
  • Male
  • Muscles / metabolism
  • Neutralization Tests
  • Obesity*
  • Phosphoproteins / metabolism
  • Phosphorylation
  • Phosphotyrosine
  • Protein-Tyrosine Kinases / metabolism*
  • Rats
  • Rats, Zucker
  • Receptor, Insulin / metabolism*
  • Receptors, Tumor Necrosis Factor / genetics
  • Recombinant Fusion Proteins / pharmacology
  • Specific Pathogen-Free Organisms
  • Tumor Necrosis Factor-alpha / physiology*
  • Tyrosine / analogs & derivatives
  • Tyrosine / analysis

Substances

  • Immunoglobulin G
  • Insulin
  • Insulin Receptor Substrate Proteins
  • Irs1 protein, rat
  • Phosphoproteins
  • Receptors, Tumor Necrosis Factor
  • Recombinant Fusion Proteins
  • Tumor Necrosis Factor-alpha
  • Phosphotyrosine
  • Tyrosine
  • Protein-Tyrosine Kinases
  • Receptor, Insulin