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The forkhead transcription factor Foxo1 (Fkhr) confers insulin sensitivity onto glucose-6-phosphatase expression
Jun Nakae, … , David L. Silver, Domenico Accili
Jun Nakae, … , David L. Silver, Domenico Accili
Published November 1, 2001
Citation Information: J Clin Invest. 2001;108(9):1359-1367. https://doi.org/10.1172/JCI12876.
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Article

The forkhead transcription factor Foxo1 (Fkhr) confers insulin sensitivity onto glucose-6-phosphatase expression

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Abstract

Type 2 diabetes is characterized by the inability of insulin to suppress glucose production in the liver and kidney. Insulin inhibits glucose production by indirect and direct mechanisms. The latter result in transcriptional suppression of key gluconeogenetic and glycogenolytic enzymes, phosphoenolpyruvate carboxykinase (Pepck) and glucose-6-phosphatase (G6p). The transcription factors required for this effect are incompletely characterized. We report that in glucogenetic kidney epithelial cells, Pepck and G6p expression are induced by dexamethasone (dex) and cAMP, but fail to be inhibited by insulin. The inability to respond to insulin is associated with reduced expression of the forkhead transcription factor Foxo1, a substrate of the Akt kinase that is inhibited by insulin through phosphorylation. Transduction of kidney cells with recombinant adenovirus encoding Foxo1 results in insulin inhibition of dex/cAMP–induced G6p expression. Moreover, expression of dominant negative Foxo1 mutant results in partial inhibition of dex/cAMP–induced G6p and Pepck expression in primary cultures of mouse hepatocyes and kidney LLC-PK1-FBPase+ cells. These findings are consistent with the possibility that Foxo1 is involved in insulin regulation of glucose production by mediating the ability of insulin to decrease the glucocorticoid/cAMP response of G6p.

Authors

Jun Nakae, Tadahiro Kitamura, David L. Silver, Domenico Accili

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Figure 5

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Foxo1 expression confers insulin inhibition on G6p, but not on Pepck. (a...
Foxo1 expression confers insulin inhibition on G6p, but not on Pepck. (a) Time-course analysis of dex/cAMP effect in cells transduced with Foxo1. LLC cells were transduced with adenovirus encoding WT Foxo1 and incubated with dex/cAMP for the indicated periods of time. At the end of the incubation, mRNA was extracted and analyzed by Northern blot analysis using the relevant cDNA probes. (b) Time-course analysis of insulin effect. LLC cells were transduced with Foxo1 adenovirus. After 48 hours, the medium was replaced with serum-free medium, and incubation was continued overnight. Thereafter, dex/cAMP was added for 16 hours, followed by 6 hours of treatment in the presence (lanes 2–5) or in the absence of insulin (lanes 6–9) for various lengths of time, as indicated. Northern blot analysis was performed as described above. (c) Northern blot of G6p and Pepck mRNAs following transduction of LLC cells with adenoviral vector encoding Foxo1. LLC cells were incubated in serum-free medium overnight before addition of dex/cAMP for 4 hours (lanes 2 and 3) or 16 hours (lanes 5 and 6), followed by insulin stimulation for 6 hours (lanes 3 and 6). Thereafter, mRNA was isolated and Northern blot analysis was performed with cDNA probes encoding G6p (upper panel), Pepck (middle panel), and β-actin (lower panel). A representative experiment is shown, and data from three independent adenoviral transductions are summarized in (d). Mean ± SEM of the percentage of insulin inhibition of dex/cAMP–induced expression at 16 hours was calculated from three independent experiments using densitometric scanning of the autoradiograms. The mRNA loading was normalized by subsequent hybridization with a β-actin probe. *P < 0.05 ANOVA.

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