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ApoA-1 improves glucose tolerance by increasing glucose uptake into heart and skeletal muscle independently of AMPKα2

Fritzen, Andreas Mæchel ; Domingo-Espín, Joan LU ; Lundsgaard, Anne Marie ; Kleinert, Maximilian ; Israelsen, Ida ; Carl, Christian S. ; Nicolaisen, Trine S. ; Kjøbsted, Rasmus ; Jeppesen, Jacob F. and Wojtaszewski, Jørgen F.P. , et al. (2020) In Molecular Metabolism 35.
Abstract

Objective: Acute administration of the main protein component of high-density lipoprotein, apolipoprotein A-I (ApoA-1), improves glucose uptake in skeletal muscle. The molecular mechanisms mediating this are not known, but in muscle cell cultures, ApoA-1 failed to increase glucose uptake when infected with a dominant-negative AMP-activated protein kinase (AMPK) virus. We therefore investigated whether AMPK is necessary for ApoA-1-stimulated glucose uptake in intact heart and skeletal muscle in vivo. Methods: The effect of injection with recombinant human ApoA-1 (rApoA-1) on glucose tolerance, glucose-stimulated insulin secretion, and glucose uptake into skeletal and heart muscle with and without block of insulin secretion by injection... (More)

Objective: Acute administration of the main protein component of high-density lipoprotein, apolipoprotein A-I (ApoA-1), improves glucose uptake in skeletal muscle. The molecular mechanisms mediating this are not known, but in muscle cell cultures, ApoA-1 failed to increase glucose uptake when infected with a dominant-negative AMP-activated protein kinase (AMPK) virus. We therefore investigated whether AMPK is necessary for ApoA-1-stimulated glucose uptake in intact heart and skeletal muscle in vivo. Methods: The effect of injection with recombinant human ApoA-1 (rApoA-1) on glucose tolerance, glucose-stimulated insulin secretion, and glucose uptake into skeletal and heart muscle with and without block of insulin secretion by injection of epinephrine (0.1 mg/kg) and propranolol (5 mg/kg), were investigated in 8 weeks high-fat diet-fed (60E%) wild-type and AMPKα2 kinase-dead mice in the overnight-fasted state. In addition, the effect of rApoA-1 on glucose uptake in isolated skeletal muscle ex vivo was studied. Results: rApoA-1 lowered plasma glucose concentration by 1.7 mmol/l within 3 h (6.1 vs 4.4 mmol/l; p < 0.001). Three hours after rApoA-1 injection, glucose tolerance during a 40-min glucose tolerance test (GTT) was improved compared to control (area under the curve (AUC) reduced by 45%, p < 0.001). This was accompanied by an increased glucose clearance into skeletal (+110%; p < 0.001) and heart muscle (+100%; p < 0.001) and an increase in glucose-stimulated insulin secretion 20 min after glucose injection (+180%; p < 0.001). When insulin secretion was blocked during a GTT, rApoA-1 still enhanced glucose tolerance (AUC lowered by 20% compared to control; p < 0.001) and increased glucose clearance into skeletal (+50%; p < 0.05) and heart muscle (+270%; p < 0.001). These improvements occurred to a similar extent in both wild-type and AMPKα2 kinase-dead mice and thus independently of AMPKα2 activity in skeletal- and heart muscle. Interestingly, rApoA-1 failed to increase glucose uptake in isolated skeletal muscles ex vivo. Conclusions: In conclusion, ApoA-1 stimulates in vivo glucose disposal into skeletal and heart muscle independently of AMPKα2. The observation that ApoA-1 fails to increase glucose uptake in isolated muscle ex vivo suggests that additional systemic effects are required.

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Contribution to journal
publication status
published
subject
keywords
AMP-Activated protein kinase (AMPK), Apolipoprotein A-1 (ApoA-1), Glucose uptake, Insulin, Metabolism, Skeletal muscle
in
Molecular Metabolism
volume
35
article number
100949
publisher
Elsevier
external identifiers
  • scopus:85081651988
  • pmid:32244181
ISSN
2212-8778
DOI
10.1016/j.molmet.2020.01.013
language
English
LU publication?
yes
additional info
Copyright © 2020 The Author(s). Published by Elsevier GmbH.. All rights reserved.
id
c66f539b-f5cf-46e0-82f4-0b4278475d76
date added to LUP
2020-03-30 16:28:24
date last changed
2024-05-30 13:04:34
@article{c66f539b-f5cf-46e0-82f4-0b4278475d76,
  abstract     = {{<p>Objective: Acute administration of the main protein component of high-density lipoprotein, apolipoprotein A-I (ApoA-1), improves glucose uptake in skeletal muscle. The molecular mechanisms mediating this are not known, but in muscle cell cultures, ApoA-1 failed to increase glucose uptake when infected with a dominant-negative AMP-activated protein kinase (AMPK) virus. We therefore investigated whether AMPK is necessary for ApoA-1-stimulated glucose uptake in intact heart and skeletal muscle in vivo. Methods: The effect of injection with recombinant human ApoA-1 (rApoA-1) on glucose tolerance, glucose-stimulated insulin secretion, and glucose uptake into skeletal and heart muscle with and without block of insulin secretion by injection of epinephrine (0.1 mg/kg) and propranolol (5 mg/kg), were investigated in 8 weeks high-fat diet-fed (60E%) wild-type and AMPKα<sub>2</sub> kinase-dead mice in the overnight-fasted state. In addition, the effect of rApoA-1 on glucose uptake in isolated skeletal muscle ex vivo was studied. Results: rApoA-1 lowered plasma glucose concentration by 1.7 mmol/l within 3 h (6.1 vs 4.4 mmol/l; p &lt; 0.001). Three hours after rApoA-1 injection, glucose tolerance during a 40-min glucose tolerance test (GTT) was improved compared to control (area under the curve (AUC) reduced by 45%, p &lt; 0.001). This was accompanied by an increased glucose clearance into skeletal (+110%; p &lt; 0.001) and heart muscle (+100%; p &lt; 0.001) and an increase in glucose-stimulated insulin secretion 20 min after glucose injection (+180%; p &lt; 0.001). When insulin secretion was blocked during a GTT, rApoA-1 still enhanced glucose tolerance (AUC lowered by 20% compared to control; p &lt; 0.001) and increased glucose clearance into skeletal (+50%; p &lt; 0.05) and heart muscle (+270%; p &lt; 0.001). These improvements occurred to a similar extent in both wild-type and AMPKα<sub>2</sub> kinase-dead mice and thus independently of AMPKα<sub>2</sub> activity in skeletal- and heart muscle. Interestingly, rApoA-1 failed to increase glucose uptake in isolated skeletal muscles ex vivo. Conclusions: In conclusion, ApoA-1 stimulates in vivo glucose disposal into skeletal and heart muscle independently of AMPKα<sub>2</sub>. The observation that ApoA-1 fails to increase glucose uptake in isolated muscle ex vivo suggests that additional systemic effects are required.</p>}},
  author       = {{Fritzen, Andreas Mæchel and Domingo-Espín, Joan and Lundsgaard, Anne Marie and Kleinert, Maximilian and Israelsen, Ida and Carl, Christian S. and Nicolaisen, Trine S. and Kjøbsted, Rasmus and Jeppesen, Jacob F. and Wojtaszewski, Jørgen F.P. and Lagerstedt, Jens O. and Kiens, Bente}},
  issn         = {{2212-8778}},
  keywords     = {{AMP-Activated protein kinase (AMPK); Apolipoprotein A-1 (ApoA-1); Glucose uptake; Insulin; Metabolism; Skeletal muscle}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Molecular Metabolism}},
  title        = {{ApoA-1 improves glucose tolerance by increasing glucose uptake into heart and skeletal muscle independently of AMPKα<sub>2</sub>}},
  url          = {{http://dx.doi.org/10.1016/j.molmet.2020.01.013}},
  doi          = {{10.1016/j.molmet.2020.01.013}},
  volume       = {{35}},
  year         = {{2020}},
}