Effects of intravenous AICAR (5-aminoimidazole-4-carboximide riboside) administration on insulin signaling and resistance in premature baboons, Papio sp.

Premature baboons exhibit peripheral insulin resistance and impaired insulin signaling. 5' AMP-activated protein kinase (AMPK) activation improves insulin sensitivity by enhancing glucose uptake (via increased glucose transporter type 4 [GLUT4] translocation and activation of the extracellular...

Full description

Bibliographic Details
Main Authors: Cynthia L Blanco, Amalia Gastaldelli, Diana G Anzueto, Lauryn A Winter, Steven R Seidner, Donald C McCurnin, Hanyu Liang, Martin A Javors, Ralph A DeFronzo, Nicolas Musi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0208757
_version_ 1818938436628774912
author Cynthia L Blanco
Amalia Gastaldelli
Diana G Anzueto
Lauryn A Winter
Steven R Seidner
Donald C McCurnin
Hanyu Liang
Martin A Javors
Ralph A DeFronzo
Nicolas Musi
author_facet Cynthia L Blanco
Amalia Gastaldelli
Diana G Anzueto
Lauryn A Winter
Steven R Seidner
Donald C McCurnin
Hanyu Liang
Martin A Javors
Ralph A DeFronzo
Nicolas Musi
author_sort Cynthia L Blanco
collection DOAJ
description Premature baboons exhibit peripheral insulin resistance and impaired insulin signaling. 5' AMP-activated protein kinase (AMPK) activation improves insulin sensitivity by enhancing glucose uptake (via increased glucose transporter type 4 [GLUT4] translocation and activation of the extracellular signal-regulated kinase [ERK]/ atypical protein kinase C [aPKC] pathway), and increasing fatty acid oxidation (via inhibition of acetyl-CoA carboxylase 1 [ACC]), while downregulating gluconeogenesis (via induction of small heterodimer partner [SHP] and subsequent downregulation of the gluconeogenic enzymes: phosphoenolpyruvate carboxykinase [PEPCK], glucose 6-phosphatase [G6PASE], fructose- 1,6-bisphosphatase 1 [FBP1], and forkhead box protein 1 [FOXO1]). The purpose of this study was to investigate whether pharmacologic activation of AMPK with AICAR (5-aminoimidazole-4-carboximide riboside) administration improves peripheral insulin sensitivity in preterm baboons. 11 baboons were delivered prematurely at 125±2 days (67%) gestation. 5 animals were randomized to receive 5 days of continuous AICAR infusion at a dose of 0.5 mg·g-1·day-1. 6 animals were in the placebo group. Euglycemic hyperinsulinemic clamps were performed at 5±2 and 14±2 days of life. Key molecules potentially altered by AICAR (AMPK, GLUT4, ACC, PEPCK, G6PASE, FBP1, and FOXO1), and the insulin signaling molecules: insulin receptor (INSR), insulin receptor substrate 1 (IRS-1), protein kinase B (AKT), and peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC1α) were measured using RT-PCR and western blotting. AICAR infusion did not improve whole body insulin-stimulated glucose disposal in preterm baboons (12.8±2.4 vs 12.4±2.0 mg/(kg·min), p = 0.8, placebo vs AICAR). One animal developed complications during treatment. In skeletal muscle, AICAR infusion did not increase phosphorylation of ACC, AKT, or AMPK whereas it increased mRNA expression of ACACA (ACC), AKT, and PPARGC1A (PGC1α). In the liver, INSR, IRS1, G6PC3, AKT, PCK1, FOXO1, and FBP1 were unchanged, whereas PPARGC1A mRNA expression increased after AICAR infusion. This study provides evidence that AICAR does not improve insulin sensitivity in premature euglycemic baboons, and may have adverse effects.
first_indexed 2024-12-20T06:07:50Z
format Article
id doaj.art-b9fd3a77c99d4a08afee98ab6f150563
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-20T06:07:50Z
publishDate 2018-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-b9fd3a77c99d4a08afee98ab6f1505632022-12-21T19:50:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-011312e020875710.1371/journal.pone.0208757Effects of intravenous AICAR (5-aminoimidazole-4-carboximide riboside) administration on insulin signaling and resistance in premature baboons, Papio sp.Cynthia L BlancoAmalia GastaldelliDiana G AnzuetoLauryn A WinterSteven R SeidnerDonald C McCurninHanyu LiangMartin A JavorsRalph A DeFronzoNicolas MusiPremature baboons exhibit peripheral insulin resistance and impaired insulin signaling. 5' AMP-activated protein kinase (AMPK) activation improves insulin sensitivity by enhancing glucose uptake (via increased glucose transporter type 4 [GLUT4] translocation and activation of the extracellular signal-regulated kinase [ERK]/ atypical protein kinase C [aPKC] pathway), and increasing fatty acid oxidation (via inhibition of acetyl-CoA carboxylase 1 [ACC]), while downregulating gluconeogenesis (via induction of small heterodimer partner [SHP] and subsequent downregulation of the gluconeogenic enzymes: phosphoenolpyruvate carboxykinase [PEPCK], glucose 6-phosphatase [G6PASE], fructose- 1,6-bisphosphatase 1 [FBP1], and forkhead box protein 1 [FOXO1]). The purpose of this study was to investigate whether pharmacologic activation of AMPK with AICAR (5-aminoimidazole-4-carboximide riboside) administration improves peripheral insulin sensitivity in preterm baboons. 11 baboons were delivered prematurely at 125±2 days (67%) gestation. 5 animals were randomized to receive 5 days of continuous AICAR infusion at a dose of 0.5 mg·g-1·day-1. 6 animals were in the placebo group. Euglycemic hyperinsulinemic clamps were performed at 5±2 and 14±2 days of life. Key molecules potentially altered by AICAR (AMPK, GLUT4, ACC, PEPCK, G6PASE, FBP1, and FOXO1), and the insulin signaling molecules: insulin receptor (INSR), insulin receptor substrate 1 (IRS-1), protein kinase B (AKT), and peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC1α) were measured using RT-PCR and western blotting. AICAR infusion did not improve whole body insulin-stimulated glucose disposal in preterm baboons (12.8±2.4 vs 12.4±2.0 mg/(kg·min), p = 0.8, placebo vs AICAR). One animal developed complications during treatment. In skeletal muscle, AICAR infusion did not increase phosphorylation of ACC, AKT, or AMPK whereas it increased mRNA expression of ACACA (ACC), AKT, and PPARGC1A (PGC1α). In the liver, INSR, IRS1, G6PC3, AKT, PCK1, FOXO1, and FBP1 were unchanged, whereas PPARGC1A mRNA expression increased after AICAR infusion. This study provides evidence that AICAR does not improve insulin sensitivity in premature euglycemic baboons, and may have adverse effects.https://doi.org/10.1371/journal.pone.0208757
spellingShingle Cynthia L Blanco
Amalia Gastaldelli
Diana G Anzueto
Lauryn A Winter
Steven R Seidner
Donald C McCurnin
Hanyu Liang
Martin A Javors
Ralph A DeFronzo
Nicolas Musi
Effects of intravenous AICAR (5-aminoimidazole-4-carboximide riboside) administration on insulin signaling and resistance in premature baboons, Papio sp.
PLoS ONE
title Effects of intravenous AICAR (5-aminoimidazole-4-carboximide riboside) administration on insulin signaling and resistance in premature baboons, Papio sp.
title_full Effects of intravenous AICAR (5-aminoimidazole-4-carboximide riboside) administration on insulin signaling and resistance in premature baboons, Papio sp.
title_fullStr Effects of intravenous AICAR (5-aminoimidazole-4-carboximide riboside) administration on insulin signaling and resistance in premature baboons, Papio sp.
title_full_unstemmed Effects of intravenous AICAR (5-aminoimidazole-4-carboximide riboside) administration on insulin signaling and resistance in premature baboons, Papio sp.
title_short Effects of intravenous AICAR (5-aminoimidazole-4-carboximide riboside) administration on insulin signaling and resistance in premature baboons, Papio sp.
title_sort effects of intravenous aicar 5 aminoimidazole 4 carboximide riboside administration on insulin signaling and resistance in premature baboons papio sp
url https://doi.org/10.1371/journal.pone.0208757
work_keys_str_mv AT cynthialblanco effectsofintravenousaicar5aminoimidazole4carboximideribosideadministrationoninsulinsignalingandresistanceinprematurebaboonspapiosp
AT amaliagastaldelli effectsofintravenousaicar5aminoimidazole4carboximideribosideadministrationoninsulinsignalingandresistanceinprematurebaboonspapiosp
AT dianaganzueto effectsofintravenousaicar5aminoimidazole4carboximideribosideadministrationoninsulinsignalingandresistanceinprematurebaboonspapiosp
AT laurynawinter effectsofintravenousaicar5aminoimidazole4carboximideribosideadministrationoninsulinsignalingandresistanceinprematurebaboonspapiosp
AT stevenrseidner effectsofintravenousaicar5aminoimidazole4carboximideribosideadministrationoninsulinsignalingandresistanceinprematurebaboonspapiosp
AT donaldcmccurnin effectsofintravenousaicar5aminoimidazole4carboximideribosideadministrationoninsulinsignalingandresistanceinprematurebaboonspapiosp
AT hanyuliang effectsofintravenousaicar5aminoimidazole4carboximideribosideadministrationoninsulinsignalingandresistanceinprematurebaboonspapiosp
AT martinajavors effectsofintravenousaicar5aminoimidazole4carboximideribosideadministrationoninsulinsignalingandresistanceinprematurebaboonspapiosp
AT ralphadefronzo effectsofintravenousaicar5aminoimidazole4carboximideribosideadministrationoninsulinsignalingandresistanceinprematurebaboonspapiosp
AT nicolasmusi effectsofintravenousaicar5aminoimidazole4carboximideribosideadministrationoninsulinsignalingandresistanceinprematurebaboonspapiosp