部門公開セミナー

日 時 2014年12月22日 17:00~18:00
場 所 山手3号館2階西側 小会議室
演 者 Dr. Supachoke Mangmool(Department of Pharmacology, Faculty of Pharmacy, Mahidol University, Thailand)
演 題 Sustained β-adrenergic receptor stimulation mediates cardiac insulin resistance in a PKA-dependent manner
要 旨

Insulin resistance is a condition in which there are defects in the insulin actions to induce tissue glucose uptake. Overstimulation of β-adrenergic receptors (βARs) leads to the development of heart failure and is associated with the pathogenesis of insulin resistance in the heart. However, the mechanisms by which βARs overstimulation affect insulin resistance in the heart are incompletely understood. We examine the mechanism for insulin resistance regulated by overstimulation of βARs. In this study, we show that sustained βAR stimulation with isoproterenol (ISO) showed the inhibition of insulin-induce glucose uptake and glucose transporter-4 (GLUT4) expression is mediated by the β2AR subtype in cardiomyocytes and heart tissue. Moreover, ISO stimulation attenuated insulin-induced GLUT4 translocation in β2AR-overexpressing HEK-293 cells. Overstimulation of βARs plays a key role in the enhancement of insulin resistance in the heart through cyclic adenosine monophosphate (cAMP)-dependent and protein kinase A (PKA)-dependent pathways. Treatment with β-blockers is able to antagonize the action of ISO-mediated insulin resistance in the heart. The essential role for βARs and identification of the molecular mechanism of βARs on the induction of insulin resistance in the heart advances our understanding, leading to a new therapeutic target for heart diseases.

連絡先 西田 基宏 (心循環シグナル研究部門、内線5560)