PMID- 12409500 OWN - NLM STAT- MEDLINE DCOM- 20030606 LR - 20220216 IS - 0022-0949 (Print) IS - 0022-0949 (Linking) VI - 205 IP - Pt 23 DP - 2002 Dec TI - Gliclazide increases insulin receptor tyrosine phosphorylation but not p38 phosphorylation in insulin-resistant skeletal muscle cells. PG - 3739-46 AB - Sulfonylurea drugs are used in the treatment of type 2 diabetes. The mechanism of action of sulfonylureas is to release insulin from pancreatic cells and they have been proposed to act on insulin-sensitive tissues to enhance glucose uptake. The goal of the present study was to test the hypothesis that gliclazide, a second-generation sulfonylurea, could enhance insulin signaling in insulin-resistant skeletal muscle cells. We demonstrated that gliclazide enhanced insulin-stimulated insulin receptor tyrosine phosphorylation in insulin-resistant skeletal muscle cells. Although insulin receptor substrate-1 tyrosine phosphorylation was unaffected by gliclazide treatment, phosphatidylinositol 3-kinase activity was partially restored by treatment with gliclazide. No increase in 2-deoxyglucose uptake in insulin-resistant cells by treatment with gliclazide was observed. Further investigations into the mitogen-activated protein kinase (MAPK) pathway revealed that insulin-stimulated p38 phosphorylation was impaired, as compared with extracellular-signal-regulated kinase (ERK) and c-Jun N-terminal kinase (JNK), which were phosphorylated normally in insulin-resistant cells. Treatment with gliclazide could not restore p38 phosphorylation in insulin-resistant cells. We propose that gliclazide can regulate part of the insulin signaling in insulin-resistant skeletal muscle, and p38 could be a potential therapeutic target for glucose uptake to treat insulin resistance. FAU - Kumar, Naresh AU - Kumar N AD - Department of Biotechnology, National Institute of Pharmaceutical Education and Research, Punjab, India. FAU - Dey, Chinmoy S AU - Dey CS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Exp Biol JT - The Journal of experimental biology JID - 0243705 RN - 0 (Enzyme Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 0 (Imidazoles) RN - 0 (Insulin) RN - 0 (Pyridines) RN - 42HK56048U (Tyrosine) RN - 9G2MP84A8W (Deoxyglucose) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.10.1 (Receptor, Insulin) RN - EC 2.7.11.24 (JNK Mitogen-Activated Protein Kinases) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - EC 2.7.11.24 (p38 Mitogen-Activated Protein Kinases) RN - EC 2.7.12.2 (MAP Kinase Kinase 4) RN - EC 2.7.12.2 (Mitogen-Activated Protein Kinase Kinases) RN - G4PX8C4HKV (Gliclazide) RN - OU13V1EYWQ (SB 203580) SB - IM MH - Animals MH - Cell Line MH - Deoxyglucose/metabolism MH - Enzyme Inhibitors/pharmacology MH - Gliclazide/*pharmacology MH - Hypoglycemic Agents/pharmacology MH - Imidazoles/pharmacology MH - Insulin/pharmacology MH - *Insulin Resistance MH - *JNK Mitogen-Activated Protein Kinases MH - MAP Kinase Kinase 4 MH - Mice MH - Mitogen-Activated Protein Kinase Kinases/metabolism MH - Mitogen-Activated Protein Kinases/antagonists & inhibitors/*metabolism MH - Muscle, Skeletal/drug effects/*metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Phosphorylation MH - Pyridines/pharmacology MH - Receptor, Insulin/*chemistry MH - Signal Transduction MH - Tyrosine/*metabolism MH - p38 Mitogen-Activated Protein Kinases EDAT- 2002/11/01 04:00 MHDA- 2003/06/07 05:00 CRDT- 2002/11/01 04:00 PHST- 2002/11/01 04:00 [pubmed] PHST- 2003/06/07 05:00 [medline] PHST- 2002/11/01 04:00 [entrez] AID - 10.1242/jeb.205.23.3739 [doi] PST - ppublish SO - J Exp Biol. 2002 Dec;205(Pt 23):3739-46. doi: 10.1242/jeb.205.23.3739.