PMID- 16506055 OWN - NLM STAT- MEDLINE DCOM- 20061024 LR - 20181113 IS - 0012-186X (Print) IS - 0012-186X (Linking) VI - 49 IP - 5 DP - 2006 May TI - Insulin activates hypoxia-inducible factor-1alpha in human and rat vascular smooth muscle cells via phosphatidylinositol-3 kinase and mitogen-activated protein kinase pathways: impairment in insulin resistance owing to defects in insulin signalling. PG - 1049-63 AB - AIMS/HYPOTHESIS: We previously demonstrated that insulin stimulates vascular endothelial growth factor (VEGF) synthesis and secretion via phosphatidylinositol-3 kinase (PI3-K) and mitogen-activated protein kinase (MAPK) pathways in vascular smooth muscle cells (VSMC) from humans and from insulin-sensitive lean Zucker fa/+ rats. We also showed that this effect is attenuated in VSMC from insulin-resistant obese Zucker fa/fa rats. As it is not known whether the effects of insulin on VEGF involve activation of hypoxia-inducible factor-1 (HIF-1), we aimed to evaluate: (1) whether insulin modulates HIF-1alpha protein synthesis and activity; (2) the insulin signalling pathways involved; and (3) the role of insulin resistance. METHODS: Using aortic VSMC taken from humans and Zucker rats and cultured in normoxia, the following were evaluated: (1) dose-dependent (0.5, 1, 2 nmol/l) and time-dependent (2, 4, 6 h) effects exerted by insulin on HIF-1alpha content in both nucleus and cytosol, measured by Western blots; (2) insulin effects on HIF-1 DNA-binding activity on the VEGF gene, measured by electrophoretic mobility shift assay; and (3) involvement of the insulin signalling molecules in these insulin actions, by using the following inhibitors: LY294002 (PI3-K), PD98059 (extracellular signal regulated kinase [ERK]), SP600125 (Jun N terminal kinase [JNK]), SB203580 (p38 mitogen-activated protein kinase) and rapamycin (mammalian target of rapamycin), and by detecting the insulin signalling molecules by Western blots. RESULTS: In aortic VSMC from humans and Zucker fa/+ rats cultured in normoxia insulin increases the HIF-1alpha content in cytosol and nucleus via dose- and time-dependent mechanisms, and HIF-1 DNA-binding activity on the VEGF gene. The insulin-induced increase of HIF-1alpha is blunted by the translation inhibitor cycloheximide, LY294002, PD98059, SP600125 and rapamycin, but not by SB203580. It is also reduced in Zucker fa/fa rats, which present an impaired ability of insulin to induce Akt, ERK-1/2 and JNK-1/2 phosphorylation. CONCLUSIONS/INTERPRETATION: These results provide a biological mechanism for the impaired collateral vessel formation in obesity. FAU - Doronzo, G AU - Doronzo G AD - Diabetes Unit, Department of Clinical and Biological Sciences, University of Turin, San Luigi Gonzaga Hospital, I-10043, Orbassano, Turin, Italy. FAU - Russo, I AU - Russo I FAU - Mattiello, L AU - Mattiello L FAU - Riganti, C AU - Riganti C FAU - Anfossi, G AU - Anfossi G FAU - Trovati, M AU - Trovati M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060228 PL - Germany TA - Diabetologia JT - Diabetologia JID - 0006777 RN - 0 (Enzyme Inhibitors) RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Imidazoles) RN - 0 (Insulin) RN - 0 (Pyridines) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - OU13V1EYWQ (SB 203580) SB - IM MH - Animals MH - Enzyme Inhibitors/pharmacology MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*metabolism MH - Imidazoles/pharmacology MH - Insulin/*pharmacology/*physiology MH - Insulin Resistance/*physiology MH - Kinetics MH - Mitogen-Activated Protein Kinases/*metabolism MH - Muscle, Smooth, Vascular/drug effects/*physiology MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Pyridines/pharmacology MH - Rats MH - Rats, Zucker MH - Signal Transduction/physiology EDAT- 2006/03/01 09:00 MHDA- 2006/10/25 09:00 CRDT- 2006/03/01 09:00 PHST- 2005/07/25 00:00 [received] PHST- 2005/11/17 00:00 [accepted] PHST- 2006/03/01 09:00 [pubmed] PHST- 2006/10/25 09:00 [medline] PHST- 2006/03/01 09:00 [entrez] AID - 10.1007/s00125-006-0156-0 [doi] PST - ppublish SO - Diabetologia. 2006 May;49(5):1049-63. doi: 10.1007/s00125-006-0156-0. Epub 2006 Feb 28.