PMID- 17472435 OWN - NLM STAT- MEDLINE DCOM- 20070619 LR - 20220409 IS - 1549-1676 (Electronic) IS - 1549-1277 (Print) IS - 1549-1277 (Linking) VI - 4 IP - 5 DP - 2007 May TI - TXNIP regulates peripheral glucose metabolism in humans. PG - e158 LID - e158 AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) is characterized by defects in insulin secretion and action. Impaired glucose uptake in skeletal muscle is believed to be one of the earliest features in the natural history of T2DM, although underlying mechanisms remain obscure. METHODS AND FINDINGS: We combined human insulin/glucose clamp physiological studies with genome-wide expression profiling to identify thioredoxin interacting protein (TXNIP) as a gene whose expression is powerfully suppressed by insulin yet stimulated by glucose. In healthy individuals, its expression was inversely correlated to total body measures of glucose uptake. Forced expression of TXNIP in cultured adipocytes significantly reduced glucose uptake, while silencing with RNA interference in adipocytes and in skeletal muscle enhanced glucose uptake, confirming that the gene product is also a regulator of glucose uptake. TXNIP expression is consistently elevated in the muscle of prediabetics and diabetics, although in a panel of 4,450 Scandinavian individuals, we found no evidence for association between common genetic variation in the TXNIP gene and T2DM. CONCLUSIONS: TXNIP regulates both insulin-dependent and insulin-independent pathways of glucose uptake in human skeletal muscle. Combined with recent studies that have implicated TXNIP in pancreatic beta-cell glucose toxicity, our data suggest that TXNIP might play a key role in defective glucose homeostasis preceding overt T2DM. FAU - Parikh, Hemang AU - Parikh H AD - Department of Clinical Sciences, Diabetes and Endocrinology, Lund University, University Hospital Malmo, Malmo, Sweden. FAU - Carlsson, Emma AU - Carlsson E FAU - Chutkow, William A AU - Chutkow WA FAU - Johansson, Lovisa E AU - Johansson LE FAU - Storgaard, Heidi AU - Storgaard H FAU - Poulsen, Pernille AU - Poulsen P FAU - Saxena, Richa AU - Saxena R FAU - Ladd, Christine AU - Ladd C FAU - Schulze, P Christian AU - Schulze PC FAU - Mazzini, Michael J AU - Mazzini MJ FAU - Jensen, Christine Bjorn AU - Jensen CB FAU - Krook, Anna AU - Krook A FAU - Bjornholm, Marie AU - Bjornholm M FAU - Tornqvist, Hans AU - Tornqvist H FAU - Zierath, Juleen R AU - Zierath JR FAU - Ridderstrale, Martin AU - Ridderstrale M FAU - Altshuler, David AU - Altshuler D FAU - Lee, Richard T AU - Lee RT FAU - Vaag, Allan AU - Vaag A FAU - Groop, Leif C AU - Groop LC FAU - Mootha, Vamsi K AU - Mootha VK LA - eng SI - GEO/GSE7146 PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - PLoS Med JT - PLoS medicine JID - 101231360 RN - 0 (BCL6 protein, human) RN - 0 (Blood Glucose) RN - 0 (Carrier Proteins) RN - 0 (DNA-Binding Proteins) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (Proto-Oncogene Proteins c-bcl-6) RN - 0 (Qb-SNARE Proteins) RN - 0 (TXNIP protein, human) SB - IM MH - Adipocytes/cytology MH - Animals MH - Blood Glucose/genetics/*metabolism MH - Carrier Proteins/genetics/metabolism/*physiology MH - Cells, Cultured MH - DNA-Binding Proteins/genetics MH - Diabetes Mellitus, Type 2/genetics/metabolism/*physiopathology MH - Gene Expression Regulation/*physiology MH - Genetic Predisposition to Disease MH - Glucose Clamp Technique MH - Glucose Intolerance/genetics MH - Homeostasis/physiology MH - Humans MH - Hypoglycemic Agents/pharmacology MH - Insulin/pharmacology MH - Linkage Disequilibrium MH - Muscle, Skeletal/*metabolism/pathology MH - Polymerase Chain Reaction MH - Polymorphism, Single Nucleotide MH - Promoter Regions, Genetic/physiology MH - Protein Array Analysis MH - Proto-Oncogene Proteins c-bcl-6 MH - Qb-SNARE Proteins/genetics PMC - PMC1858708 COIS- Competing Interests: HT is employed at Novo Nordisk A/S, Denmark and owns a minor amount of employers stock in this Company. LCG is a member of the editorial board of PLoS Medicine. EDAT- 2007/05/03 09:00 MHDA- 2007/06/20 09:00 PMCR- 2007/05/01 CRDT- 2007/05/03 09:00 PHST- 2006/11/21 00:00 [received] PHST- 2007/03/01 00:00 [accepted] PHST- 2007/05/03 09:00 [pubmed] PHST- 2007/06/20 09:00 [medline] PHST- 2007/05/03 09:00 [entrez] PHST- 2007/05/01 00:00 [pmc-release] AID - 06-PLME-RA-0918R1 [pii] AID - 10.1371/journal.pmed.0040158 [doi] PST - ppublish SO - PLoS Med. 2007 May;4(5):e158. doi: 10.1371/journal.pmed.0040158.