PMID- 19966184 OWN - NLM STAT- MEDLINE DCOM- 20100226 LR - 20201209 IS - 1945-7170 (Electronic) IS - 0013-7227 (Linking) VI - 151 IP - 2 DP - 2010 Feb TI - Inhibition of thrombin action ameliorates insulin resistance in type 2 diabetic db/db mice. PG - 513-9 LID - 10.1210/en.2009-0661 [doi] AB - The binding of thrombin to its receptor stimulates inflammatory cytokines including IL-6 and monocyte chemoattractant protein-1 (MCP-1); both are associated with the development of insulin resistance. Because increased adiposity enhanced the expression of coagulation factor VII that stimulates the coagulation pathway in adipose tissue, we tested whether the inhibition of thrombin action ameliorates insulin resistance in obese diabetic (Lpr(-/-):db/db) mice. The 4-wk administration of argatroban, a selective thrombin inhibitor, reduced fasting plasma glucose and ameliorated insulin resistance in these mice. It also reduced adipocyte size and macrophage infiltration into adipose tissue. The aberrant gene expression of MCP-1, IL-6, adiponectin, and factor VII and suppressed insulin receptor substrate-1-Akt signaling in adipose tissue of db/db mice were reversed by argatroban treatment. These results demonstrate that increased adiposity enhances the production of thrombin in adipose tissue by stimulating factor VII expression and suggest that increased thrombin activity in adipose tissue plays an important role in the development of insulin resistance via enhancing MCP-1 production, leading to macrophage infiltration and insulin receptor substrate-1-Akt pathway inactivation. FAU - Mihara, Masatomo AU - Mihara M AD - Department of Medicine and Bioregulatory Sciences, The University of Tokushima Graduate School of Medical Sciences, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan. FAU - Aihara, Ken-ichi AU - Aihara K FAU - Ikeda, Yasumasa AU - Ikeda Y FAU - Yoshida, Sumiko AU - Yoshida S FAU - Kinouchi, Mizuho AU - Kinouchi M FAU - Kurahashi, Kiyoe AU - Kurahashi K FAU - Fujinaka, Yuichi AU - Fujinaka Y FAU - Akaike, Masashi AU - Akaike M FAU - Matsumoto, Toshio AU - Matsumoto T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20091204 PL - United States TA - Endocrinology JT - Endocrinology JID - 0375040 RN - 0 (Adiponectin) RN - 0 (Anticoagulants) RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 0 (Interleukin-6) RN - 0 (Pipecolic Acids) RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (Receptors, CCR2) RN - 0 (Sulfonamides) RN - 63231-63-0 (RNA) RN - 9001-25-6 (Factor VII) RN - 94ZLA3W45F (Arginine) RN - EC 3.4.21.5 (Thrombin) RN - IY90U61Z3S (argatroban) SB - IM MH - 3T3-L1 Cells/cytology/drug effects/physiology MH - Adipocytes/cytology/drug effects MH - Adiponectin/genetics MH - Adipose Tissue/drug effects/*physiology MH - Animals MH - Anticoagulants/pharmacology MH - Arginine/analogs & derivatives MH - Blood Glucose/drug effects/metabolism MH - Diabetes Mellitus, Type 2/*physiopathology MH - Drug Tolerance MH - Factor VII/genetics/physiology MH - Humans MH - Insulin/pharmacology MH - Insulin Resistance/*physiology MH - Interleukin-6/genetics MH - Macrophages/drug effects/physiology MH - Mice MH - Mice, Inbred Strains MH - Pipecolic Acids/pharmacology MH - Platelet Aggregation Inhibitors/pharmacology MH - RNA/genetics/isolation & purification MH - Receptors, CCR2/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sulfonamides MH - Thrombin/*antagonists & inhibitors/physiology EDAT- 2009/12/08 06:00 MHDA- 2010/02/27 06:00 CRDT- 2009/12/08 06:00 PHST- 2009/12/08 06:00 [entrez] PHST- 2009/12/08 06:00 [pubmed] PHST- 2010/02/27 06:00 [medline] AID - en.2009-0661 [pii] AID - 10.1210/en.2009-0661 [doi] PST - ppublish SO - Endocrinology. 2010 Feb;151(2):513-9. doi: 10.1210/en.2009-0661. Epub 2009 Dec 4.