PMID- 22688333 OWN - NLM STAT- MEDLINE DCOM- 20121105 LR - 20221207 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 61 IP - 9 DP - 2012 Sep TI - Pulsatile portal vein insulin delivery enhances hepatic insulin action and signaling. PG - 2269-79 LID - 10.2337/db11-1462 [doi] AB - Insulin is secreted as discrete insulin secretory bursts at ~5-min intervals into the hepatic portal vein, these pulses being attenuated early in the development of type 1 and type 2 diabetes mellitus (T2DM). Intraportal insulin infusions (pulsatile, constant, or reproducing that in T2DM) indicated that the pattern of pulsatile insulin secretion delivered via the portal vein is important for hepatic insulin action and, therefore, presumably for hepatic insulin signaling. To test this, we examined hepatic insulin signaling in rat livers exposed to the same three patterns of portal vein insulin delivery by use of sequential liver biopsies in anesthetized rats. Intraportal delivery of insulin in a constant versus pulsatile pattern led to delayed and impaired activation of hepatic insulin receptor substrate (IRS)-1 and IRS-2 signaling, impaired activation of downstream insulin signaling effector molecules AKT and Foxo1, and decreased expression of glucokinase (Gck). We further established that hepatic Gck expression is decreased in the HIP rat model of T2DM, a defect that correlated with a progressive defect of pulsatile insulin secretion. We conclude that the physiological pulsatile pattern of insulin delivery is important in hepatic insulin signaling and glycemic control. Hepatic insulin resistance in diabetes is likely in part due to impaired pulsatile insulin secretion. FAU - Matveyenko, Aleksey V AU - Matveyenko AV AD - Larry Hillblom Islet Research Center, Division of Endocrinology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA. FAU - Liuwantara, David AU - Liuwantara D FAU - Gurlo, Tatyana AU - Gurlo T FAU - Kirakossian, David AU - Kirakossian D FAU - Dalla Man, Chiara AU - Dalla Man C FAU - Cobelli, Claudio AU - Cobelli C FAU - White, Morris F AU - White MF FAU - Copps, Kyle D AU - Copps KD FAU - Volpi, Elena AU - Volpi E FAU - Fujita, Satoshi AU - Fujita S FAU - Butler, Peter C AU - Butler PC LA - eng GR - K01 DK089003/DK/NIDDK NIH HHS/United States GR - R01 DK098655/DK/NIDDK NIH HHS/United States GR - DK-059579/DK/NIDDK NIH HHS/United States GR - F32 DK078496/DK/NIDDK NIH HHS/United States GR - P30 AG024832/AG/NIA NIH HHS/United States GR - R01 DK038712/DK/NIDDK NIH HHS/United States GR - R01 DK059579/DK/NIDDK NIH HHS/United States GR - P30-AG-024832/AG/NIA NIH HHS/United States GR - DK-089003/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120611 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Blood Glucose) RN - 0 (Forkhead Transcription Factors) RN - 0 (Insulin) RN - 0 (Insulin Receptor Substrate Proteins) RN - 0 (Nerve Tissue Proteins) RN - 0 (Foxo1 protein, rat) RN - EC 2.7.1.2 (Glucokinase) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM CIN - Diabetes. 2012 Sep;61(9):2228-9. PMID: 22923651 MH - Animals MH - Blood Glucose/metabolism MH - Diabetes Mellitus, Experimental MH - Diabetes Mellitus, Type 2/*physiopathology MH - Dogs MH - Forkhead Transcription Factors/metabolism MH - Glucokinase/metabolism MH - Insulin/administration & dosage/metabolism/*physiology MH - Insulin Receptor Substrate Proteins/metabolism MH - Insulin Resistance/physiology MH - Insulin Secretion MH - Liver/*physiology MH - Male MH - Nerve Tissue Proteins/metabolism MH - Portal Vein MH - Proto-Oncogene Proteins c-akt/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Signal Transduction/physiology PMC - PMC3425431 EDAT- 2012/06/13 06:00 MHDA- 2012/11/06 06:00 PMCR- 2013/09/01 CRDT- 2012/06/13 06:00 PHST- 2012/06/13 06:00 [entrez] PHST- 2012/06/13 06:00 [pubmed] PHST- 2012/11/06 06:00 [medline] PHST- 2013/09/01 00:00 [pmc-release] AID - db11-1462 [pii] AID - 1462 [pii] AID - 10.2337/db11-1462 [doi] PST - ppublish SO - Diabetes. 2012 Sep;61(9):2269-79. doi: 10.2337/db11-1462. Epub 2012 Jun 11.