PMID- 24329853 OWN - NLM STAT- MEDLINE DCOM- 20140730 LR - 20161125 IS - 1365-2893 (Electronic) IS - 1352-0504 (Linking) VI - 21 IP - 1 DP - 2014 Jan TI - Hepatitis C virus dysregulates glucose homeostasis by a dual mechanism involving induction of PGC1alpha and dephosphorylation of FoxO1. PG - 9-18 LID - 10.1111/jvh.12208 [doi] AB - The maintenance of glucose homeostasis is a complex process in which the insulin signalling pathway plays a major role. Disruption of insulin-regulated glucose homeostasis is frequently observed in chronic hepatitis C (CHC) infection and might potentially contribute to type 2 diabetes mellitus (T2DM) development. Presently, the mechanism that links HCV infection to insulin resistance remains unclear. Previously, we have reported that HCV protein expression in HCV transgenic mice (B6HCV) leads to an overexpression of protein phosphatase 2A (PP2A) through an ER stress response. In the present work, we describe an association of FoxO1 hypophosphorylation and upregulation of both PGC-1alpha and G6Pase to phenotypic hyperglycaemia and insulin resistance in B6HCV mice. In vitro, we observed that PGC1alpha is concomitantly induced with PP2A. Moreover, we show that the enhanced PP2A expression is sufficient to inhibit insulin-induced FoxO1 phosphorylation via blockade of insulin-mediated Akt activation or/and through direct association and dephosphorylation of pS-FoxO1. Consequently, we found that the gluconeogenic gene glucose-6-phosphatase is upregulated. These observations were confirmed in liver biopsies obtained from CHC patients. In summary, our results show that HCV-mediated upregulation of PP2A catalytic subunit alters signalling pathways that control hepatic glucose homeostasis by inhibiting Akt and dephosphorylation of FoxO1. CI - (c) 2013 John Wiley & Sons Ltd. FAU - Bernsmeier, C AU - Bernsmeier C AD - Department of Biomedicine, University and University Hospital Basel, Basel, Switzerland; Division of Gastroenterology and Hepatology, University of Basel, Basel, Switzerland. FAU - Calabrese, D AU - Calabrese D FAU - Heim, M H AU - Heim MH FAU - Duong, H T F AU - Duong HT LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131106 PL - England TA - J Viral Hepat JT - Journal of viral hepatitis JID - 9435672 RN - 0 (Forkhead Box Protein O1) RN - 0 (Forkhead Transcription Factors) RN - 0 (Foxo1 protein, mouse) RN - 0 (Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha) RN - 0 (Ppargc1a protein, mouse) RN - 0 (Transcription Factors) RN - EC 3.1.3.16 (Protein Phosphatase 2) RN - EC 3.1.3.9 (Glucose-6-Phosphatase) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Biopsy MH - Disease Models, Animal MH - Forkhead Box Protein O1 MH - Forkhead Transcription Factors/*metabolism MH - Glucose/*metabolism MH - Glucose-6-Phosphatase/metabolism MH - Hepatitis C, Chronic/*pathology MH - *Homeostasis MH - Humans MH - Insulin Resistance MH - Mice MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha MH - Protein Phosphatase 2/*metabolism MH - Transcription Factors/*metabolism OTO - NOTNLM OT - FoxO1 OT - PGC1alpha OT - chronic hepatitis C OT - diabetes mellitus OT - insulin resistance EDAT- 2013/12/18 06:00 MHDA- 2014/07/31 06:00 CRDT- 2013/12/17 06:00 PHST- 2013/07/03 00:00 [received] PHST- 2013/10/15 00:00 [accepted] PHST- 2013/12/17 06:00 [entrez] PHST- 2013/12/18 06:00 [pubmed] PHST- 2014/07/31 06:00 [medline] AID - 10.1111/jvh.12208 [doi] PST - ppublish SO - J Viral Hepat. 2014 Jan;21(1):9-18. doi: 10.1111/jvh.12208. Epub 2013 Nov 6.