PMID- 30779918 OWN - NLM STAT- MEDLINE DCOM- 20190722 LR - 20211204 IS - 1879-0712 (Electronic) IS - 0014-2999 (Linking) VI - 851 DP - 2019 May 15 TI - Vaccarin ameliorates insulin resistance and steatosis by activating the AMPK signaling pathway. PG - 13-24 LID - S0014-2999(19)30128-1 [pii] LID - 10.1016/j.ejphar.2019.02.029 [doi] AB - Destructive glucose and lipid metabolism in the liver is a crucial characteristic of type 2 diabetes mellitus (T2DM), eventually leading to insulin resistance and subsequent hyperglycemia and hyperlipidemia. Vaccarin is an active flavonoid glycoside associated with various biological functions, but its effects on glucose and lipid metabolic disorder in T2DM are still unclear. In this study, glucosamine (GlcN) and free fatty acids (FFAs, oleate/palmitate, 2:1 ratio) were applied to mimic insulin resistance and lipid deposition in HepG2 cells, respectively. Type 2 diabetic mice were induced using a high-fat diet (HFD) together with streptozotocin (STZ). GlcN stimulation was found to upregulate glucose production and gluconeogenesis but downregulate glycogen synthesis and phosphorylation of adenosine 5'-monophosphate (AMP)-activated protein kinase (AMPK) in HepG2 cells, abnormal changes that were reversed by vaccarin. Furthermore, lipid accumulation was enhanced, but AMPK was inactivated in FFAs-exposed HepG2 cells, issues that were rectified by vaccarin treatment. These ameliorative effects of vaccarin on insulin resistance and steatosis were eliminated by AMPK inhibitor Compound C. In type 2 diabetic mice, chronic vaccarin administration decreased fasting blood glucose and lipid levels in both serum and the liver, and improved insulin sensitivity and steatosis in the liver. Taken together, these results suggest that vaccarin attenuates insulin resistance and steatosis by activating the AMPK signaling pathway. CI - Copyright (c) 2019. Published by Elsevier B.V. FAU - Lei, Yueyue AU - Lei Y AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Gong, Leilei AU - Gong L AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Tan, Fanggen AU - Tan F AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Liu, Yixiao AU - Liu Y AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Li, Shuangshuang AU - Li S AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Shen, Houwang AU - Shen H AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Zhu, Min AU - Zhu M AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Cai, Weiwei AU - Cai W AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Xu, Fei AU - Xu F AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Hou, Bao AU - Hou B AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Zhou, Yuetao AU - Zhou Y AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. FAU - Han, Hongxiu AU - Han H AD - Wuxi Hongqiao Hospital, Wuxi, Jiangsu 214122, PR China. FAU - Qiu, Liying AU - Qiu L AD - Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu 214122, PR China. Electronic address: qiulydoc@sina.com. FAU - Sun, Haijian AU - Sun H AD - Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore. Electronic address: phcsunh@nus.edu.sg. LA - eng PT - Journal Article DEP - 20190216 PL - Netherlands TA - Eur J Pharmacol JT - European journal of pharmacology JID - 1254354 RN - 0 (Fatty Acids, Nonesterified) RN - 0 (Flavonoids) RN - 0 (Glycosides) RN - 0 (vaccarin H) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (STK11 protein, human) RN - EC 2.7.11.3 (AMP-Activated Protein Kinase Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - IY9XDZ35W2 (Glucose) SB - IM MH - AMP-Activated Protein Kinase Kinases MH - AMP-Activated Protein Kinases/*metabolism MH - Animals MH - Enzyme Activation/drug effects MH - Fatty Acids, Nonesterified/pharmacology MH - Fatty Liver/*drug therapy/metabolism/pathology MH - Flavonoids/*pharmacology/therapeutic use MH - Glucose/metabolism MH - Glycosides/*pharmacology/therapeutic use MH - Hep G2 Cells MH - Humans MH - *Insulin Resistance MH - Liver/drug effects/metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Protein Serine-Threonine Kinases/metabolism OTO - NOTNLM OT - AMPK OT - Insulin resistance OT - Steatosis OT - T2DM OT - vaccarin EDAT- 2019/02/20 06:00 MHDA- 2019/07/23 06:00 CRDT- 2019/02/20 06:00 PHST- 2019/01/25 00:00 [received] PHST- 2019/02/14 00:00 [revised] PHST- 2019/02/15 00:00 [accepted] PHST- 2019/02/20 06:00 [pubmed] PHST- 2019/07/23 06:00 [medline] PHST- 2019/02/20 06:00 [entrez] AID - S0014-2999(19)30128-1 [pii] AID - 10.1016/j.ejphar.2019.02.029 [doi] PST - ppublish SO - Eur J Pharmacol. 2019 May 15;851:13-24. doi: 10.1016/j.ejphar.2019.02.029. Epub 2019 Feb 16.