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Roger J. Davis Metabolic Stress Signaling by the JNK Pathway Age-adjusted Percentage of U.S. Adults with Diagnosed Diabetes or Obesity Diabetes 2000 1994 <4.5% 4.5-5.9% 6.0-7.4% 2007 7.5-8.9% >9.0% Obesity (BMI ≥30 kg/m2) 1994 <14.0% 2000 14.0-17.9% 18.0-21.9% 2007 22.0-25.9% >26.0% see WWW.CDC.GOV/Diabetes Diabetes: Problem Scope USA: *Dall TM. Health Affairs, 2010 • ~24 million Americans afflicted (>8%), incidence increasing • Expensive! In 2007- $218B* 1 in 3 Americans born in 2000 are expected to develop • Compared to those without the disease, patients with T2D and T1D see physicians 2.9 and 3.5 diabetes during their lifetime… times more frequently • Leading cause of kidney failure, blindness, amputations, and a major contributor to Narayan et almortality Diabetes Care 29: 2114–2116, 2006 premature JNK, Obesity & Insulin Resistance JNK is activated by eating a high fat diet JNK-deficient mice are resistant to the effects of a high fat diet The Jackson Labs PP2A PP6 PP2A PP2C MKP Obesity-induced insulin resistance - Role of MLK Scaffold proteins can assemble a JNK signaling module MKKK MLK MKK MAPK JIP1 MKK7 JNK JIP1 and the metabolic stress response Diabetes: MLK JIP1 MKK7 JNK The human JIP1Ser59Asn allele segregates with diabetes. JIP1-deficient mice are resistant to obesity -induced JNK activation and insulin resistance. Response to obesity requires MLK, MKK7 & JNK. JIP1 scaffold protein 1) JIP1 scaffold protein contributes to JNK-mediated metabolic stress responses 2) JIP1 organizes large multi-protein complexes 3) JIP1 complexes are dynamically regulated - Phosphorylation - Kinesin-mediated transport Mechanism of JNK-regulated Obesity and Insulin Resistance JNK in peripheral tissues regulates insulin sensitivity. A central mechanism accounts for JNK-regulated obesity. How does JNK make you obese ? JNK and the hypothalamic-pituitary axis Mechanism of JNK-regulated Obesity JNK in the anterior pituitary gland causes obesity without changing food consumption 1H-MRS Analysis JNK causes decreased energy expenditure Gene Expression Analysis Differentially expressed genes - liver and brown fat significant enrichment of thyroid hormone responsive genes Anterior pituitary gland Increased Thyroid Stimulating Hormone (TSH) expression JNK suppresses the thyroid hormone axis Pharmacological inhibition of Thyroid hormone release prevents the effects of JNK-deficiency on obesity JNK suppresses TSH expression No change in pitiuitary transcription factors known to regulate TSH expression JNK promotes AP1-dependent gene expression What is Dio2 ? Dio2 converts the pro-hormone T4 to the active form T3 Critically required for local thyroid hormone signaling. Dio2 is required for feed-back inhibiton of TSH expression in the anterior pituitary gland by T4. Increased TSH expression by the anterior pituitary gland may be caused by failure of T4-mediated repression of TSH expression. JNK is required for T4-mediated repression of TSH expression by the anterior pituitary gland JNK in the hypothalamus also regulates the thyroid hormone axis. JNK is required for T4mediated repression of thyroglobulin releasing hormone (TRH). JNK-regulated Dio2 expression in the hypothalamus (tanycytes) may provide a mechanism. Dio2 TRH JNK and Obesity JNK promotes diet-induced obesity by suppressing the hypothalamic-pituitarythyroid axis How does JNK promote insulin resistance ? Insulin Resistance: tissue interactions Obesity-induced chronic diseases Handschin et al, Nature 2008; 454:463-469 Obesity-induced inflammation in adipose tissue Adipocyte ATM; Adipose Tissue Macrophage Odegaard et al, Annu Rev Patol Mech Dis 2011; 6:275 Jnk1-/- Jnk2-/- Macrophages Control LPS FWT FKO pSer63-cJun Macrophage JNK-deficiency does not prevent obesity Macrophage-specific JNK deficiency prevents diet-induced hyperglycemia & hyperinsulinemia Macrophage JNK causes glucose and insulin intolerance Glucose injection Glucose tolerance test Insulin injection Insulin tolerance test Macrophage JNK promotes insulin resistance GIR; Glucose infusion rate HIA; Hepatic insulin action HGP; Hepatic glucose production Macrophage JNK suppresses insulin-stimulated AKT JNK Promotes Macrophage Infiltration of Adipose Tissue Macrophage JNK promotes chemokine signaling Obesity-induced inflammation in adipose tissue Adipocyte ATM; Adipose Tissue Macrophage Odegaard et al, Annu Rev Patol Mech Dis 2011; 6:275 Macrophage Polarization M1 M2 (Classically activated macrophages) (Alternatively activated macrophages) IFN-g and endotoxin IL4 or IL13 (M2a) Immune Complex (M2b) IL10 or TGFb (M2c) IL12-mediated Th1 immune response Th2 immune response Pro-inflammatory cytokines Resolution of acute inflammation Regulation of tissue homeostasis CD11C, TNF Arg-1, Mgl1, Mrc1, IL10 JNK Promotes Macrophage Infiltration of Adipose Tissue M1 M2 Macrophage polarization in vitro GM-CSF BMDM IFNg, LPS M1 IL4, IL13 IC+LPS M2a M2b FACS CD11c CD206,CD301 CD86 Gene Expression Ccr7, Cd11c, Il1b, Tnfa, Il6,Ccl2, Ccl5 Arg1, CD206, CD301 Il1b, Tnfa, Il6, Il10 IL10 M2c Macrophage JNK is not required for M2a polarization Macrophage JNK is required for M1 polarization JNK controls M1 Macrophage Polarization Adipocyte ATM; Adipose Tissue Macrophage Odegaard et al, Annu Rev Patol Mech Dis 2011; 6:275 Metabolic stress signaling by JNK 1) JNK targets Dio2 to regulate obesity. 2) JNK1 in peripheral tissues (fat, muscle) controls insulin sensitivity. 3) JNK promotes macrophage-mediated inflammation. - M1 polarization - Tissue infiltration Metabolic Stress 1) JNK responds to metabolic stress 2) JNK-mediated inflammation contributes to disease: - Diabetes - Cardiovascular disease - Cancer 3) Opportunity for therapeutic intervention Acknowledgments Tammy Barrett Seda Barutcu Vicky Benoit Shashi Kant Julie Cavanagh-Kyro Nomeda Girnius Myoung Sook Han Norm Kennedy Caroline Morel Kasmir Ramo Santiago Vernia Ping Xu Clamp assays Jason Kim