Publication: Ablation of AMP-Activated Protein Kinase (\alpha)2 Activity Exacerbates Insulin Resistance Induced by High-Fat Feeding of Mice
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Objective: We determined whether muscle AMP-activated protein kinase (AMPK) has a role in the development of insulin resistance. Research Design and Methods: Muscle-specific transgenic mice expressing an inactive form of the AMPK (\alpha)2 catalytic subunit ((\alpha)2i TG) and their wild-type littermates were fed either a high-fat (60% kcal fat) or a control (10% kcal fat) diet for 30 weeks. Results: Compared with wild-type mice, glucose tolerance in (\alpha)2i TG mice was slightly impaired on the control diet and significantly impaired on the high-fat diet. To determine whether the whole-body glucose intolerance was associated with impaired insulin sensitivity in skeletal muscle, glucose transport in response to submaximal insulin (450 (\mu)U/ml) was measured in isolated soleus muscles. On the control diet, insulin-stimulated glucose transport was reduced by (\sim)50% in (\alpha)2i TG mice compared with wild-type mice. High-fat feeding partially decreased insulin-stimulated glucose transport in wild-type mice, while high-fat feeding resulted in a full blunting of insulin-stimulated glucose transport in the (\alpha)2i TG mice. High-fat feeding in (\alpha)2i TG mice was accompanied by decreased expression of insulin signaling proteins in gastrocnemius muscle. Conclusions: The lack of skeletal muscle AMPK (\alpha)2 activity exacerbates the development of glucose intolerance and insulin resistance caused by high-fat feeding and supports the thesis that AMPK (\alpha)2 is an important target for the prevention/amelioration of skeletal muscle insulin resistance through lifestyle (exercise) and pharmacologic (e.g., metformin) treatments.