Key result
β-adrenoceptor agonists stimulate brown adipose tissue glucose uptake and thermogenesis independently of insulin pathways.
Why the study?
It was unclear whether downstream insulin signaling is required for β-adrenoceptor-stimulated glucose uptake in brown adipose tissue.
Does β-adrenoceptor activation require the insulin signaling pathway (PI3Kα) to stimulate glucose uptake and thermogenesis in brown adipose tissue?
Does β-adrenoceptor activation require the insulin signaling pathway (PI3Kα) to stimulate glucose uptake and thermogenesis in brown adipose tissue?
β-adrenoceptor mediated glucose clearance and thermogenesis in brown adipose tissue occur via a distinct pathway independent of functional insulin signaling.
Answers are grounded in this paper and cite their sources.
β-adrenoceptor agonists may activate BAT independently of insulin signaling; leaves open translation to human metabolic disease.
OBJECTIVE: β-adrenoceptor mediated activation of brown adipose tissue (BAT) has been associated with improvements in metabolic health in models of type 2 diabetes and obesity due to its unique ability to increase whole body energy expenditure, and rate of glucose and free fatty acid disposal. While the thermogenic arm of this phenomenon has been studied in great detail, the underlying mechanisms involved in β-adrenoceptor mediated glucose uptake in BAT are relatively understudied. As β-adrenoceptor agonist administration results in increased hepatic gluconeogenesis that can consequently result in secondary pancreatic insulin release, there is uncertainty regarding the importance of insulin and the subsequent activation of its downstream effectors in mediating β-adrenoceptor stimulated glucose uptake in BAT. Therefore, in this study, we made an effort to discriminate between the two pathways and address whether the insulin signaling pathway is dispensable for the effects of β-adrenoceptor activation on glucose uptake in BAT. METHODS: Using a specific inhibitor of phosphoinositide 3-kinase α (PI3Kα), which effectively inhibits the insulin signaling pathway, we examined the effects of various β-adrenoceptor agonists, including the physiological endogenous agonist norepinephrine on glucose uptake and respiration in mouse brown adipocytes in vitro and on glucose clearance in mice in vivo. CONCLUSIONS: We conclude that the β-adrenergic pathway is still functionally intact upon the inhibition of PI3Kα, showing that the activation of downstream insulin effectors is not required for the acute effects of β-adrenoceptor agonists on glucose homeostasis or thermogenesis.
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Olsen et al. (2019) studied Glucose clearance in brown adipose tissue. β-adrenoceptor agonists and PI3Kα inhibitor was evaluated on Glucose uptake and respiration in vitro and glucose clearance in vivo. β-adrenoceptor agonists stimulated glucose uptake and thermogenesis in brown adipose tissue independently of downstream insulin effectors, as shown by intact function despite PI3Kα inhibition.
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