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Publication : BRL37344 stimulates GLUT4 translocation and glucose uptake in skeletal muscle via β<sub>2</sub>-adrenoceptors without causing classical receptor desensitization.

First Author  Mukaida S Year  2019
Journal  Am J Physiol Regul Integr Comp Physiol Volume  316
Issue  5 Pages  R666-R677
PubMed ID  30892909 Mgi Jnum  J:275466
Mgi Id  MGI:6303672 Doi  10.1152/ajpregu.00285.2018
Citation  Mukaida S, et al. (2019) BRL37344 stimulates GLUT4 translocation and glucose uptake in skeletal muscle via beta2-adrenoceptors without causing classical receptor desensitization. Am J Physiol Regul Integr Comp Physiol 316(5):R666-R677
abstractText  The type 2 diabetes epidemic makes it important to find insulin-independent ways to improve glucose homeostasis. This study examines the mechanisms activated by a dual beta2-/beta3-adrenoceptor agonist, BRL37344, to increase glucose uptake in skeletal muscle and its effects on glucose homeostasis in vivo. We measured the effect of BRL37344 on glucose uptake, glucose transporter 4 (GLUT4) translocation, cAMP levels, beta2-adrenoceptor desensitization, beta-arrestin recruitment, Akt, AMPK, and mammalian target of rapamycin (mTOR) phosphorylation using L6 skeletal muscle cells as a model. We further tested the ability of BRL37344 to modulate skeletal muscle glucose metabolism in animal models (glucose tolerance tests and in vivo and ex vivo skeletal muscle glucose uptake). In L6 cells, BRL37344 increased GLUT4 translocation and glucose uptake only by activation of beta2-adrenoceptors, with a similar potency and efficacy to that of the nonselective beta-adrenoceptor agonist isoprenaline, despite being a partial agonist with respect to cAMP generation. GLUT4 translocation occurred independently of Akt and AMPK phosphorylation but was dependent on mTORC2. Furthermore, in contrast to isoprenaline, BRL37344 did not promote agonist-mediated desensitization and failed to recruit beta-arrestin1/2 to the beta2-adrenoceptor. In conclusion, BRL37344 improved glucose tolerance and increased glucose uptake into skeletal muscle in vivo and ex vivo through a beta2-adrenoceptor-mediated mechanism independently of Akt. BRL37344 was a partial agonist with respect to cAMP, but a full agonist for glucose uptake, and importantly did not cause classical receptor desensitization or internalization of the receptor.
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