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Publication : Role of myotonic dystrophy protein kinase (DMPK) in glucose homeostasis and muscle insulin action.

First Author  Llagostera E Year  2007
Journal  PLoS One Volume  2
Issue  11 Pages  e1134
PubMed ID  17987120 Mgi Jnum  J:130352
Mgi Id  MGI:3771510 Doi  10.1371/journal.pone.0001134
Citation  Llagostera E, et al. (2007) Role of Myotonic Dystrophy Protein Kinase (DMPK) in Glucose Homeostasis and Muscle Insulin Action. PLoS One 2(11):e1134
abstractText  Myotonic dystrophy 1 (DM1) is caused by a CTG expansion in the 3'-unstranslated region of the DMPK gene, which encodes a serine/threonine protein kinase. One of the common clinical features of DM1 patients is insulin resistance, which has been associated with a pathogenic effect of the repeat expansions. Here we show that DMPK itself is a positive modulator of insulin action. DMPK-deficient (dmpk(-/-)) mice exhibit impaired insulin signaling in muscle tissues but not in adipocytes and liver, tissues in which DMPK is not expressed. Dmpk(-/-) mice display metabolic derangements such as abnormal glucose tolerance, reduced glucose uptake and impaired insulin-dependent GLUT4 trafficking in muscle. Using DMPK mutants, we show that DMPK is required for a correct intracellular trafficking of insulin and IGF-1 receptors, providing a mechanism to explain the molecular and metabolic phenotype of dmpk(-/-) mice. Taken together, these findings indicate that reduced DMPK expression may directly influence the onset of insulin-resistance in DM1 patients and point to dmpk as a new candidate gene for susceptibility to type 2-diabetes.
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