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Publication : C-reactive protein causes insulin resistance in mice through Fcγ receptor IIB-mediated inhibition of skeletal muscle glucose delivery.

First Author  Tanigaki K Year  2013
Journal  Diabetes Volume  62
Issue  3 Pages  721-31
PubMed ID  23069625 Mgi Jnum  J:208615
Mgi Id  MGI:5563765 Doi  10.2337/db12-0133
Citation  Tanigaki K, et al. (2013) C-reactive protein causes insulin resistance in mice through Fcgamma receptor IIB-mediated inhibition of skeletal muscle glucose delivery. Diabetes 62(3):721-31
abstractText  Elevations in C-reactive protein (CRP) are associated with an increased risk of insulin resistance. Whether CRP plays a causal role is unknown. Here we show that CRP transgenic mice and wild-type mice administered recombinant CRP are insulin resistant. Mice lacking the inhibitory Fcgamma receptor IIB (FcgammaRIIB) are protected from CRP-induced insulin resistance, and immunohistochemistry reveals that FcgammaRIIB is expressed in skeletal muscle microvascular endothelium and is absent in skeletal muscle myocytes, adipocytes, and hepatocytes. The primary mechanism in glucose homeostasis disrupted by CRP is skeletal muscle glucose delivery, and CRP attenuates insulin-induced skeletal muscle blood flow. CRP does not impair skeletal muscle glucose delivery in FcgammaRIIB(-/-) mice or in endothelial nitric oxide synthase knock-in mice with phosphomimetic modification of Ser1176, which is normally phosphorylated by insulin signaling to stimulate nitric oxide-mediated skeletal muscle blood flow and glucose delivery and is dephosphorylated by CRP/FcgammaRIIB. Thus, CRP causes insulin resistance in mice through FcgammaRIIB-mediated inhibition of skeletal muscle glucose delivery.
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