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Publication : Impaired Ca<sup>2<b>+</b></sup> signaling due to hepatic steatosis mediates hepatic insulin resistance in Alström syndrome mice that is reversed by GLP-1 analog treatment.

First Author  Ali ES Year  2021
Journal  Am J Physiol Cell Physiol Volume  321
Issue  1 Pages  C187-C198
PubMed ID  34106786 Mgi Jnum  J:312202
Mgi Id  MGI:6720714 Doi  10.1152/ajpcell.00020.2021
Citation  Ali ES, et al. (2021) Impaired Ca(2+) signaling due to hepatic steatosis mediates hepatic insulin resistance in Alstrom syndrome mice that is reversed by GLP-1 analog treatment. Am J Physiol Cell Physiol 321(1):C187-C198
abstractText  Ca(2+) signaling plays a critical role in the regulation of hepatic metabolism by hormones including insulin. Changes in cytoplasmic Ca(2+) regulate synthesis and posttranslational modification of key signaling proteins in the insulin pathways. Emerging evidence suggests that hepatocyte intracellular Ca(2+) signaling is altered in lipid-loaded liver cells isolated from obese rodent models. The mechanisms of altered Ca(2+)-insulin and insulin-Ca(2+) signaling pathways in obesity remain poorly understood. Here, we show that the kinetics of insulin-initiated intracellular (initial) Ca(2+) release from endoplasmic reticulum is significantly impaired in steatotic hepatocytes from obese Alstrom syndrome mice. Furthermore, exenatide, a glucagon-like peptide-1 (GLP-1) analog, reversed lipid-induced inhibition of intracellular Ca(2+) release kinetics in steatotic hepatocytes, without affecting the total content of intracellular Ca(2+) released. Exenatide reversed the lipid-induced inhibition of intracellular Ca(2+) release, at least partially, via lipid reduction in hepatocytes, which then restored hormone-regulated cytoplasmic Ca(2+) signaling and insulin sensitivity. This data provides additional evidence for the important role of Ca(2+) signaling pathways in obesity-associated impaired hepatic lipid homeostasis and insulin signaling. It also highlights a potential advantage of GLP-1 analogs when used to treat type 2 diabetes associated with hepatic steatosis.
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