First Author | Quan C | Year | 2020 |
Journal | Nat Commun | Volume | 11 |
Issue | 1 | Pages | 2186 |
PubMed ID | 32367034 | Mgi Jnum | J:292327 |
Mgi Id | MGI:6447802 | Doi | 10.1038/s41467-020-16116-9 |
Citation | Quan C, et al. (2020) A PKB-SPEG signaling nexus links insulin resistance with diabetic cardiomyopathy by regulating calcium homeostasis. Nat Commun 11(1):2186 |
abstractText | Diabetic cardiomyopathy is a progressive disease in diabetic patients, and myocardial insulin resistance contributes to its pathogenesis through incompletely-defined mechanisms. Striated muscle preferentially expressed protein kinase (SPEG) has two kinase-domains and is a critical cardiac regulator. Here we show that SPEG is phosphorylated on Ser(2461)/Ser(2462)/Thr(2463) by protein kinase B (PKB) in response to insulin. PKB-mediated phosphorylation of SPEG activates its second kinase-domain, which in turn phosphorylates sarcoplasmic/endoplasmic reticulum calcium-ATPase 2a (SERCA2a) and accelerates calcium re-uptake into the SR. Cardiac-specific deletion of PKBalpha/beta or a high fat diet inhibits insulin-induced phosphorylation of SPEG and SERCA2a, prolongs SR re-uptake of calcium, and impairs cardiac function. Mice bearing a Speg(3A) mutation to prevent its phosphorylation by PKB display cardiac dysfunction. Importantly, the Speg(3A) mutation impairs SERCA2a phosphorylation and calcium re-uptake into the SR. Collectively, these data demonstrate that insulin resistance impairs this PKB-SPEG-SERCA2a signal axis, which contributes to the development of diabetic cardiomyopathy. |