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Tumor necrosis factor (TNF)-α is a proinflammatory cytokine that links obesity and insulin resistance. However, the effect of
transmembrane TNF-α (tmTNF-α) on insulin resistance remains unknown. Here, we demonstrated that high concentration of
glucose(25mM) significantly reduced insulin-induced glucose uptake by 3T3-L1 adipocytes that was concomitant with a decrease
in tmTNF-α expression but an increase in soluble TNF-α(sTNF-α) secretion. This insulin resistance, however, could be reversed
in part by neutralization of TACE using a specific antibody to prevent the cleavage of tmTNF-α into sTNF-α, as manifested by
enhancement of insulin-induced glucose uptake, pointing out a possible different role of tmTNF-α in insulin resistance. Then,
we stimulated 3T3-L1 adipocytes with exogenous tmTNF-α and sTNF-α respectively, and found that sTNF-α inhibited insulin-
induced tyrosine phosphorylation of IRS-1 and AKT phosphorylation, leading to suppression of the glucose uptake induced by
insulin. In contrast, tmTNF-α has been shown to elevate insulin-induced glucose uptake by twofold as a result of promoting the
insulin signaling. Furthermore, we found that tmTNF-α downregulated the expression of IL-6 and MCP-1 through inactivation
of NF-κB and upregulated the expression of adiponectin through PPAR-γ in 3T3-L1 adipocytes. Inhibition of PPAR-γ expression
by GW9662, an inhibitor of PPAR-γ, could decrease tmTNF-α-induced adiponectin transcription, blocking tmTNF-α-enhanced
AKT phosphorylation and glucose uptake. These data suggest that tmTNF-α may contribute to the improvement of insulin
resistance, which is opposite to sTNF-α, thereby specific blockage of tmTNF-α conversion into sTNF-α may be useful to increase
insulin sensitivity for the clinical treatment of type 2 diabetes.
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