1. Endothelial APLNR regulates tissue fatty acid uptake and is essential for apelin’s glucose-lowering effects
- Author
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Ming O. Li, Takaomi Adachi, Thomas Quertermous, Guoliang Cui, Hyekyung Ju, Alan R. Morrison, Gwang-woong Go, Lina Zhao, Kristy Red-Horse, Mohammed Inayathullah, Bikram Sharma, Jayakumar Rajadas, Stephanie L. Kwei, Judith K. Job, Hyung J. Chun, Jingxia Wu, Arya Mani, Cheol Hwangbo, Irinna Papangeli, and Saejeong Park
- Subjects
Male ,0301 basic medicine ,Aging ,medicine.medical_specialty ,Adipose tissue ,FOXO1 ,Type 2 diabetes ,030204 cardiovascular system & hematology ,Carbohydrate metabolism ,Biology ,Fatty Acid-Binding Proteins ,Article ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Human Umbilical Vein Endothelial Cells ,medicine ,Animals ,Humans ,Endothelium ,Receptor ,Mice, Knockout ,Apelin Receptors ,Forkhead Box Protein O1 ,Fatty Acids ,Skeletal muscle ,General Medicine ,medicine.disease ,Apelin ,Glucose ,030104 developmental biology ,medicine.anatomical_structure ,Endocrinology ,Signal transduction ,Signal Transduction - Abstract
Treatment of type 2 diabetes mellitus continues to pose an important clinical challenge, with most existing therapies lacking demonstrable ability to improve cardiovascular outcomes. The atheroprotective peptide apelin (APLN) enhances glucose utilization and improves insulin sensitivity. However, the mechanism of these effects remains poorly defined. We demonstrate that the expression of APLNR (APJ/AGTRL1), the only known receptor for apelin, is predominantly restricted to the endothelial cells (ECs) of multiple adult metabolic organs, including skeletal muscle and adipose tissue. Conditional endothelial-specific deletion of Aplnr (AplnrECKO) resulted in markedly impaired glucose utilization and abrogation of apelin-induced glucose lowering. Furthermore, we identified in-activation of Forkhead box protein O1 (FOXO1) and inhibition of endothelial expression of fatty acid (FA) binding protein 4 (FABP4) as key downstream signaling targets of apelin/APLNR signaling. Both the Apln−/− and AplnrECKO mice demonstrated increased endothelial FABP4 expression and excess tissue FA accumulation, whereas concurrent endothelial Foxo1 deletion or pharmacologic FABP4 inhibition rescued the excess FA accumulation phenotype of the Apln−/− mice. The impaired glucose utilization in the AplnrECKO mice was associated with excess FA accumulation in the skeletal muscle. Treatment of these mice with an FABP4 inhibitor abrogated these metabolic phenotypes. These findings provide mechanistic insights that could greatly expand the therapeutic repertoire for type 2 diabetes and related metabolic disorders.
- Published
- 2017
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