title: Role of phosphatidylinositol 3-kinase activation on insulin action and its alteration in diabetic conditions.
abstract: Inositol phospholipids phosphorylated on D3-position of their inositol rings (3-phosphoinositides) are known to play important roles in various cellular events. Activation of PI (phosphatidylinositol) 3-kinase is essential for aspects of insulin-induced glucose metabolism, including translocation of GLUT4 to the cell surface and glycogen synthesis. The enzyme exists as a heterodimer containing a regulatory subunit and one of two widely-distributed isoforms of the p110 catalytic subunit: p110alpha or p110beta. Activation of PI 3-kinase and its downstream AKT has been demonstrated to be essential for almost all of the insulin-induced glucose and lipid metabolism such as glucose uptake, glycogen synthesis, suppression of glucose output and triglyceride synthesis as well as insulin-induced mitogenesis. Accumulated PI(3,4,5)P(3) activates several serine/threonine kinases containing a PH (pleckstrin homology) domain, including Akt, atypical PKCs, p70S6 kinase and GSK. In the obesity-induced insulin resistant condition, JNK and p70S6K are activated and phosphorylate IRS-proteins, which diminishes the insulin-induced tyrosine phosphorylation of IRS-proteins and thereby impairs the PI 3-kinase/AKT activations. Thus, the drugs which restore the impaired insulin-induced PI 3-kinase/AKT activation, for example, by suppressing JNK or p70S6K, PTEN or SHIP2, could be novel agents to treat diabetes mellitus.
authors.affiliation: Division of Molecular Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan. tasano@hiroshima-u.ac.jp
authors.forename: Tomoichiro
authors.initials: T
authors.lastname: Asano
authors.forename: Midori
authors.initials: M
authors.lastname: Fujishiro
authors.forename: Akifumi
authors.initials: A
authors.lastname: Kushiyama
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Nakatsu
authors.forename: Masayasu
authors.initials: M
authors.lastname: Yoneda
authors.forename: Hideaki
authors.initials: H
authors.lastname: Kamata
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Sakoda
mesh_terms: D000818:Animals; D003920:Diabetes Mellitus / Q000201:enzymology*; D004789:Enzyme Activation / Q000502:physiology; D006801:Humans; D007295:Inositol Phosphates / Q000378:metabolism; D007328:Insulin / Q000502:physiology*; D055504:Insulin Receptor Substrate Proteins; D007333:Insulin Resistance / Q000502:physiology; D019869:Phosphatidylinositol 3-Kinases / Q000737:chemistry / Q000378:metabolism*; D010750:Phosphoproteins / Q000502:physiology