Abstract
In an attempt to probe the effect of β-endorphin on insulin resistance, we used Wistar
rats that were fed fructose-rich chow to induce insulin resistance. Insulin action
on glucose disposal rate (GDR) was measured using the hyperinsulinemic euglycemic
clamp technique, in which glucose (variable), insulin (40 mU/kg/min), and β-endorphin
(6 ng/kg/min) or vehicle were initiated simultaneously and continued for 120 min.
A marked reduction in insulin-stimulated GDR was observed in fructose-fed rats compared
to normal control rats. Infusion of β-endorphin reversed the value of GDR, which was
inhibited by naloxone and naloxonazine each at doses sufficient to block opioid µ-receptors.
Opioidµ-receptors may therefore be activated by β-endorphin to improve insulin resistance.
Next, soleus muscle was isolated to investigate the effect of β-endorphin on insulin
signals. Insulin resistance in rats induced by excess fructose was associated with
the impaired insulin receptor (IR), tyrosine autophosphorylation, and insulin receptor
substrate (IRS)-1 protein content in addition to the significant decrease in IRS-1
tyrosine phosphorylation in soleus muscle. This impaired glucose transportation was
also due to signaling defects that included an attenuated p85 regulatory subunit of
phosphatidylinositol 3-kinase (PI3-kinase) and Akt serine phosphorylation. However,
IR protein levels were not markedly changed in rats with insulin resistance. β-endorphin
infusion reversed the fructose-induced decrement in the insulin-signaling cascade
with increased GDR. Apart from IR protein levels, infusion of β-endorphin reversed
the decrease in protein expression for the IRS-1, p85 regulatory subunit of PI3-kinase,
and Akt serine phosphorylation in soleus muscle in fructose-fed rats. The decrease
in insulin-stimulated protein expression of glucose transporter subtype 4 (GLUT 4)
in fructose-fed rats returned to near-normal levels after β-endorphin infusion. Infusion
of β-endorphin may improve insulin resistance by modulating the insulin-signaling
pathway to reverse insulin responsiveness.
Key words
Akt · β-Endorphin · Glucose transporter subtype 4 · Insulin receptor · Insulin receptor
substrate-1 · Phosphatidylinositol 3-kinase
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Prof. J.-T. Cheng
Department of Pharmacology, College of Medicine
National Cheng Kung University · Taiwan City · Taiwan 70101 · R.O.C.
Phone: +886 (6) 237-2706
Fax: +886 (6) 238-6548 ·
Email: jtcheng@mail.ncku.edu.tw