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Regulation of hepatic insulin signaling and glucose homeostasis by sphingosine kinase 2.

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机构: [a]Department of Endocrinology and Metabolism, Fudan Institute for Metabolic Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China [b]Centenary Institute, The University of Sydney, Sydney, NSW 2050, Australia [c]Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang13200, Malaysia [d]School of Pharmacy, Guangdong Pharmaceutical University, Guangzhou 510006, China [e]Department of Cardiology, Third AffiliatedHospital of Beijing University of Chinese Medicine, Beijing 100029, China [f]School of Medical Sciences, The University of New South Wales, Sydney, NSW2052, Australia [g]School of Life and Environmental Sciences, The University of Sydney, Sydney, NSW 2006, Australia [h]National Health and Medical ResearchCouncil Clinical Trials Centre, The University of Sydney, Sydney, NSW 2006, Australia [i]National Clinical Research Center for Aging and Medicine,Huashan Hospital, Fudan University, Shanghai 200413, China
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Sphingolipid dysregulation is often associated with insulin resistance, while the enzymes controlling sphingolipid metabolism are emerging as therapeutic targets for improving insulin sensitivity. We report herein that sphingosine kinase 2 (SphK2), a key enzyme in sphingolipid catabolism, plays a critical role in the regulation of hepatic insulin signaling and glucose homeostasis both in vitro and in vivo. Hepatocyte-specific Sphk2 knockout mice exhibit pronounced insulin resistance and glucose intolerance. Likewise, SphK2-deficient hepatocytes are resistant to insulin-induced activation of the phosphoinositide 3-kinase (PI3K)-Akt-FoxO1 pathway and elevated hepatic glucose production. Mechanistically, SphK2 deficiency leads to the accumulation of sphingosine that, in turn, suppresses hepatic insulin signaling by inhibiting PI3K activation in hepatocytes. Either reexpressing functional SphK2 or pharmacologically inhibiting sphingosine production restores insulin sensitivity in SphK2-deficient hepatocytes. In conclusion, the current study provides both experimental findings and mechanistic data showing that SphK2 and sphingosine in the liver are critical regulators of insulin sensitivity and glucose homeostasis. Copyright © 2020 the Author(s). Published by PNAS.

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第一作者机构: [a]Department of Endocrinology and Metabolism, Fudan Institute for Metabolic Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China
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通讯机构: [a]Department of Endocrinology and Metabolism, Fudan Institute for Metabolic Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China [i]National Clinical Research Center for Aging and Medicine,Huashan Hospital, Fudan University, Shanghai 200413, China
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