Loss of ACE2 exaggerates high-calorie diet-induced insulin resistance by reduction of GLUT4 in mice

Diabetes. 2013 Jan;62(1):223-33. doi: 10.2337/db12-0177. Epub 2012 Aug 29.

Abstract

ACE type 2 (ACE2) functions as a negative regulator of the renin-angiotensin system by cleaving angiotensin II (AII) into angiotensin 1-7 (A1-7). This study assessed the role of endogenous ACE2 in maintaining insulin sensitivity. Twelve-week-old male ACE2 knockout (ACE2KO) mice had normal insulin sensitivities when fed a standard diet. AII infusion or a high-fat, high-sucrose (HFHS) diet impaired glucose tolerance and insulin sensitivity more severely in ACE2KO mice than in their wild-type (WT) littermates. The strain difference in glucose tolerance was not eliminated by an AII receptor type 1 (AT1) blocker but was eradicated by A1-7 or an AT1 blocker combined with the A1-7 inhibitor (A779). The expression of GLUT4 and a transcriptional factor, myocyte enhancer factor (MEF) 2A, was dramatically reduced in the skeletal muscles of the standard diet-fed ACE2KO mice. The expression of GLUT4 and MEF2A was increased by A1-7 in ACE2KO mice and decreased by A779 in WT mice. A1-7 enhanced upregulation of MEF2A and GLUT4 during differentiation of myoblast cells. In conclusion, ACE2 protects against high-calorie diet-induced insulin resistance in mice. This mechanism may involve the transcriptional regulation of GLUT4 via an A1-7-dependent pathway.

MeSH terms

  • Angiotensin I / pharmacology
  • Angiotensin II / pharmacology
  • Angiotensin-Converting Enzyme 2
  • Animals
  • Diet, High-Fat
  • Dietary Carbohydrates / administration & dosage
  • Energy Intake
  • Glucose / metabolism
  • Glucose Intolerance
  • Glucose Transporter Type 4 / genetics*
  • Glucose Transporter Type 4 / physiology
  • Homeostasis
  • Insulin Resistance*
  • MEF2 Transcription Factors
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Muscle, Skeletal / metabolism
  • Myoblasts / metabolism
  • Myogenic Regulatory Factors / genetics
  • Peptide Fragments / pharmacology
  • Peptidyl-Dipeptidase A / physiology*

Substances

  • Dietary Carbohydrates
  • Glucose Transporter Type 4
  • MEF2 Transcription Factors
  • Mef2a protein, mouse
  • Myogenic Regulatory Factors
  • Peptide Fragments
  • Slc2a4 protein, mouse
  • Angiotensin II
  • Angiotensin I
  • Peptidyl-Dipeptidase A
  • Ace2 protein, mouse
  • Angiotensin-Converting Enzyme 2
  • angiotensin I (1-7)
  • Glucose