Homozygous receptors for insulin and not IGF-1 accelerate intimal hyperplasia in insulin resistance and diabetes

Qian Li, Jialin Fu, Yu Xia, Weier Qi, Atsushi Ishikado, Kyoungmin Park, Hisashi Yokomizo, Qian Huang, Weikang Cai, Christian Rask-Madsen, C. Ronald Kahn, George L. King

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Insulin and IGF-1 actions in vascular smooth muscle cells (VSMC) are associated with accelerated arterial intima hyperplasia and restenosis after angioplasty, especially in diabetes. To distinguish their relative roles, we delete insulin receptor (SMIRKO) or IGF-1 receptor (SMIGF1RKO) in VSMC and in mice. Here we report that intima hyperplasia is attenuated in SMIRKO mice, but not in SMIGF1RKO mice. In VSMC, deleting IGF1R increases homodimers of IR, enhances insulin binding, stimulates p-Akt and proliferation, but deleting IR decreases responses to insulin and IGF-1. Studies using chimeras of IR(extracellular domain)/IGF1R(intracellular-domain) or IGF1R(extracellular domain)/IR(intracellular-domain) demonstrate homodimer IRα enhances insulin binding and signaling which is inhibited by IGF1Rα. RNA-seq identifies hyaluronan synthase2 as a target of homo-IR, with its expression increases by IR activation in SMIGF1RKO mice and decreases in SMIRKO mice. Enhanced intima hyperplasia in diabetes is mainly due to insulin signaling via homo-IR, associated with increased Has2 expression.

Original languageEnglish
Article number4427
JournalNature Communications
Volume10
Issue number1
DOIs
StatePublished - Dec 1 2019

Bibliographical note

Publisher Copyright:
© 2019, The Author(s).

Funding

This study was supported by NIH grant R01-DK-053105. We are grateful for the expert technical assistance provided by Biostatistic and Bioinformatic Core, Advanced Microscopy Core, Flow Cytometry Core, Mouse Physiology Core, Genomic Core, which are supported by NIH grants 5P30DK036836 and S10OD021740. We thank Dr. Kevin Croce for the technique support in femoral artery wire injury. The content of this paper is solely the responsibility of the authors, and does not necessarily represent the official views of the funding agencies.

FundersFunder number
National Institutes of Health (NIH)S10OD021740, 5P30DK036836
National Institutes of Health (NIH)
National Institute of Diabetes and Digestive and Kidney DiseasesR01DK053105
National Institute of Diabetes and Digestive and Kidney Diseases

    ASJC Scopus subject areas

    • General Chemistry
    • General Biochemistry, Genetics and Molecular Biology
    • General Physics and Astronomy

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