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Cyclosporine A and tacrolimus reduce the amount of GLUT4 at the cell-surface in human adipocytes: increased endocytosis as a potential mechanism for the diabetogenic effects of immunosuppressive agents

dc.contributor.authorPereira, Maria João
dc.contributor.authorAureliano, M.
dc.contributor.authorPalming, Jenny
dc.contributor.authorRizell, Magnus
dc.contributor.authorCarvalho, Eugénia
dc.contributor.authorSvensson, Maria K.
dc.contributor.authorEriksson, Jan W.
dc.date.accessioned2014-07-29T15:34:27Z
dc.date.available2015-07-30T00:30:06Z
dc.date.issued2014-07-29
dc.description.abstractContext:Immunosuppressive agentes are associated with profound metabolic side effects including new-onset diabetes and dyslipidemia after organ transplantation. Objective: Toi nvestigated the effects of the cyclosporine A(CsA)or tacrolimus ong lucose uptake and insulin signalling in human adipocytes and their impact on the regulation of celular trafficking of the glucose transporter 4 (GLUT4). Design:Human isolated adipocytes were incubated with therapeutic concentrations of either CsA or tacrolimus, and glucose uptake and expression of insulin signaling proteins were assessed. Furthermore,we studied effects of CsA and tacrolimus on the regulation of celular trafficking of the GLUT4 in differentiated human pre-adipocytes and L6 cells. Results:CsA and tacrolimus had a concentration-dependent inhibitory effect on basal and insulin stimulated 14C-glucose uptake in adipocytes. Although phosphorylation at Tyr1146 of insulin receptor (IR) was inhibited by tacrolimus, the phosphorylation and/or protein levels of the insulin signalling proteinsIRS1/2,p85-PI3K,PKB,AS160 and mTORC1,as well as GLUT4 and GLUT1,were unchanged by CsA or tacrolimus. Furthermore, CsA and tacrolimus reduced the GLUT4 amount localized at the cell surfasse of differentiated human pre-adipocytes and L6 cells in the presence of insulin.This occurred by na increased rate of GLUT4 endocytosis,with no change in the exocytosis rate. Conclusions: These results suggest that therapeutic concentrations of CsA and tacrolimus can inhibit glucose uptake independente of insulin signalling by removing GLUT4 from the cell surface via na increased rate of endocytosis.Such mechanisms can contribute to the development of insulin resistance and diabetes associated with immunosuppressive therapy.In addition,they may provide novel pharmacological approaches for treatment of diabetes.por
dc.identifier.doihttp://dx.doi.org/10.1210/jc.2014-1266
dc.identifier.issn0021-972X
dc.identifier.otherAUT: MAA01296;
dc.identifier.urihttp://hdl.handle.net/10400.1/4856
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherEndocrine Societypor
dc.relation.publisherversionhttp://press.endocrine.org/doi/abs/10.1210/jc.2014-1266por
dc.subjectCyclosporine Apor
dc.subjectTacrolimuspor
dc.subjectGLUT4por
dc.titleCyclosporine A and tacrolimus reduce the amount of GLUT4 at the cell-surface in human adipocytes: increased endocytosis as a potential mechanism for the diabetogenic effects of immunosuppressive agentspor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleJournal of Clinical Endocrinology and Metabolismpor
person.familyNameAureliano
person.givenNameManuel
person.identifier584146
person.identifier.ciencia-idAA14-3490-DC5E
person.identifier.orcid0000-0003-4858-3201
person.identifier.ridI-3283-2012
person.identifier.scopus-author-id6603412860
rcaap.rightsopenAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublicationbb413661-7edd-4b57-8338-33889cfd05db
relation.isAuthorOfPublication.latestForDiscoverybb413661-7edd-4b57-8338-33889cfd05db

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