AJP - Endo Fuel your research with LabChart
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Endocrinol Metab (April 29, 2008). doi:10.1152/ajpendo.00258.2007
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Google Scholar
Right arrow Articles by Lastra, G.
Right arrow Articles by Sowers, J. R
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lastra, G.
Right arrow Articles by Sowers, J. R
Submitted on April 24, 2007
Accepted on April 23, 2008

Low-Dose Spironolactone Reduces Reactive Oxygen Species Generation and Improves Insulin Stimulated Glucose Transport in Skeletal Muscle in the TG(mRen2)27 Rat

Guido Lastra1, Adam Whaley-Connell2, Camila M Manrique3, Javad Habibi3, Alex Gutweiler4, Lama Appesh5, Melvin R Hayden6, Yongzhong Wei7, Carlos M Ferrario8, and James R Sowers9*

1 United States; Internal Medicine, University of Missouri-Columbia School of Medicine, Columbia, Missouri, United States
2 Internal Medicine, Division of Nephrology, University of Missouri-Columbia School of Medicine, Columbia, Missouri, United States
3 Internal Medicine, University of Missouri Columbia, Columbia, Missouri, United States
4 Internal Medicine, University of Missouri Columbia, Columbia, Missouri, United States; Internal Medicine, University of Missouri, Columbia, Missouri, United States
5 Internal Medicine, University of Missouri-Columbia School of Medicine, Columbia, Missouri, United States
6 Dept. of Family and Community Medicine, University of Missouri School of Medicine Columbia, Missouri, Camdenton, United States; , United States
7 Internal Medicine, University of Missouri School of Medicine, Columbia, Missouri, United States
8 Hypertension Center, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States
9 Medicine,Physiology and Pharmacology, Director of Diabetes and Cardiovascular Center, Columbia, Missouri, United States

* To whom correspondence should be addressed. E-mail: sowersj{at}health.missouri.edu.

Renin-angiotensin-aldosterone system (RAAS) activation mediates increases in reactive oxygen species (ROS) and impaired insulin signaling. The transgenic Ren2 rat manifests increased tissue renin-angiotensin system activity, elevated serum aldosterone, hypertension, and insulin resistance. To explore the role of aldosterone in the pathogenesis of insulin resistance we investigated the impact of in vivo treatment of with a mineralocorticoid receptor (MR) antagonist on insulin sensitivity in Ren2 and aged-matched Sprague Dawley (SD) control rats. Both groups (age 6-8 wks) were implanted with subcutaneous time-release pellets containing spironolactone (0.24 mg/day) or placebo over 21 days. Systolic blood pressure (SBP) and intraperitoneal glucose tolerance test were determined. Soleus muscle IRS-1, tyrosine phosphorylated IRS-1, protein kinase B (Akt) phosphorylation, GLUT4 levels and insulin stimulated 2-deoxyglucose uptake were evaluated in relation to NADPH subunit expression/oxidase activity and ROS production (chemiluminescence and 4-HNE immunostaining). Along with increased soleus muscle NADPH oxidase activity and ROS, there was systemic insulin resistance, and reduced muscle IRS-1 tyrosine phosphoryation, Akt phosphorylation/activation, and GLUT4 expression in the Ren2 group (each p<0.05). Despite not decreasing blood pressure, low dose spironolactone treatment improved soleus muscle insulin signaling parameters and systemic insulin sensitivity in concert with reductions in NADPH oxidase subunit expression/activity and ROS production (each p<0.05). Our findings suggest that aldosterone contributes to insulin resistance in the transgenic Ren2, in part, by increasing NADPH oxidase activity in skeletal muscle tissue.







HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 2008 by the American Physiological Society.