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Am J Physiol Endocrinol Metab (February 27, 2007). doi:10.1152/ajpendo.00701.2006
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Submitted on December 20, 2006
Accepted on February 21, 2007

IL-6 Increases Muscle Insulin Sensitivity Only at Super-Physiological Levels

Paige C. Geiger1, Chad R Hancock2, David C Wright3, Dong-Ho Han4, and John O. Holloszy5*

1 Molecular and Integrative Physiology, Kansas University Medical Center, Kansas City, Kansas, United States
2 Department of Internal Medicine, Section of Applied Physiology, Washington University School of Medicine, St. Louis, Missouri, United States
3 Agriculture, Food and Nutritional Science, University of Alberta, Edmonton, Canada
4 Division of Geriatrics and Nutritional Sciences, Washington University School of Medicine, St. Louis,, Missouri, United States
5 Division of Geriatrics and Nutritional Sciences, Washington University School of Medicine, St. Louis, Missouri, United States

* To whom correspondence should be addressed. E-mail: jhollosz{at}im.wustl.edu.

Exercise induces an increase in glucose transport in muscle. As the acute increase in glucose transport reverses, it is replaced by an increase in insulin sensitivity. Interleukin-6 (IL-6) increases with exercise, and has been reported to activate AMPK. Based on this information we hypothesized that IL-6 would result in an increase in muscle insulin sensitivity. Rat epitrochlearis and soleus muscles were incubated with 120 ng/ml IL6. Exposure to IL-6 induced a modest acute increase in glucose transport, and was followed 3.5h later by an increase in insulin sensitivity, in epitrochlearis but not soleus muscles. IL-6 also brought about an increase in AMPK phosphorylation in epitrochlearis muscles. We conclude that exposure of fast-twitch muscle to 120 ng/ml IL-6 increases insulin sensitivity by activating AMPK. However, exposure of epitrochlearis muscles to 10 ng/ml IL-6, a concentration more than 100-fold higher than that attained in plasma during exercise had no effect on glucose transport or insulin sensitivity. These findings provide evidence that the increases in glucose transport and insulin sensitivity induced by IL-6 are pharmacological rather than physiological effects. We interpret our results as evidence that the increase in IL-6 during exercise does not play a role in the exercise-induced increases in muscle glucose uptake and insulin sensitivity.







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