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Am J Physiol Endocrinol Metab 287: E926-E933, 2004. First published June 15, 2004; doi:10.1152/ajpendo.00185.2004
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Hepatospecific effects of fructose on c-jun NH2-terminal kinase: implications for hepatic insulin resistance

Yuren Wei1 and Michael J. Pagliassotti1,2

1Department of Food Science and Human Nutrition, Colorado State University, Fort Collins 80523; and 2Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado 80262

Submitted 27 April 2004 ; accepted in final form 13 June 2004

Sucrose- and fructose-enriched diets produce hepatic insulin resistance in rats independently of obesity. In humans, fructose infusion results in impaired insulin regulation of glucose production. The aim of the present study was to identify intrahepatic mediators of sucrose- and fructose-induced hepatic insulin resistance. In study 1, male rats were fed a control diet (STD, 68% of energy from corn starch, 12% from corn oil) or a sucrose-enriched diet (HSD, 68% sucrose, 12% corn oil) for 1, 2, or 5 wk. HSD produced hepatic insulin resistance at all time points. Hepatic protein tyrosine phosphatase 1B protein levels and activity were increased at 5 wk only, whereas c-jun NH2-terminal kinase (JNK) activity was increased at all time points. Normalization of JNK activity in hepatocytes isolated from HSD rats improved insulin-stimulated tyrosine phosphorylation of insulin receptor substrate (IRS) proteins and insulin suppression of glucose release. In study 2, male rats were provided STD for 1 wk and then were either fasted or fasted and refed either STD or HSD for 3 or 6 h. Rats refed HSD were characterized by increased hepatic JNK activity and phosphorylation of IRS1 on Ser307 after 6 h only. In study 3, hyperglycemic, hyperinsulinemic pancreatic clamps were performed for 3 or 6 h in the presence or absence of low or high intraportal fructose infusions. High intraportal fructose infusions, which increased portal vein fructose concentration to ~1 mM, increased hepatic JNK activity and phosphorylation of IRS1 on Ser307 at 6 h only. These data suggest that sucrose- and fructose-induced hepatic insulin resistance are mediated, in part, via activation of JNK activity. Thus high rates of fructose metabolism in the liver appear to acutely activate stress pathways.

insulin action; liver; stress; type 2 diabetes



Address for reprint requests and other correspondence: M. J. Pagliassotti, Colorado State Univ., Dept. of Food Science and Human Nutrition, Campus Delivery 1571, Fort Collins, CO, 80523-1571 (E-mail: pagliasm{at}cahs.colostate.edu)




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