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Am J Physiol Endocrinol Metab (April 14, 2009). doi:10.1152/ajpendo.90990.2008
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Submitted on December 11, 2008
Revised on March 25, 2009
Accepted on April 14, 2009

Altered expression and insulin-induced trafficking of Na+, K+-ATPase in rat skeletal muscle: effects of high fat diet and exercise

Dana Galuska1, Olga Kotova2, Romain Barres3, Daria Chibalina2, Boubacar Benziane2, and Alexander V Chibalin2*

1 Karolinska Institute
2 Karolinska Insitutet
3 Karolinska Institutet

* To whom correspondence should be addressed. E-mail: alexander.chibalin{at}ki.se.

Skeletal muscle Na+,K+-ATPase plays a central role in the clearance of K+ from the extracellular fluid, therefore maintaining blood [K+]. Na+,K+-ATPase activity in peripheral tissue is impaired in insulin resistant states. We determined effects of high fat diet (HFD) and exercise training (ET) on skeletal muscle Na+,K+-ATPase subunit expression and insulin-stimulated translocation. Skeletal muscle expression of Na+,K+-ATPase isoforms and transcription factor DNA binding was determined before or after 5 days swim training in Wistar rats fed chow or HFD for 4 or 12 weeks. Skeletal muscle insulin resistance was observed after 12 weeks of HFD. Na+,K+-ATPase {alpha}1 subunit protein expression was increased 1.6-fold (p<0.05), while {alpha}2 and {beta}1 subunits and protein expression was decreased 2-fold (p<0.01) in parallel with decrease in plasma membrane Na+,K+-ATPase activity after 4 weeks HFD. Exercise training restored {alpha}1, {alpha}2 and {beta}1 subunit expression and Na+,K+-ATPase activity to control levels and reduced {beta}2 subunit expression 2.2-fold (p<0.05). DNA binding activity of the {alpha}1 subunit-regulating transcription factor ZEB (AREB6) and {alpha}1 mRNA expression was increased after HFD and restored by ET. DNA binding activity of Sp-1, a transcription factor involved in the regulation of {alpha}2 and {beta}1 subunit expression, was decreased after HFD. ET increased phosphorylation of the Na+,K+-ATPase regulatory protein phospholemman. Phospholemman mRNA and protein expression was increased after HFD and restored to control levels after ET. Insulin-stimulated translocation of the {alpha}2 subunit to plasma membrane was impaired by HFD, while {alpha}1 subunit translocation remained unchanged. Alterations in sodium pump function precede the development of skeletal muscle insulin resistance. Disturbances in skeletal muscle Na+,K+-ATPase regulation, particularly the {alpha}2 subunit, may contribute to impaired ion homeostasis in insulin resistant states such as obesity and Type 2 diabetes.







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