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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
1 subunit protein expression was increased 1.6-fold (p<0.05), while
2 and
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
1,
2 and
1 subunit expression and Na+,K+-ATPase activity to control levels and reduced
2 subunit expression 2.2-fold (p<0.05). DNA binding activity of the
1 subunit-regulating transcription factor ZEB (AREB6) and
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
2 and
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
2 subunit to plasma membrane was impaired by HFD, while
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
2 subunit, may contribute to impaired ion homeostasis in insulin resistant states such as obesity and Type 2 diabetes.
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