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Sanjay K. Pandey1, Xing Xian Yu, Lynnetta M. Watts, M. Dodson Michael, Kyle W. Sloop, Amber R. Rivard,
Thomas A. Leedom, Vara Prasad Manchem, Laura Samadzadeh, Robert A. McKay, Brett P. Monia,
and Sanjay Bhanot
From the Metabolic Disease Program, Antisense Drug Discovery, Isis Pharmaceuticals, Carlsbad, CA 92008,
and Endocrine Discovery, Lilly Research Laboratories, Indianapolis, Indiana 46285
* The costs of publication of this article were defrayed in part by the payment
of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
To whom correspondence should be addressed: Metabolic Disease Program, Antisense Drug Discovery, Isis Pharmaceuticals, 1896 Rutherford
Rd., Carlsbad, CA 92008. Tel.: 760-603-2361; Fax: 760-603-3862; E-mail:
spandey@isisph.com.
2
The abbreviations used are: IR, insulin receptor; IRS, insulin receptor substrate; LMW, low molecular weight; PTP, protein-tyrosine phosphatase;
PI3-K, phosphatidylinositol 3-kinase; ASO, antisense oligonucleotide; DIO,
diet-induced obese; GTT, glucose tolerance test; ITT, insulin tolerance test;
DGAT, acyl-CoA:diacylglycerol acyltransferase; PTEN, phosphatase and
tensin homolog deleted on chromosome ten; SHP2/SHPTP2, Src homol1
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To investigate the role of low molecular weight proteintyrosine phosphatase (LMW-PTP) in glucose metabolism
and insulin action, a specific antisense oligonucleotide (ASO)
was used to reduce its expression both in vitro and in vivo.
Reduction of LMW-PTP expression with the ASO in cultured
mouse hepatocytes and in liver and fat tissues of diet-induced
obese (DIO) mice and ob/ob mice led to increased phosphorylation and activity of key insulin signaling intermediates,
including insulin receptor- subunit, phosphatidylinositol
3-kinase, and Akt in response to insulin stimulation. The
ASO-treated DIO and ob/ob animals showed improved insulin sensitivity, which was reflected by a lowering of both
plasma insulin and glucose levels and improved glucose and
insulin tolerance in DIO mice. The treatment did not
decrease body weight or increase metabolic rate. These data
demonstrate that LMW-PTP is a key negative regulator of
insulin action and a potential novel target for the treatment of
insulin resistance and type 2 diabetes.
EXPERIMENTAL PROCEDURES
Selection of LMW-PTP ASOsRapid throughput screens of
about 80 ASOs against LMW-PTP were performed in A549
cells, and the reduction of target gene expression was analyzed
with real time quantitative reverse transcription-PCR after
transfection of the cells with different concentrations of the
ASOs for 24 h. Based on IC50 values, four potent ASOs were
selected, and their in vivo activity was confirmed in lean C57BL/
6J-Lepob/ mice. The final selection of the ASOs was based
upon the maximal reduction of hepatic LMW-PTP mRNA levels in lean mice without any evidence of overt toxicity. The
selected LMW-PTP ASO (ASO 1), ISIS 288267, was then used
for the current study. Another LMW-PTP ASO (ASO 2), ISIS
288291, was also used in some in vitro experiments for comparison. All ASOs have a uniform phosphorothioate backbone
with a 20-base chimeric design, with 2-O-(methoxy)-ethyl
modification in the first five and last five bases. The modification enhances their binding affinity to complimentary
sequences and their resistance to the action of nucleases. A
negative control ASO (ISIS 141923), which has the same chemical composition as ISIS 288267 but no complementarities to
any known gene sequence, was also included in the study.
Isolation and Transfection of Primary HepatocytesMouse
primary hepatocytes were prepared according to a method
A distinct PTP called low molecular weight PTP (LMWPTP), also known as acid phosphatase locus 1, is an 18-kDa
cytosolic enzyme with two catalytically active isoforms, named
A and B, derived from alternate splicing of a single pre-mRNA
(20, 21). It is widely expressed in various tissues in mammals
(20, 21), and gene expression analysis from adult mouse tissues
found that the level of LMW-PTP mRNA is highest in liver and
brain and lowest in skeletal muscle (22). Biochemical studies
have shown that LMW-PTP can dephosphorylate tyrosinephosphorylated proteins (23, 24). Limited in vitro studies have
suggested a role for LMW-PTP as a negative regulator of insulin-mediated mitogenic and metabolic signaling (23, 25). In
addition, epidemiological studies have suggested that LMWPTP levels are associated with dyslipidemia and hyperglycemia
in human subjects (26, 27). However, the precise role of LMWPTP in regulating insulin action in vivo remains unknown.
Here, we have used a specific antisense oligonucleotide
(ASO) to suppress the expression of LMW-PTP in cultured
hepatocytes and in liver and fat of diet-induced obese and leptin-deficient obese mice to investigate the mechanism of the
insulin-sensitizing effect of LMW-PTP. Previous pharmacokinetic studies have found that the specific ASO chemistry
employed in this study leads to good distribution (and consequent activity) in a variety of tissues in vivo, including liver and
adipose tissue (28, 29). Reduction in the levels of both LMWPTP isoforms in vitro and in vivo increased tyrosine phosphorylation of IR and AktSer473 and increased IRS-1- and IRS-2associated PI3-K activities in both liver and fat. The enhanced
insulin signaling activity was accompanied by a reduction in
blood glucose and insulin levels and improved insulin and glucose tolerance in obese mice. These results demonstrate for the
first time a novel role for LMW-PTP as a key negative regulator
of insulin signaling in vivo.
Equal amounts of total protein for different samples were separated on 10% or 16% SDS-PAGE gels under reduced conditions and then transferred onto polyvinylidene difluoride membranes. The blots were then incubated with antibody against
IR- subunit (C-19; Santa Cruz, CA), tyrosine-phosphorylated
proteins (4G10; Upstate Biotechnology Inc., Lake Placid, NY)
or Ser473-phosphorylated Akt (Cell Signaling, Danvers, MA).
The blots were also incubated with antibody against PTP1B,
SHP2/SHPTP2 (from Upstate Biotechnology Inc.), PTEN (Cell
Signaling, Danvers, MA and Upstate Biotechnology Inc.), or
LMW-PTP antibody (kindly provided by Dr. Thomas Mustelin
of Burnham Institute, La Jolla, CA). The signals were detected
by using horseradish peroxidase-conjugated goat anti-rabbit
IgG antibody and ECL detection reagents.
ImmunoprecipitationThe clarified lysates were first incubated with protein agarose A/G beads (1:1 ratio) for 3 4 h at
4 C followed by incubation with anti-phosphotyrosine antibody for another 3 4 h at 4 C. The immunocomplex was
washed with lysis buffer three times and then boiled in
Laemmlis sample buffer and Western blotted with anti-IR-
subunit antibody (Santa Cruz Biotechnology, Santa Cruz, CA)
as described earlier.
PI 3-Kinase Activity AssayThe PI3-K activity was measured
as described previously (30). Briefly, the clarified lysates (500 g
of protein) were subjected to immunoprecipitation with 1 g of
IRS-1 or IRS-2 antibody for 2 h at 4 C, followed by incubation
with protein A/G-Sepharose for an additional 2 h. The immunocomplexes were then washed and used for PI3-K activity
assay using L--phosphatidylinositol and [-32P]ATP as substrates. The reaction was stopped by the addition of a mix of
CHCl3:CH3OH:HCl (100:200:2). The produced phosphorylated lipid was extracted with CHCl3 and separated on a TLC
plate. The plate was then exposed to a Kodak film. The radioactivity associated with PIP3 spots was quantified by Image
Quant, or the PIP3 spots were scratched off the plates and
counted in scintillation counter.
Statistical AnalysisThe values are expressed as the
means S.E. of at least three to five in vitro or five in vivo
independent measurements per treatment. Statistical difference across treatment groups was determined using Students t test or one-way analysis of variance with Tukey HSD
multiple comparisons. Differences were considered significant at p 0.05.
RESULTS
Reduction of LMW-PTP Expression Enhances Insulin Signaling in Mouse HepatocytesTo investigate the role of LMWPTP in insulin signaling, mouse primary hepatocytes were
transfected with LMW-PTP ASO or vehicle. LMW-PTP ASO
treatment reduced LMW-PTP mRNA levels by 90% (Fig. 1A),
which was associated with dramatic reduction in the protein
levels for both A and B isoforms (Fig. 1B). Reprobing the membrane with anti-PTP1B antibody revealed no compensatory
increase in PTP1B protein levels in the ASO-treated cells (Fig.
1B). We next examined the effect of LMW-PTP reduction on
the insulin activation of IR and Akt, two critical members of the
insulin signaling cascade. LMW-PTP ASO or control ASO
transfected mouse primary hepatocytes were incubated with
JOURNAL OF BIOLOGICAL CHEMISTRY
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DIO mice (n 6)
BW (g), 0 weeks
BW (g), 5 weeks
Chol (mg/dl), 6 weeks
AST (IU/L)
ALT (IU/L)
ob/ob mice (n 5)
BW (g), 0 weeks
BW (g), 5 weeks
Chol (mg/dl), 4 weeks
TG (mg/dl), 4 weeks
AST (IU/L)
ALT (IU/L)
VO2 (ml/kg0.75/h)
In dark
In light
a
b
eosin-stained liver sections showed that there was a large number of multilobular and unilobular cytoplasmic lipid droplets in
control animals. In contrast, the lipid droplets were greatly
reduced in both size and number as a result of LMW-PTP ASO
treatment (Fig. 3F). This finding was further confirmed with
oil-red O staining in which the intense oil-red O-stained lipid
spots found in saline-treated mice were markedly reduced in
LMW-PTP ASO-treated mice (Fig. 3F). This improvement in
liver steatosis was accompanied by an improvement in liver
function, as demonstrated by a decrease in plasma aspartate
transaminase and alanine transaminase levels in these mice
(Table 1). The treatment lowered plasma triglyceride levels but
not cholesterol levels (Table 1). However, the ASO treatment
Control
ASO
LMW-PTP
ASO
39.8 1.3
39.9 1.4
183.7 6.7
40.7 5.6
62.4 7.3
39.4 0.6
39.2 1.0
181.4 7.3
39.4 4.9
64.1 4.3
39.8 0.7
38.4 0.4
135.8 9.2a
36.3 2.1
63.9 3.3
36.3 0.4
54.5 0.8
182.9 61.0
168.0 3.1
167.0 9.0
264.0 20.0
38.4 0.8
55.9 0.9
189.7 47.3
75.0 5.4b
111.0 7.0
198.0 16.0
921.9 25.5
875.7 52.0
906.2 25.0
838.5 22.2
did not cause changes in either BW or metabolic rate as determined by a lack of effect on both VO2 (Table 1) and respiratory
quotient (data no shown).
Suppression of LMW-PTP ASO Improves Insulin Action in
Both Liver and FatTo investigate the possible mechanisms
underlying the improved insulin sensitivity after LMW-PTP
ASO treatment, both DIO and ob/ob mice treated with LMWPTP ASO were challenged with insulin, and the activities of the
key insulin signaling enzymes were examined in both liver and
fat. Western blot analysis found that treatment with LMW-PTP
ASO caused a greater increase in pY-IR levels versus controls
upon insulin stimulation in liver both in DIO (Fig. 4A) and
ob/ob (Fig. 5A) mice and in fat in ob/ob mice (data not shown)
without affecting the total protein levels of IR subunit. LMWPTP ASO treatment significantly reduced the basal levels of
pY-IR versus controls (Fig. 4C). Injection of insulin increased
pY-IR levels by over 5-fold versus the basal levels in ASOtreated mice (Fig. 4C; p 0.001), whereas it only increased
pY-IR by about 1.2-fold in control mice (Fig. 4C; p 0.05). A
decreased basal pY-IR level in ASO-treated ob/ob mice versus
controls was also observed (Fig. 5A). The decreased basal pYIR levels probably were due to ASO-caused reduction of
plasma insulin levels as shown in Figs. 2C and 3E. Taken
together, these data demonstrate increased response of the IR
to insulin after LMW-PTP ASO treatment.
The activity of PI3-K, a key intermediate component of the
insulin signaling pathway, was also measured in ob/ob mice
treated with LMW-PTP ASO. In liver, IRS-1-associated PI3-K
activity was found to be increased by 2.5-fold in the ASOtreated mice upon insulin administration (Fig. 5B), which was
in sharp contrast to saline-treated animals in which insulin
stimulation did not cause any increase in activity (Fig. 5B).
IRS-2 associated PI3-K activity was enhanced by over 55% in
the liver of the ASO-treated animals but not in controls upon
insulin stimulation (Fig. 5C). Increased IRS-1 associated PI3-K
activity (60%) was also observed in fat from LMW-PTP ASOtreated ob/ob mice, but not in fat from saline-treated mice
VOLUME 282 NUMBER 19 MAY 11, 2007
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