Abstract
Type 2 diabetes is characterized by abnormalities of insulin action in muscle, adipose tissue, and liver and by altered beta-cell function. To analyze the role of the insulin signaling pathway in these processes, we have generated mice with combined heterozygous null mutations in insulin receptor (ir), insulin receptor substrate (irs-1), and/or irs-2. Diabetes developed in 40% of ir/irs-1/irs-2(+/-), 20% of ir/irs-1(+/-), 17% of ir/irs-2(+/-), and 5% of ir(+/-) mice. Although combined heterozygosity for ir/irs-1(+/-) and ir/irs-2(+/-) results in a similar number of diabetic mice, there are significant differences in the underlying metabolic abnormalities. ir/irs-1(+/-) mice develop severe insulin resistance in skeletal muscle and liver, with compensatory beta-cell hyperplasia. In contrast, ir/irs-2(+/-) mice develop severe insulin resistance in liver, mild insulin resistance in skeletal muscle, and modest beta-cell hyperplasia. Triple heterozygotes develop severe insulin resistance in skeletal muscle and liver and marked beta-cell hyperplasia. These data indicate tissue-specific differences in the roles of IRSs to mediate insulin action, with irs-1 playing a prominent role in skeletal muscle and irs-2 in liver. They also provide a practical demonstration of the polygenic and genetically heterogeneous interactions underlying the inheritance of type 2 diabetes.
MeSH Terms
Adipose Tissue/enzymology
Animals
Blood Glucose/metabolism
Cell Size/genetics
Diabetes Mellitus, Type 2/blood,genetics
Disease Models, Animal
Heterozygote
Homozygote
Hyperglycemia/diagnosis,genetics
Insulin/blood
Insulin Receptor Substrate Proteins
Insulin Resistance/genetics
Intracellular Signaling Peptides and Proteins
Islets of Langerhans/cytology,metabolism
Liver/enzymology
Male
Mice
Mice, Knockout
Muscle, Skeletal/enzymology
Mutation
Organ Specificity/genetics
Phosphatidylinositol 3-Kinases/metabolism
Phosphoproteins/genetics
Receptor, Insulin/genetics
Chemicals
Blood Glucose
Insulin
Insulin Receptor Substrate Proteins
Intracellular Signaling Peptides and Proteins
Irs1 protein, mouse
Irs2 protein, mouse
Phosphoproteins
Phosphatidylinositol 3-Kinases
Receptor, Insulin
Authors & Affiliations
7 authors, click to expand affiliations / ORCID
Kido Y
Developmental Endocrinology Branch, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland 20842, USA.
Burks D J
Withers D
Bruning J C
Kahn C R
White M F
Accili D
References (35)
35 references, click to expand
-
Mice carrying null mutations of the genes encoding insulin-like growth factor I (Igf-1) and type 1 IGF receptor (Igf1r).
Cell. 1993 Oct 8;75(1):59-72
PMID: 8402901
-
Insulin signalling and insulin actions in the muscles and livers of insulin-resistant, insulin receptor substrate 1-deficient mice.
Mol Cell Biol. 1996 Jun;16(6):3074-84
PMID: 8649419
-
Insulin resistance and growth retardation in mice lacking insulin receptor substrate-1.
Nature. 1994 Nov 10;372(6502):182-6
PMID: 7969452
-
Alternative pathway of insulin signalling in mice with targeted disruption of the IRS-1 gene.
Nature. 1994 Nov 10;372(6502):186-90
PMID: 7526222
-
Variant sequences of insulin receptor substrate-1 in patients with noninsulin-dependent diabetes mellitus.
J Clin Endocrinol Metab. 1994 Dec;79(6):1655-8
PMID: 7989470
-
Role of IRS-2 in insulin and cytokine signalling.
Nature. 1995 Sep 14;377(6545):173-7
PMID: 7675087
-
Genetic analysis of NIDDM. The study of quantitative traits.
Diabetes. 1996 Jan;45(1):1-14
PMID: 8522051
-
Early neonatal death in mice homozygous for a null allele of the insulin receptor gene.
Nat Genet. 1996 Jan;12(1):106-9
PMID: 8528241
-
Structure of the insulin receptor substrate IRS-1 defines a unique signal transduction protein.
Nature. 1991 Jul 4;352(6330):73-7
PMID: 1648180
-
Aminoacid polymorphisms of insulin receptor substrate-1 in non-insulin-dependent diabetes mellitus.
Lancet. 1993 Oct 2;342(8875):828-32
PMID: 8104271
-
A Grb2-associated docking protein in EGF- and insulin-receptor signalling.
Nature. 1996 Feb 8;379(6565):560-4
PMID: 8596638
-
Seminars in Medicine of the Beth Israel Hospital, Boston. Non-insulin-dependent diabetes mellitus - a genetically programmed failure of the beta cell to compensate for insulin resistance.
N Engl J Med. 1996 Mar 21;334(12):777-83
PMID: 8592553
-
A common amino acid polymorphism in insulin receptor substrate-1 causes impaired insulin signaling. Evidence from transfection studies.
J Clin Invest. 1996 Jun 1;97(11):2569-75
PMID: 8647950
-
The geneticist's approach to complex disease.
Annu Rev Med. 1996;47:333-53
PMID: 8712786
-
Genetics of non-insulin-dependent (type-II) diabetes mellitus.
Annu Rev Med. 1996;47:509-31
PMID: 8712800
-
New concepts in the pathogenesis of diabetes mellitus.
Adv Intern Med. 1996;41:285-321
PMID: 8903592
-
Differential signaling by insulin receptor substrate 1 (IRS-1) and IRS-2 in IRS-1-deficient cells.
Mol Cell Biol. 1997 Mar;17(3):1513-21
PMID: 9032279
-
Development of a novel polygenic model of NIDDM in mice heterozygous for IR and IRS-1 null alleles.
Cell. 1997 Feb 21;88(4):561-72
PMID: 9038347
-
The 60-kDa phosphotyrosine protein in insulin-treated adipocytes is a new member of the insulin receptor substrate family.
J Biol Chem. 1997 Apr 25;272(17):11439-43
PMID: 9111055
-
Hypoglycemic effect of insulin-like growth factor-1 in mice lacking insulin receptors.
J Clin Invest. 1997 May 15;99(10):2538-44
PMID: 9153298
-
A novel 160-kDa phosphotyrosine protein in insulin-treated embryonic kidney cells is a new member of the insulin receptor substrate family.
J Biol Chem. 1997 Aug 22;272(34):21403-7
PMID: 9261155
-
Growth-promoting interaction of IGF-II with the insulin receptor during mouse embryonic development.
Dev Biol. 1997 Sep 1;189(1):33-48
PMID: 9281335
-
Expression of variant forms of insulin receptor substrate-1 identified in patients with noninsulin-dependent diabetes mellitus.
J Clin Endocrinol Metab. 1997 Dec;82(12):4201-7
PMID: 9398740
-
Disruption of IRS-2 causes type 2 diabetes in mice.
Nature. 1998 Feb 26;391(6670):900-4
PMID: 9495343
-
The IRS-signalling system: a network of docking proteins that mediate insulin action.
Mol Cell Biochem. 1998 May;182(1-2):3-11
PMID: 9609109
-
Evidence that IRS-2 phosphorylation is required for insulin action in hepatocytes.
J Biol Chem. 1998 Jul 10;273(28):17491-7
PMID: 9651339
-
Impaired glucose tolerance in mice with a targeted impairment of insulin action in muscle and adipose tissue.
Nat Genet. 1998 Nov;20(3):294-8
PMID: 9806552
-
A muscle-specific insulin receptor knockout exhibits features of the metabolic syndrome of NIDDM without altering glucose tolerance.
Mol Cell. 1998 Nov;2(5):559-69
PMID: 9844629
-
Tissue-specific knockout of the insulin receptor in pancreatic beta cells creates an insulin secretory defect similar to that in type 2 diabetes.
Cell. 1999 Feb 5;96(3):329-39
PMID: 10025399
-
Deconstructing type 2 diabetes.
Cell. 1999 Apr 2;97(1):9-12
PMID: 10199397
-
Banting Lecture 1997. Control of glucose uptake and release by the liver in vivo.
Diabetes. 1999 May;48(5):1198-214
PMID: 10331429
-
Insulin receptor substrate 3 is not essential for growth or glucose homeostasis.
J Biol Chem. 1999 Jun 18;274(25):18093-9
PMID: 10364263
-
The Gly972-->Arg amino acid polymorphism in IRS-1 impairs insulin secretion in pancreatic beta cells.
J Clin Invest. 1999 Aug;104(3):357-64
PMID: 10430617
-
Irs-2 coordinates Igf-1 receptor-mediated beta-cell development and peripheral insulin signalling.
Nat Genet. 1999 Sep;23(1):32-40
PMID: 10471495
-
Genetic dissection of complex traits.
Science. 1994 Sep 30;265(5181):2037-48
PMID: 8091226