Neuronal nitric oxide synthase is phosphorylated in response to insulin stimulation in skeletal muscle

https://doi.org/10.1016/j.bbrc.2013.05.020Get rights and content

Highlights

  • nNOS is phosphorylated in response to insulin in C2C12 myotubes.

  • nNOS is phosphorylated in response to insulin in mouse skeletal muscle.

  • NO production increases in myotubes with insulin stimulation.

Abstract

Type 2 Diabetes (T2DM) is the seventh leading cause of death in the United States, and is quickly becoming a global pandemic. T2DM results from reduced insulin sensitivity coupled with a relative failure of insulin secretion. Reduced insulin sensitivity has been associated with reduced nitric oxide synthase (NOS) activity and impaired glucose uptake in T2DM skeletal muscle. Upon insulin stimulation, NO synthesis increases in normal adult skeletal muscle, whereas no such increase is observed in T2DM adults. Endothelial NOS is activated by phosphorylation in the C-terminal tail in response to insulin. Neuronal NOS (nNOS), the primary NOS isoform in skeletal muscle, contains a homologous phosphorylation site, raising the possibility that nNOS, too, may undergo an activating phosphorylation event upon insulin treatment. Yet it remains unknown if or how nNOS is regulated by insulin in skeletal muscle. Data shown herein indicate that nNOS is phosphorylated in response to insulin in skeletal muscle and that this phosphorylation event occurs rapidly in C2C12 myotubes, resulting in increased NO production. In vivo phosphorylation of nNOS was also observed in response to insulin in mouse skeletal muscle. These results indicate, for the first time, that nNOS is phosphorylated in skeletal muscle in response to insulin and in association with increased NO production.

Introduction

Type 2 Diabetes mellitus (T2DM) is characterized by insulin resistance and impaired insulin-stimulated nitric oxide (NO) generation in both endothelium and skeletal muscle. NO is an important gaseous regulatory molecule, produced by isoforms of nitric oxide synthase (NOS). NO acts variably as a vasodilator [1], [2], neurotransmitter [3] or cytotoxic agent [4], depending upon its source and location of production. NOS enzymes synthesize NO from l-arginine and molecular oxygen [5], utilizing electrons donated by NADPH. The homeostatic regulation of NO synthesis is crucial in biological systems, as the generation of insufficient amounts of NO can result in deleterious outcomes, such as increased blood pressure due to uncontrolled vasoconstriction. In contrast, overproduction of NO can yield toxic sequelae, such as endotoxic shock.

Neuronal NOS (nNOS) and endothelial NOS (eNOS) knockout mice demonstrate insulin resistance, suggesting that NO produced by nNOS plays an important role in mediating insulin action [6], [7]. However, the direct effect of insulin on skeletal muscle nNOS is unknown. One prior study by Kashyap et al. [8], using euglycemic/hyperinsulinemic clamps, showed that NO production in muscle biopsies is significantly reduced in obese, T2DM human subjects compared to obese, non-diabetic controls. Moreover, in the insulin-resistant subjects, insulin treatment failed to evoke increases in NO in skeletal muscle, whereas insulin stimulated a robust increase in NO in the control subjects [8]. These results suggest that insulin action in skeletal muscle involves NO production, thus implicating mechanisms regulating NO bioavailability. These mechanisms must be elucidated to understand the pathogenesis of muscle insulin resistance, which is an important component of the pathology of T2DM.

Phosphorylation plays a critical role in the potentiation of NO generation by vascular eNOS, which is activated by insulin-dependent AKT-catalyzed phosphorylation at eNOS Ser1177 [9], [10], potentially explaining the vasodilatory effects of insulin. While the role of eNOS in insulin action and its inactivation as a component of insulin resistance in the vasculature has been well-documented [2], [11], [12], [13], the metabolic role of NOS in other tissues, such as skeletal muscle, remains elusive. The predominant NOS isoform in skeletal muscle is nNOS, several splice variants of which, i.e., nNOSμ, nNOSβ and nNOSα [14], [15], may be present. In this report, we do not distinguish among the nNOS variants, hereafter collectively referred to as skeletal muscle nNOS.

The rapid increase in NO production observed in the human insulin clamp studies suggests that post-translational modification of skeletal muscle nNOS occurs in direct response to insulin rather than as insulin-regulated transcription [8]. Since skeletal muscle nNOS contains a homologous residue to the AKT-phosphorylated serine in eNOS (Ser1177), it was possible that nNOS could be phosphorylated in response to insulin in skeletal muscle. There is evidence of nNOS phosphorylation in response to insulin in brain: prior immunoblot studies in rat hypothalamus demonstrated an increase in nNOS Ser1416 phosphorylation [16], the rat equivalent of Ser1412 in mouse nNOS. In vitro kinase assays in rat brain nucleus Tractus solitarii additionally showed nNOS is phosphorylated at this residue in an insulin-dependent manner [17].

To examine nNOS phosphorylation by insulin treatment, the murine muscle C2C12 cell line, which can be differentiated from myoblasts to myotubes, was used to probe putative Ser1412 phosphorylation on the C-terminal tail of skeletal muscle nNOS in response to stimulation by insulin. Our results show that insulin stimulation resulted in significantly increased phosphorylation of skeletal muscle nNOS in C2C12 myotubes, as well as a concomitant increase in NO levels. In vivo, insulin-stimulated nNOS phosphorylation was also observed in WT mouse C57BL/6J muscle tissue, further validating that insulin-mediated phosphorylation of nNOS is an important component of the insulin-signaling cascade.

Section snippets

Cell culture and treatment

Murine-derived muscle cell line C2C12 (Cell Biology Labs) myoblasts were grown to near 100% confluency in high glucose (25 mM) DMEM (Sigma–Aldrich) with 10% fetal bovine serum (Gibco), hereafter called complete media. Myoblasts were then switched to high glucose DMEM media, 2% horse serum (Gibco), hereafter called horse serum media. After four days in serum starvation, cells were completely differentiated to myotubes, and were treated with either vehicle (3 μM HCl) or 100 nM insulin (Sigma

nNOS is phosphorylated in response to insulin in C2C12 myotubes

To determine whether nNOS is phosphorylated in skeletal muscle in response to insulin, the murine-derived in vitro muscle cell line C2C12 was used as a model system. Control and insulin-treated C2C12 cell lysates were probed for nNOS phosphorylated on residue S1412 via immunoblot analysis. As shown in Fig. 1A, insulin treatment resulted in increased nNOS phosphorylation at Ser1412 in a time-dependent manner, with significant (P < 0.05) phosphorylation occurring at 15, 30 and 60 min post-insulin

Acknowledgments

We would like to thank Srikanth Reddy Polusani, PhD, for his aid in all fluorescence experiments, as well as Satya P. Panda, PhD, for useful discussion. Supported by NIH GM052419 to LJR and BSM. BSM is the Robert A. Welch Distinguished Chair in Chemistry (AQ0012).

References (27)

  • R.R. Shankar et al.

    Mice with gene disruption of both endothelial and neuronal nitric oxide synthase exhibit insulin resistance

    Diabetes

    (2000)
  • S.R. Kashyap et al.

    Insulin resistance is associated with impaired nitric oxide synthase activity in skeletal muscle of type 2 diabetic subjects

    J. Clin. Endocrinol. Metab.

    (2005)
  • B.J. Michell et al.

    The akt kinase signals directly to endothelial nitric oxide synthase

    Curr. Biol.

    (1999)
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    1

    Present address: Department of Genetics and The Paul F. Glenn Laboratories for the Biological Mechanisms of Aging, Harvard Medical School, Boston, MA, USA.

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    Present address: Integrity Bio, Inc., Camarillo, CA 93012, USA.

    3

    Present address: Barshop Institute for Longevity and Aging Studies, The University of Texas Health Science Center at San Antonio, 15355 Lambda Drive, San Antonio, TX 78245–3207, USA.

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