New link found between obesity and insulin resistance

Their finding, published in Cell Metabolism, may point toward novel targets for diabetes drugs.

Scientists in the lab of Mary-Elizabeth Patti, M.D., began by examining the levels of proteins in the livers of obese people, and finding decreases in number for certain proteins that regulate RNA splicing.

"When a gene is transcribed by the cell, it generates a piece of RNA," explains Dr. Patti, who is also an Assistant Professor of Medicine at Harvard Medical School. "That piece of RNA can be split up in different ways, generating proteins that have different functions."

"In the case of these proteins whose production drops in the livers of obese people, this process changes the function of other proteins that can cause excess fat to be made in the liver," she adds. "That excess fat is known to be a major contributor to insulin resistance."

Additionally, the researchers showed that these RNA splicing proteins are diminished in samples of muscle from obese people.

The investigators went on to examine a representative RNA-splicing protein called SFRS10 whose levels drop in muscle and liver both in obese people and in over-fed mice. Working in human cells and in mice, they demonstrated that SFRS10 helps to regulate a protein called LPIN1 that plays an important role in synthesizing fat. Among their results, mice in which they suppressed production of SFRS10 made more triglycerides, a type of fat circulating in the blood.

"More broadly, this work adds a novel insight into how obesity may induce insulin resistance and diabetes risk by changing critical functions of cells, including splicing," says Dr. Patti. "This information should stimulate the search for other genes for which differences in splicing may contribute to risk for type 2 diabetes. Ultimately, we hope that modifying these pathways with nutritional or drug therapies could limit the adverse consequences of obesity."

Jussi Pihlajamäki and Carles Lerin of Joslin are co-first authors on the paper. Markku Laakso of the University of Eastern Finland co-supervised the project. Other contributors include Tanner Boes, Joshua Schroeder, Farrell Dearie, Sarah Crunkhorn, Furkan Burak, Josep C. Jimenez-Chillaron and Allison B. Goldfine of Joslin; Paula Itkonen, Tiina Kuulasmaa and Pekka Miettinen of the University of Eastern Finland; Thomas Floss and Wolfgang Wurst of the Technical University of Munich; Peter Park of Children's Hospital Boston; Imad Nasser of Beth Israel Deaconess Medical Center; Zhenwen Zhao and Yan Xu of Indiana University Schoolf of Medicine; and Zhaiyi Zhang, Hongmei Ren, Andrew J. Morris and Stefan Stamm of University of Kentucky/Lexington. Lead funders were the National Institutes of Health and the Lilly Foundation.