α-melanocyte stimulating hormone regulates glucose homeostasis via melanocortin-5 receptor expressed in skeletal muscle. — ASN Events

α-melanocyte stimulating hormone regulates glucose homeostasis via melanocortin-5 receptor expressed in skeletal muscle. (#156)

Weiyi Chen 1 , Maria Garcia-Rudaz 1 , Sara Litwak 1 , Stephanie Simonds 1 , Pablo Enriori 1 , Michael Cowley 1
  1. Monash University, Clayton, VIC, Australia

Central melanocortin pathways have been implicated in the regulation of energy balance and glucose homeostasis. However, little is known about the role of peripheral melanocortin peptides, particularly alpha-melanocyte stimulating hormone (α-MSH). Here, we demonstrate that constant intravenous infusion of different doses of α-MSH during glucose tolerance test (GTT) increases glucose disposal in conscious and unrestrained lean mice (AUC: 0.001μg/h p<0.01; 0.01μg/h p<0.01; 0.1μg/h p<0.05; 1μg/h p<0.01) and the effect is abrogated in diet-induced obese (DIO) mice. Intriguingly, during hyperinsulinemic-euglycemic clamp α-MSH treated lean mice require significantly higher glucose infusion rate (saline vs. α-MSH: 50.76±3.9 vs. 65.87±2.6 mg/kg/min p<0.01) to maintain euglycemia. In addition, whole body Rd is markedly increased in lean mice given α-MSH (saline vs. α-MSH: 46.89±3.8 vs. 60.13±3.7 mg/kg/min p<0.05), which suggests a possible action of α-MSH on skeletal muscle. We also found that α-MSH has an additive effect to insulin-mediated glucose disposal (saline vs. α-MSH: 18.96±4.8 vs. 32.84±2.0 mg/kg/min p<0.05), indicating that the two mechanisms towards glucose uptake in skeletal muscles are distinctly different. Whole-body glucose uptake identifies skeletal muscle as the only target of α-MSH-mediated glucose disposal (saline vs. α-MSH, gastrocnemius: 2.76±0.72 vs. 5.07±0.43 µmol/100g.min p<0.05, soleus: 6.06±0.78 vs. 9.06±1.01 µmol/100g.min p<0.05). Importantly, these changes are independent of hepatic glucose production. Moreover, we show that MC5R, but not other subtypes are highly expressed in skeletal muscle and α-MSH-mediated glucose disposal is completely abolished in MC5R KO mice. Also, lean mice given either neutralizing antibody against α-MSH or selective MC5R antagonist are rendered glucose intolerant relative to vehicle group after glucose challenge. Interestingly, the failure of α-MSH-mediated glucose disposal in DIO mice is a consequence of elevated phosphodiesterase (PDE)4B expression in the soleus (Lean vs. DIO p<0.05). However, by blocking PDE activity with 5 days pretreatment of selective (Rolipram + Saline vs. Rolipram + α-MSH, AUC, p<0.05) and non-selective PDE inhibitors (Vehicle + α-MSH vs. Theophylline + α-MSH, AUC, p<0.01), we restore α-MSH-induced glucose disposal in DIO mice during GTT. To this end, we have identified a novel, insulin-independent and disease-relevant endocrine circuit that regulates peripheral glucose homeostasis.