Recent studies have demonstrated that
fatty acids induce
insulin resistance in skeletal muscle by blocking
insulin activation of
insulin receptor substrate-1 (IRS-1)-associated
phosphatidylinositol 3-kinase (PI3-kinase). To examine the mechanism by which
fatty acids mediate this effect, rats were infused with either a
lipid emulsion (consisting mostly of 18:2
fatty acids) or
glycerol. Intracellular C18:2
CoA increased in a time-dependent fashion, reaching an approximately 6-fold elevation by 5 h, whereas there was no change in the concentration of any other fatty acyl-CoAs.
Diacylglycerol (DAG) also increased transiently after 3-4 h of
lipid infusion. In contrast there was no increase in intracellular
ceramide or
triglyceride concentrations during the
lipid infusion. Increases in intracellular C18:2
CoA and DAG concentration were associated with
protein kinase C (
PKC)-theta activation and a reduction in both
insulin-stimulated IRS-1
tyrosine phosphorylation and IRS-1 associated
PI3-kinase activity, which were associated with an increase in IRS-1 Ser(307) phosphorylation. These data support the hypothesis that an increase in plasma
fatty acid concentration results in an increase in intracellular
fatty acyl-CoA and DAG concentrations, which results in activation of
PKC-theta leading to increased IRS-1 Ser(307) phosphorylation. This in turn leads to decreased IRS-1
tyrosine phosphorylation and decreased activation of IRS-1-associated
PI3-kinase activity resulting in decreased
insulin-stimulated
glucose transport activity.