In this study, we demonstrated the beneficial effects of EGR-1/PTP1B in aerobic exercise intervention for preventing insulin resistance in rats. Our results indicate that rats fed a high-fat diet exhibit elevated expression of EGR-1/PTP1B protein and mRNA, and a 6-week aerobic exercise intervention improves insulin signaling pathways mediated by EGR-1/PTP1B, promoting glycogen anabolism and enhancing insulin sensitivity.
Pancreatic beta cells play a crucial role in glucose homeostasis by secreting insulin and facilitating the storage of approximately 20% and 30% of carbohydrate intake as glycogen in the liver and skeletal muscle, respectively [30, 31]. Notably, early studies have indicated a reduction in glycogen content in both the liver and skeletal muscle of individuals with T2DM, emphasizing the close connection between glycogen anabolism and T2DM pathogenesis [32–34]. Impaired skeletal muscle glycogen anabolism and glucose transport represent early metabolic abnormalities in the pathogenesis of T2DM [34–37]. Studies suggest that in obese or T2DM individuals, skeletal muscle glycogen anabolism coordinated by GSK-3β is impaired, ultimately leading to reduced insulin sensitivity [38–40]. GSK-3β, a key kinase regulating glycogen anabolism, phosphorylates GS, negatively regulating its activity and reducing glycogen storage capacity [41–43]. Elevated levels of GSK-3β in skeletal muscle result in imbalances in glycogen metabolism and hinder glucose tolerance [44]. Numerous studies have shown that long-term exercise training can enhance various skeletal muscle adaptations by modulating GSK-3β, including improving insulin sensitivity and increasing glycogen content [45–47]. Our study corroborates these findings, revealing that glycogen content was reduced in the skeletal muscle of rats induced by a high-fat diet, but 6 weeks of aerobic exercise increased glycogen content by inhibiting GSK-3β protein and mRNA expression.
GLUT4 plays a critical role in insulin-responsive glucose transport in skeletal muscle, with increased expression correlating to enhanced glucose transport and elevated skeletal muscle glycogen content [48, 49]. Therefore, GLUT4 deficiency is implicated in impairing insulin-stimulated glycogen synthesis in skeletal muscle of Type 2 Diabetes patients [49, 50], and GLUT4 knockout mice demonstrate insulin resistance and glucose intolerance, resembling a diabetic phenotype [51, 52]. Aerobic exercise upregulates GLUT4, and contributes to reduced fasting and postprandial blood glucose levels [53–55]. This effect is mediated through increased insulin sensitivity and activation of key signaling pathways such as AMP-activated protein kinase (AMPK) and the PI3K/Akt cascade [56]. Exercise-induced muscle contractions elevate intracellular calcium levels, activating calcium/calmodulin-dependent protein kinase (CaMK) and facilitating GLUT4 translocation to the cell membrane [57]. Regular aerobic exercise also augments GLUT4 gene expression through transcription factors MEF2 and PGC-1α, facilitates glucose delivery, and reduces inflammatory factors, thereby improving overall glucose metabolism [58, 59]. Moreover, elevated GLUT4 activity not only augments glucose uptake but also supports glycogen synthesis, which is crucial for maintaining muscle energy reserves and function [60]. Our study evaluated several proteins and mRNA in the insulin signaling pathway, demonstrating increased AKT content and reduced GSK-3β activity, indicative of enhanced anabolic pathways that promote glycogen storage in skeletal muscle. AKT's role in facilitating GLUT4 translocation and glycogen synthase activity is essential for efficient glucose utilization and storage. Our findings from rats on a short-term high-fat diet underscore impaired skeletal muscle glycogen anabolism and glucose transport as key factors in reduced insulin sensitivity. Encouragingly, a 6-week aerobic exercise intervention effectively ameliorated high-fat diet-induced insulin sensitivity decline by modulating glycogen anabolism-associated proteins and mRNA. These insights underscore the intricate interplay of glycogen anabolism, GSK-3β, GLUT4, and exercise in managing insulin resistance and blood glucose control, suggesting promising therapeutic avenues for diabetes management.
Insulin receptor substrate 1 (IRS-1) is a key signaling protein in muscle that activates intracellular signaling cascades that promote the aerobic exercise response to insulin [61, 62]. Activation of IRS-1 promotes Akt and regulates various cellular processes such as glucose metabolism, apoptosis, and cell proliferation [63, 64]. Therefore, the IRS-1/Akt pathway is one of the important signaling pathways regulating glucose homeostasis, and its activation is critical for IR in skeletal muscle. EGR-1, functioning as a transcriptional suppressor, can recognize highly conserved consensus sequences rich in GC and directly activate gene transcription [65, 66]. The reduction of EGR-1 in adipose tissue can augment IRS-1 tyrosine phosphorylation, restoring insulin sensitivity through the PI3K/AKT and ERK/MAPK pathways [9]. In addition, PTP1B is widely expressed in the endoplasmic reticulum of insulin-targeted tissues such as liver, muscle, and adipose tissue. [67]. PTP1B negatively regulates insulin signaling by dephosphorylating IRS or insulin receptor (INSR) [68–70]. PTP1B-deficient mice demonstrate heightened insulin sensitivity, lower blood glucose levels, and resistance to obesity induced by a high-fat diet, emphasizing its pivotal regulatory role [71]. Conversely, overexpression of PTP1B in skeletal muscle impairs insulin signal transduction, diminishes glucose uptake, and induces IR [72]. Human experiments indicate a negative correlation between skeletal muscle PTP1B gene expression and insulin sensitivity [70]. Furthermore, the intricate interplay between EGR-1 and PTP1B has been elucidated, with EGR-1 influencing PTP1B protein expression, impacting glucose homeostasis, and playing a crucial role in insulin sensitivity and postprandial blood glucose regulation [11, 12]. Importantly, our study provides compelling evidence that aerobic exercise exerts its positive effects by reducing the expression of EGR-1/PTP1B in skeletal muscle, contributing to the restoration of insulin sensitivity.