Rationale
The pathogenesis of insulin resistance involves dysregulated gene expression and function in multiple cell types including endothelial cells (ECs). Posttranscriptional mechanisms such as microRNA-mediated regulation of gene expression could affect insulin action by modulating EC function.
Objective
To determine whether microRNA-181b (miR-181b) affects the pathogenesis of insulin resistance by regulating EC function in white adipose tissue during obesity.
Methods and Results
MiR-181b expression was reduced in adipose tissue ECs of obese mice, and rescue of miR-181b expression improved glucose homeostasis and insulin sensitivity. Systemic intravenous delivery of miR-181b robustly accumulated in adipose tissue ECs, enhanced insulin-mediated Akt phosphorylation at Ser473, and reduced endothelial dysfunction, an effect that shifted macrophage polarization towards an M2 anti-inflammatory phenotype in epididymal white adipose tissue (eWAT). These effects were associated with increased eNOS and FoxO1 phosphorylation as well as nitric oxide activity in eWAT. In contrast, miR-181b did not affect insulin-stimulated Akt phosphorylation in liver and skeletal muscle. Bioinformatics and gene profiling approaches revealed that PHLPP2, a phosphatase that dephosphorylates Akt at Ser473, is a novel target of miR-181b. Knockdown of PHLPP2 increased Akt phosphorylation at Ser473 in ECs, and ‘phenocopied’ miR-181b’s effects on glucose homeostasis, insulin sensitivity, and inflammation of eWAT in vivo. Finally, ECs from diabetic subjects exhibited increased PHLPP2 expression.
Conclusions
Our data underscore the importance of adipose tissue EC function in controlling the development of insulin resistance. Delivery of miR-181b or PHLPP2 inhibitors may represent a new therapeutic approach to ameliorate insulin resistance by improving adipose tissue endothelial Akt-eNOS-NO signaling.