“…Although it has been hypothesized that defective insulin signaling through IR, IRS-1, phosphatidylinositol 3-kinase, and Akt contributes to the progression of type 2 diabetes, an important and unresolved issue is that chronic exposure to lower, relevant doses of insulin (0.5-5 nM) also impairs insulin sensitivity without manifesting any obvious signal transduction abnormalities (11,28,30,37). Interestingly, blood cells (neutrophils, mononuclear cells, erythrocytes) isolated from insulin-resistant individuals exhibit alterations in cortical actin structure and membrane lipid composition (1,2,9,49). Since a role for actin in insulin-stimulated GLUT4 translocation has been implicated by several studies, these observations suggest that hyperinsulinemia-induced insulin resistance may be a consequence of actin abnormalities.…”