Abstract. Astragaloside IV is a monomer isolated from Astragalus membranaceus (Fisch.) Bunge, which is one of the most widely used plant-derived drugs in traditional Chinese medicine for diabetes therapy. In the present study, we aimed to examine the effects of astragaloside IV on glucose in C2C12 myotubes and the underlying molecular mechanisms responsible for these effects. Four-day differentiated C2C12 myotubes were exposed to palmitate for 16 h in order to establish a model of insulin resistance and 3 H glucose uptake, using 2-Deoxy-D-[1,2-3 H(N)]-glucose (radiolabeled 2-DG), was detected. Astragaloside IV was added 2 h prior to palmitate exposure. The translocation of glucose transporter 4 (GLUT4) was evaluated by subcellular fractionation, and the expression of insulin signaling molecules such as insulin receptor β (IRβ), insulin receptor substrate (IRS)1/protein kinase B (AKT) and inhibitory κB kinase (IKK)/inhibitor-κBα (IκBα), which are associated with insulin signal transduction, were assessed in the basal or the insulin-stimulated state using western blot analysis or RT-PCR. We also examined the mRNA expression of monocyte chemotactic protein 1 (MCP-1), intermonocyte chemotactic protein 1 (MCP-1), inter-, interleukin 6 (IL-6), tumor necrosis factor α (TNFα) and Toll-like receptor 4 (TLR4). Taken together, these findings demon-. Taken together, these findings demonstrated that astragaloside IV facilitates glucose transport in C2C12 myotubes through a mechanism involving the IRS1/ AKT pathway, and suppresses the palmitate-induced activathe palmitate-induced activation of the IKK/IκBα pathway.
IntroductionSkeletal muscle accounts for 40% of body weight in humans, and 75% of infused glucose is cleared by skeletal muscle (1,2); thus, skeletal muscle serves as the major site of insulin-dependent glucose uptake. Due to the key role played by skeletal muscle in glucose homeostasis, deleterious factors which provoke reductions in glucose uptake by skeletal muscle, described as skeletal muscle insulin resistance, may lead to decreases in the disposal rate of serum glucose (3).The etiology of impaired insulin signaling in obese individuals is multifactorial and appears to be associated with at least two major events: a state of chronic, low-grade inflammation and the accumulation of intramyocellular lipids (4). Under physiological conditions, serum free fatty acids (FFAs) are an important fuel source for skeletal muscle, and 98-99% of FFAs bind to bovine serum albumin (5). Therefore, physiological concentrations of FFAs are in the µmol/l range (5). Constantly elevated serum levels of FFAs result in the transportation of FFAs into skeletal muscle cells, and subsequently stored as triglyceride. Whenever the accumulation of triglycerides and/or hydrolysis of triglycerides exceeds the oxidation capacity, incomplete lipid metabolic products, such as acyl-CoA, diacylglycerol and ceramide, are generated. These products inhibit the activation of critical molecules involved in insulin signaling, such as protein kinase B ...