Nedachi T, Kadotani A, Ariga M, Katagiri H, Kanzaki M. Ambient glucose levels qualify the potency of insulin myogenic actions by regulating SIRT1 and FoxO3a in C 2C12 myocytes. Am J Physiol Endocrinol Metab 294: E668-E678, 2008. First published January 29, 2008 doi:10.1152/ajpendo.00640.2007.-Nutrition availability is one of the major environmental signals influencing cell fate, such as proliferation, differentiation, and apoptosis, often functioning in concert with other humoral factors, including insulin. Herein, we show that low-serum-induced differentiation of C 2C12 myocytes is significantly hampered under low glucose (LG; 5 mM) compared with high glucose (HG; 22.5 mM) conditions, concurrently with nuclear accumulation of SIRT1, an NAD ϩ -dependent deacetylase, and FoxO3a, both of which are implicated in the negative regulation of myogenesis. Intriguingly, insulin appears to exert opposite actions, depending on glucose availability, with regard to the regulation of SIRT1 and FoxO3a abundance, which apparently contributes to modulating the potency of insulin's myogenic action. Namely, insulin exerts a potent myogenic effect in the presence of sufficient glucose, whereas insulin is unable to exert its myogenic action under LG conditions, since insulin evokes massive upregulation of both SIRT1 and FoxO3a in the absence of sufficient ambient glucose. In addition, the hampered differentiation state under LG is significantly restored by sirtinol, a SIRT1 inhibitor, whereas insulin abolished this sirtinoldependent restoration, indicating that insulin can function as a negative as well as a positive myogenic factor depending on glucose availability. Taken together, our data reveal the importance of ambient glucose levels in the regulation of myogenesis and also in the determination of insulin's myogenic potency, which is achieved, at least in part, through regulation of the cellular contents and localization of SIRT1 and FoxO3a in differentiating C 2C12 myocytes.forkhead box O; differentiation SKELETAL MUSCLE CELLS have provided a useful model for exploring the molecular mechanisms involved in cellular differentiation (13), and insulin and insulin-like growth factors (IGFs) have been implicated in the process of myogenesis by activating the IRS-PI 3-kinase signaling pathway (7,22,25,53) that also serves as a pivotal intracellular signal for exerting metabolic actions in mature skeletal muscle (9). However, despite our general understanding of the effects of ambient glucose levels on insulin responsiveness with regard to metabolic actions in skeletal muscle cells (37), the possible interrelationship between glucose and insulin acting on myogenesis remains to be clarified.Skeletal muscle differentiation is a well-organized process governed by muscle-specific transcription factors belonging to the MyoD family, such as MyoD and myogenin (42), and the myocyte enhancer factor-2 (MEF2) family, such as MEF2A and MEF2C (35). In addition to these muscle-specific transcription factors, positively regulating myogenesis, the f...