bStudies in vitro suggest that mitogen-activated protein kinase kinase kinase kinase 4 (Map4k4) attenuates insulin signaling, but confirmation in vivo is lacking since Map4k4 knockout is lethal during embryogenesis. We thus generated mice with floxed Map4k4 alleles and a tamoxifen-inducible Cre/ERT2 recombinase under the control of the ubiquitin C promoter to induce whole-body Map4k4 deletion after these animals reached maturity. Tamoxifen administration to these mice induced Map4k4 deletion in all tissues examined, causing decreased fasting blood glucose concentrations and enhanced insulin signaling to AKT in adipose tissue and liver but not in skeletal muscle. Surprisingly, however, mice generated with a conditional Map4k4 deletion in adiponectin-positive adipocytes or in albumin-positive hepatocytes displayed no detectable metabolic phenotypes. Instead, mice with Map4k4 deleted in Myf5-positive tissues, including all skeletal muscles tested, were protected from obesity-induced glucose intolerance and insulin resistance. Remarkably, these mice also showed increased insulin sensitivity in adipose tissue but not skeletal muscle, similar to the metabolic phenotypes observed in inducible whole-body knockout mice. Taken together, these results indicate that (i) Map4k4 controls a pathway in Myf5-positive cells that suppresses whole-body insulin sensitivity and (ii) Map4k4 is a potential therapeutic target for improving glucose tolerance and insulin sensitivity in type 2 diabetes.
Whole-body glucose homeostasis in humans is maintained by an elaborate physiological system that involves multiorgan regulation. In the postprandial state, glucose and amino acids induce  cells in the pancreas to secrete insulin, promoting glucose uptake in skeletal muscle and adipose tissue while suppressing glucose production from the liver. These effects of insulin to maintain glucose homeostasis can be disrupted in obesity, causing an insulin-resistant state that contributes to elevated blood glucose levels and an increased incidence of type 2 diabetes (T2D) (1). While metformin (thought to mainly affect liver glucose metabolism) and insulin secretagogues are clinical mainstays for the treatment of T2D, further intervention is often required (2). Due to contraindications, treatments that address the underlying peripheral insulin resistance in T2D are now limited to the use of the thiazolidinediones (TZDs), a major drug class that alleviates insulin resistance by targeting peroxisome proliferator-activated receptor gamma (PPAR␥) (3, 4). Thus, novel proteins that could be targeted with drugs to enhance peripheral insulin sensitivity would prove useful in developing therapies for T2D.In screening the adipocyte kinome for such negative regulators of insulin signaling to glucose transport in vitro, we identified mitogen-activated protein kinase kinase kinase kinase 4 (Map4k4), a serine/threonine protein kinase with homology to Saccharomyces cerevisiae Ste20 protein kinases (5). Interestingly, single nucleotide polymorphisms (SNPs) in the Ma...