Mitochondrial overload and incomplete fatty acid oxidation contribute to skeletal muscle insulin resistance.


Journal Article

Previous studies have suggested that insulin resistance develops secondary to diminished fat oxidation and resultant accumulation of cytosolic lipid molecules that impair insulin signaling. Contrary to this model, the present study used targeted metabolomics to find that obesity-related insulin resistance in skeletal muscle is characterized by excessive beta-oxidation, impaired switching to carbohydrate substrate during the fasted-to-fed transition, and coincident depletion of organic acid intermediates of the tricarboxylic acid cycle. In cultured myotubes, lipid-induced insulin resistance was prevented by manipulations that restrict fatty acid uptake into mitochondria. These results were recapitulated in mice lacking malonyl-CoA decarboxylase (MCD), an enzyme that promotes mitochondrial beta-oxidation by relieving malonyl-CoA-mediated inhibition of carnitine palmitoyltransferase 1. Thus, mcd(-/-) mice exhibit reduced rates of fat catabolism and resist diet-induced glucose intolerance despite high intramuscular levels of long-chain acyl-CoAs. These findings reveal a strong connection between skeletal muscle insulin resistance and lipid-induced mitochondrial stress.

Full Text

Duke Authors

Cited Authors

  • Koves, TR; Ussher, JR; Noland, RC; Slentz, D; Mosedale, M; Ilkayeva, O; Bain, J; Stevens, R; Dyck, JRB; Newgard, CB; Lopaschuk, GD; Muoio, DM

Published Date

  • January 2008

Published In

Volume / Issue

  • 7 / 1

Start / End Page

  • 45 - 56

PubMed ID

  • 18177724

Pubmed Central ID

  • 18177724

International Standard Serial Number (ISSN)

  • 1550-4131

Digital Object Identifier (DOI)

  • 10.1016/j.cmet.2007.10.013


  • eng

Conference Location

  • United States