51. Prior exercise in humans redistributes intramuscular GLUT4 and enhances insulin -stimulated sarcolemmal and endosomal GLUT4 translocation
- Author
-
Knudsen, Jonas R., Steenberg, Dorte E., Hingst, Janne R., Hodgson, Lorna R., Henriquez-Olguin, Carlos, Li, Zhencheng, Kiens, Bente, Richter, Erik A., Wojtaszewski, Jorgen F. P., Verkade, Paul, and Jensen, Thomas E.
- Subjects
exercise ,single bout ,human skeletal-muscle ,plasma-membrane ,glucose-uptake ,glut4 ,musculoskeletal system ,sensitivity ,localization ,insulin-resistance ,expression ,insulin sensitivity ,cells ,rat ,skeletal muscle ,immunofluorescence - Abstract
Objective: Exercise is a cornerstone in the management of skeletal muscle insulin-resistance. A well-established benefit of a single bout of exercise is increased insulin sensitivity for hours post-exercise in the previously exercised musculature. Although rodent studies suggest that the insulin-sensitization phenomenon involves enhanced insulin-stimulated GLUT4 cell surface translocation and might involve intramuscular redistribution of GLUT4, the conservation to humans is unknown. Methods: Healthy young males underwent an insulin-sensitizing one-legged kicking exercise bout for 1 h followed by fatigue bouts to exhaustion. Muscle biopsies were obtained 4 h post-exercise before and after a 2-hour hyperinsulinemic-euglycemic clamp. Results: A detailed microscopy-based analysis of GLUT4 distribution within seven different myocellular compartments revealed that prior exercise increased GLUT4 localization in insulin-responsive storage vesicles and T-tubuli. Furthermore, insulin-stimulated GLUT4 localization was augmented at the sarcolemma and in the endosomal compartments. Conclusions: An intracellular redistribution of GLUT4 post-exercise is proposed as a molecular mechanism contributing to the insulin-sensitizing effect of prior exercise in human skeletal muscle. (C) 2020 The Author(s). Published by Elsevier GmbH. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).