Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Sep 23;12(10):2910.
doi: 10.3390/nu12102910.

Intracellular pH Regulation of Skeletal Muscle in the Milieu of Insulin Signaling

Affiliations
Review

Intracellular pH Regulation of Skeletal Muscle in the Milieu of Insulin Signaling

Dheeraj Kumar Posa et al. Nutrients. .

Abstract

Type 2 diabetes (T2D), along with obesity, is one of the leading health problems in the world which causes other systemic diseases, such as cardiovascular diseases and kidney failure. Impairments in glycemic control and insulin resistance plays a pivotal role in the development of diabetes and its complications. Since skeletal muscle constitutes a significant tissue mass of the body, insulin resistance within the muscle is considered to initiate the onset of diet-induced metabolic syndrome. Insulin resistance is associated with impaired glucose uptake, resulting from defective post-receptor insulin responses, decreased glucose transport, impaired glucose phosphorylation, oxidation and glycogen synthesis in the muscle. Although defects in the insulin signaling pathway have been widely studied, the effects of cellular mechanisms activated during metabolic syndrome that cross-talk with insulin responses are not fully elucidated. Numerous reports suggest that pathways such as inflammation, lipid peroxidation products, acidosis and autophagy could cross-talk with insulin-signaling pathway and contribute to diminished insulin responses. Here, we review and discuss the literature about the defects in glycolytic pathway, shift in glucose utilization toward anaerobic glycolysis and change in intracellular pH [pH]i within the skeletal muscle and their contribution towards insulin resistance. We will discuss whether the derangements in pathways, which maintain [pH]i within the skeletal muscle, such as transporters (monocarboxylate transporters 1 and 4) and depletion of intracellular buffers, such as histidyl dipeptides, could lead to decrease in [pH]i and the onset of insulin resistance. Further we will discuss, whether the changes in [pH]i within the skeletal muscle of patients with T2D, could enhance the formation of protein aggregates and activate autophagy. Understanding the mechanisms by which changes in the glycolytic pathway and [pH]i within the muscle, contribute to insulin resistance might help explain the onset of obesity-linked metabolic syndrome. Finally, we will conclude whether correcting the pathways which maintain [pH]i within the skeletal muscle could, in turn, be effective to maintain or restore insulin responses during metabolic syndrome.

Keywords: carnosine; chronic kidney disease; diabetes; glycolysis; histidyl dipeptides; insulin signaling; intracellular pH; obesity.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
High-fat high-sucrose (HFHS) feeding to wild type (WT) mice decreases histidyl dipeptides in skeletal muscle. WT C57Bl6 mice (8 weeks old) were fed with normal chow (NC) and high-fat high-sucrose feeding for 12 weeks. Gastrocnemius muscles were isolated from the mice after NC and HFHS feeding, which were analyzed by LC–MS for anserine and carnosine levels, using tyrosine histidine as an internal standard. Data are presented as mean ± SEM, n = 5–6 mice in each group, * p < 0.05 vs NC.
Figure 2
Figure 2
Shift in glucose utilization and imbalance of pathways that maintain intracellular pH during diet-induced metabolic syndrome. A shift in glucose utilization from glucose oxidation to anaerobic glycolysis enhances lactate production and hydrogen (H+) ions. Within the skeletal muscle, the activity of key glycolytic enzymes hexokinase and pyruvate kinase is decreased during metabolic syndrome. Expression of transporters; the Na-H+ (NHE) exchanger, which transports hydrogen (H+) ions during exercise and rest, respectively; and levels of histidyl dipeptides, which buffer H+ ions, are decreased during diet-induced metabolic syndrome.

Similar articles

Cited by

References

    1. Lillioja S., Mott D.M., Howard B.V., Bennett P.H., Yki-Jarvinen H., Freymond D., Nyomba B.L., Zurlo F., Swinburn B., Bogardus C. Impaired Glucose Tolerance as a Disorder of Insulin Action. Longitudinal and cross-sectional studies in Pima Indians. N. Eng. J. Med. 1988;318:1217–1225. doi: 10.1056/NEJM198805123181901. - DOI - PubMed
    1. Warram J.H., Martin B.C., Krolewski A.S., Soeldner J.S., Kahn C.R. Slow Glucose Removal Rate and Hyperinsulinemia Precede the Development of Type II Diabetes in the Offspring of Diabetic Parents. Ann. Intern. Med. 1990;113:909–915. doi: 10.7326/0003-4819-113-12-909. - DOI - PubMed
    1. Stump C.S., Henriksen E.J., Wei Y., Sowers J.R. The metabolic syndrome: Role of skeletal muscle metabolism. Ann. Med. 2006;38:389–402. doi: 10.1080/07853890600888413. - DOI - PubMed
    1. DeFronzo R.A., Tripathy D. Skeletal Muscle Insulin Resistance Is the Primary Defect in Type 2 Diabetes. Diabetes Care. 2009;32(Suppl. 2):S157–S163. doi: 10.2337/dc09-S302. - DOI - PMC - PubMed
    1. Shulman G.I. Ectopic Fat in Insulin Resistance, Dyslipidemia, and Cardiometabolic Disease. N. Eng. J. Med. 2014;371:1131–1141. doi: 10.1056/NEJMra1011035. - DOI - PubMed