Perfluorooctanoic acid exposure for 28 days affects glucose homeostasis and induces insulin hypersensitivity in mice
Open accessAbstract
Perfluoroalkyl acids (PFAAs) are widely used in many applications due to their unique physical and chemical characteristics. Because of the increasing prevalence of metabolic syndromes, including obesity, dyslipidemia and insulin resistance, concern has arisen about the roles of environmental pollutants in such diseases. Earlier epidemiologic studies showed a potential association between perfluorooctanoic acid (PFOA) and glucose metabolism, but how PFOA influences glucose homeostasis is still unknown. Here, we report on the modulation of the phosphatidylinositol 3-kinase-serine/threonine protein kinase (PI3K-AKT) signaling pathway in the livers of mice after 28 d of exposure to PFOA. Compared with normal mice, PFOA exposure significantly decreased the expression of the phosphatase and tensin homologue (PTEN) protein and affected the PI3K-AKT signaling pathway in the liver. Tolerance tests further indicated that PFOA exposure induced higher insulin sensitivity and glucose tolerance in mice. Biochemical analysis revealed that PFOA exposure reduced hepatic glycogen synthesis, which might be attributed to gluconeogenesis inhibition. The levels of several circulating proteins were altered after PFOA exposure, including proteins potentially related to diabetes and liver disease. Our results suggest that PFOA affected glucose metabolism and induced insulin hypersensitivity in mice.
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Animal experiments have demonstrated that exposure to PFASs can induce metabolic disturbance and IR through inflammatory response and endocrine disruption, resulting in an increased incidence of T2D.
“Animal experiments have also demonstrated that exposure to PFASs can induce metabolic disturbance and IR through inflammatory response and endocrine disruption, resulting in an increased incidence of T2D (Dong et al., 2022; Fang et al., 2012; Yan et al., 2015).”
From Exposure to per- and polyfluoroalkyl substances in early pregnancy, risk of gestational diabetes mellitus, potential pathways, and influencing factors in pregnant women: A nested case-control study (2023) · cites this paper as Yan et al., 2015
The Results (‘PFOA exposure induced insulin hypersensitivity in mice’) report increased insulin sensitivity in liver and muscle, not insulin resistance. The Discussion says this hypersensitivity could help defend against type 2 diabetes, contrary to the attributed increase in diabetes incidence. The study does report disturbed glucose metabolism, but these passages do not establish the claimed inflammatory or endocrine mechanism. (LLM, conf=0.89)
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Cites
Insulin signalling and the regulation of glucose and lipid metabolism
Saltiel, A. R., & Kahn, C. R. (2001) · Nature · doi:10.1038/414799a · Cited by 5,326 · see citing works
The functions and regulation of the PTEN tumour suppressor
Song, M. S., Salmena, L., & Pandolfi, P. P. (2012) · Nature Reviews Molecular Cell Biology · doi:10.1038/nrm3330 · Cited by 1,926 · see citing works
The toxicology of perfluorooctanoate
Kennedy, G. L., Butenhoff, J. L., Olsen, G. W., O'Connor, J. C., Seacat, A. M., Perkins, R. G., Biegel, L. B., Murphy, S. R., & Farrar, D. G. (2004) · Critical Reviews in Toxicology · doi:10.1080/10408440490464705 · Cited by 742 · see citing works
Sandhu, M. S., Heald, A. H., Gibson, J. M., Cruickshank, J. K., Dunger, D. B., & Wareham, N. J. (2002) · The Lancet · doi:10.1016/s0140-6736(02)08655-5 · Cited by 470 · see citing works
Stiles, B., Wang, Y., Stahl, A., Bassilian, S., Lee, W. P., Kim, Y.-J., Sherwin, R., Devaskar, S., Lesche, R., Magnuson, M. A., et al. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0308617100 · Cited by 436 · see citing works
Takacs, M. L., & Abbott, B. D. (2007) · Toxicological Sciences · doi:10.1093/toxsci/kfl135 · Cited by 396 · see citing works
Flagged first, then by citations
Research works printed but not linked: 40
- Lau C. et al. Perfluoroalkyl acids: a review of monitoring and toxicological findings. Toxicol. Sci. 99, 366– 394 (2007). 17519394
- Kersten S., Desvergne B. & Wahli W. Roles of PPARs in health and disease. Nature 405, 421– 424 (2000). 10839530
- Varga T., Czimmerer Z. & Nagy L. PPARs are a unique set of fatty acid regulated transcription factors controlling both lipid metabolism and inflammation. Biochim. Biophys. Acta 1812, 1007– 1022 (2011). 21382489 PMC3117990
- Pyper S. R., Viswakarma N., Yu S. & Reddy J. K. PPARalpha: energy combustion, hypolipidemia, inflammation and cancer. Nucl Recept Signal 8, e002 (2010). 20414453 PMC2858266
- Gallo V. et al. Serum perfluorooctanoate (PFOA) and perfluorooctane sulfonate (PFOS) concentrations and liver function biomarkers in a population with elevated PFOA exposure. Environ. Health Perspect. 120, 655– 660 (2012). 22289616 PMC3346788
- Wang J., Zhang Y., Zhang W., Jin Y. & Dai J. Association of perfluorooctanoic acid with HDL cholesterol and circulating miR-26b and miR-199-3p in workers of a fluorochemical plant and nearby residents. Environ. Sci. Technol. 46, 9274– 9281 (2012). 22862179
- Olsen G. W. & Zobel L. R. Assessment of lipid, hepatic, and thyroid parameters with serum perfluorooctanoate (PFOA) concentrations in fluorochemical production workers. Int. Arch. Occup. Environ. Health 81, 231– 246 (2007). 17605032
- Steenland K., Fletcher T. & Savitz D. A. Epidemiologic evidence on the health effects of perfluorooctanoic acid (PFOA). Environ. Health Perspect. 118, 1100– 1108 (2010). 20423814 PMC2920088
- Nelson J. W., Hatch E. E. & Webster T. F. Exposure to polyfluoroalkyl chemicals and cholesterol, body weight, and insulin resistance in the general U.S. population. Environ. Health Perspect. 118, 197– 202 (2010). 20123614 PMC2831917
- Karnes C., Winquist A. & Steenland K. Incidence of type II diabetes in a cohort with substantial exposure to perfluorooctanoic acid. Environ. Res. 128, 78– 83 (2014). 24299613
- Taylor K. W. et al. Evaluation of the association between persistent organic pollutants (POPs) and diabetes in epidemiological studies: a national toxicology program workshop review. Environ. Health Perspect. 121, 774– 783 (2013). 23651634 PMC3701910
- Lin C. Y., Chen P. C., Lin Y. C. & Lin L. Y. Association among serum perfluoroalkyl chemicals, glucose homeostasis, and metabolic syndrome in adolescents and adults. Diabetes Care 32, 702– 707 (2009). 19114613 PMC2660466
- Lind L., Zethelius B., Salihovic S., van Bavel B. & Lind P. M. Circulating levels of perfluoroalkyl substances and prevalent diabetes in the elderly. Diabetologia 57, 473– 479 (2014). 24337155
- MacNeil J., Steenland N. K., Shankar A. & Ducatman A. A cross-sectional analysis of type II diabetes in a community with exposure to perfluorooctanoic acid (PFOA). Environ. Res. 109, 997– 1003 (2009). 19740462
- Vanhaesebroeck B., Stephens L. & Hawkins P. PI3K signalling: the path to discovery and understanding. Nat. Rev. Mol. Cell Biol. 13, 195– 203 (2012). 22358332
- Hemmings B. A. & Restuccia D. F. PI3K-PKB/Akt pathway. Cold Spring Harb. Perspect. Biol. 4, a011189 (2012). 22952397 PMC3428770
- Yan S., Wang J., Zhang W. & Dai J. Circulating microRNA profiles altered in mice after 28 days exposure to perfluorooctanoic acid. Toxicol. Lett. 224, 24– 31 (2014). 24459700
- Yan S., Wang J. & Dai J. Activation of sterol regulatory element-binding proteins in mice exposed to perfluorooctanoic acid for 28 days. Arch. Toxicol. 10.1007/s00204-014-1322-7 (2014). 25092180 · DOI
- Chang L., Chiang S. H. & Saltiel A. R. Insulin signaling and the regulation of glucose transport. Mol. Med. 10, 65– 71 (2004). 16307172 PMC1431367
- Nordlie R. C., Foster J. D. & Lange A. J. Regulation of glucose production by the liver. Annu. Rev. Nutr. 19, 379– 406 (1999). 10448530
- Grimberg A. & Cohen P. Role of insulin-like growth factors and their binding proteins in growth control and carcinogenesis. J. Cell. Physiol. 183, 1– 9 (2000). 10699960 PMC4144680
- Renehan A. G., Frystyk J. & Flyvbjerg A. Obesity and cancer risk: the role of the insulin-IGF axis. Trends Endocrinol. Metab. 17, 328– 336 (2006). 16956771
- Wheatcroft S. B. & Kearney M. T. IGF-dependent and IGF-independent actions of IGF-binding protein-1 and -2: implications for metabolic homeostasis. Trends Endocrinol. Metab. 20, 153– 162 (2009). 19349193
- Danaei G. et al. National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants. Lancet 378, 31– 40 (2011). 21705069
- Xie Y., Yang Q., Nelson B. D. & DePierre J. W. Characterization of the adipose tissue atrophy induced by peroxisome proliferators in mice. Lipids 37, 139– 146 (2002). 11908906
- Lundgren M. et al. Fat cell enlargement is an independent marker of insulin resistance and 'hyperleptinaemia'. Diabetologia 50, 625– 633 (2007). 17216279
- Ibrahim M. M. Subcutaneous and visceral adipose tissue: structural and functional differences. Obes. Rev. 11, 11– 18 (2010). 19656312
- Horie Y. et al. Hepatocyte-specific Pten deficiency results in steatohepatitis and hepatocellular carcinomas. J. Clin. Invest. 113, 1774– 1783 (2004). 15199412 PMC420505
- Song G., Ouyang G. & Bao S. The activation of Akt/PKB signaling pathway and cell survival. J. Cell. Mol. Med. 9, 59– 71 (2005). 15784165 PMC6741304
- Salmena L., Carracedo A. & Pandolfi P. P. Tenets of PTEN tumor suppression. Cell 133, 403– 414 (2008). 18455982
- Kahn B. B. & Flier J. S. Obesity and insulin resistance. J. Clin. Invest. 106, 473– 481 (2000). 10953022 PMC380258
- Klover P. J. & Mooney R. A. Hepatocytes: critical for glucose homeostasis. Int. J. Biochem. Cell Biol. 36, 753– 758 (2004). 15061128
- Radziuk J. & Pye S. Hepatic glucose uptake, gluconeogenesis and the regulation of glycogen synthesis. Diabetes Metab. Res. Rev. 17, 250– 272 (2001). 11544610
- Newgard C. B., Moore S. V., Foster D. W. & Mcgarry J. D. Efficient Hepatic Glycogen-Synthesis in Refeeding Rats Requires Continued Carbon Flow through the Gluconeogenic Pathway. J. Biol. Chem. 259, 6958– 6963 (1984). 6725277
- Bach L. A., Headey S. J. & Norton R. S. IGF-binding proteins–the pieces are falling into place. Trends Endocrinol. Metab. 16, 228– 234 (2005). 15935690
- Sundsten T. & Ortsater H. Proteomics in diabetes research. Mol. Cell. Endocrinol. 297, 93– 103 (2009). 18657591
- Takahashi E. et al. Differential proteome analysis of serum proteins associated with the development of type 2 diabetes mellitus in the KK-A(y) mouse model using the iTRAQ technique. J Proteomics 84, 40– 51 (2013). 23545169
- Zhang B., Zhou K. K. & Ma J. X. Inhibition of connective tissue growth factor overexpression in diabetic retinopathy by SERPINA3K via blocking the WNT/beta-catenin pathway. Diabetes 59, 1809– 1816 (2010). 20299474 PMC2889783
- Schneider J. L., Suh Y. & Cuervo A. M. Deficient chaperone-mediated autophagy in liver leads to metabolic dysregulation. Cell Metab. 20, 417– 432 (2014). 25043815 PMC4156578
- Zhang H. et al. Proteomic analysis of mouse testis reveals perfluorooctanoic acid-induced reproductive dysfunction via direct disturbance of testicular steroidogenic machinery. J. Proteome Res. 13, 3370– 3385 (2014). 24940614
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Self-citationDunder, L., Salihovic, S., Elmståhl, S., Lind, P. M., & Lind, L. (2023) · Journal of Exposure Science & Environmental Epidemiology · doi:10.1038/s41370-023-00529-x · Cited by 41 · see citing works
- Authors
- Yan, S., Zhang, H., Zheng, F., Sheng, N., Guo, X., & Dai, J.
- Affiliations
- Chinese Academy of Sciences (CN)
- Shanxi Agricultural University (CN)
- State Key Laboratory of Reproductive Medicine (CN)
- Corresponding author
- Dai, Jiayin
- Venue
- Scientific Reports
- Published
- 2015-06-12
- Volume
- 5
- Issue
- 1
- Pages
- 11029-11029
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC4464286
- OpenAlex
- W592541448
- Cited by
- 110
- References
- 6
- Citations by year
- 2026: 5 · 2025: 13 · 2024: 15 · 2023: 11 · 2022: 13 · 2021: 16 · 2020: 10 · 2019: 3 · 2018: 8 · 2017: 7 · 2016: 7 · 2015: 1 · 2013: 1
- FWCI
- 5.65
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (XDB14040202, 31320103915, 21277143, 31025006)
- Chinese Academy of Sciences (31320103915, XDB14040202)
- Topics
- Physical Sciences › Environmental Science › Environmental Chemistry › Per- and polyfluoroalkyl substances research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Peroxisome Proliferator-Activated Receptors
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Toxic Organic Pollutants Impact
- Keywords
- perfluorooctanoic acid, glucose homeostasis, insulin hypersensitivity, glucose tolerance, PI3K/Akt signaling, PTEN, hepatic glycogen synthesis, gluconeogenesis, liver, environmental pollutants, metabolic syndrome, diabetes mellitus
- MeSH terms
- Animals, Caprylates, Drug Hypersensitivity, Fluorocarbons, Glucose, Glycogen, Homeostasis, Insulin, Liver, Male, Mice, Inbred BALB C, Time Factors, Signal Transduction, Phosphatidylinositol 3-Kinases, Proto-Oncogene Proteins c-akt, PTEN Phosphohydrolase, Mice
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