Signaling Specificity of Interleukin-6 Action on Glucose and Lipid Metabolism in Skeletal Muscle
Open accessAbstract
We identified signaling pathways by which IL-6 regulates skeletal muscle differentiation and metabolism. Primary human skeletal muscle cells were exposed to IL-6 (25 ng/ml either acutely or for several days), and small interfering RNA gene silencing was applied to measure glucose and fat metabolism. Chronic IL-6 exposure increased myotube fusion and formation and the mRNA expression of glucose transporter 4, peroxisome proliferator activated receptor (PPAR)α, PPARδ, PPARγ, PPARγ coactivator 1, glycogen synthase, myocyte enhancer factor 2D, uncoupling protein 2, fatty acid transporter 4, and IL-6 (P < 0.05), whereas glucose transporter 1, CCAAT/enhancer-binding protein-α, and uncoupling protein 3 were decreased. IL-6 increased glucose incorporation into glycogen, glucose uptake, lactate production, and fatty acid uptake and oxidation, concomitant with increased phosphorylation of AMP-activated protein kinase (AMPK), signal transducer and activator of transcription 3, and ERK1/2. IL-6 also increased phosphatidylinositol (PI) 3-kinase activity (450%; P < 0.05), which was blunted by subsequent insulin-stimulation (P < 0.05). IL-6-mediated glucose metabolism was suppressed, but lipid metabolism was unaltered, by inhibition of PI3-kinase with LY294002. The small interfering RNA-directed depletion of AMPK reduced IL-6-mediated fatty acid oxidation and palmitate uptake but did not reduce glycogen synthesis. In summary, IL-6 increases glycogen synthesis via a PI3-kinase-dependent mechanism and enhances lipid oxidation via an AMPK-dependent mechanism in skeletal muscle. Thus, IL-6 directly promotes skeletal muscle differentiation and regulates muscle substrate utilization, promoting glycogen storage and lipid oxidation.
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TL;DR
In primary human skeletal muscle cultures, IL-6 directly promotes myotube differentiation and shifts substrate metabolism toward glycogen storage and lipid oxidation. IL-6 increases glycogen synthesis via a PI3-kinase-dependent mechanism and enhances fatty acid uptake/oxidation via an AMPK-dependent mechanism.
Key findings
- Chronic IL-6 (25 ng/ml, 8 d) increased myotube formation/fusion (15 ± 4% over basal, myotubes with >5 nuclei) and increased mRNA expression of GLUT4, PPARα, PPARδ, PPARγ, PGC1α, glycogen synthase, MEF2D, UCP2, FATP4, and IL-6 (P < 0.05), while decreasing GLUT1, CEBPα, and UCP3 (P < 0.05).
- IL-6 increased glucose incorporation into glycogen approximately 1.5-fold acutely (3 h) and approximately 2-fold after 8 d (P < 0.05); it also increased glucose uptake, lactate production, and palmitate uptake and oxidation 2.5-fold (P < 0.05). Insulin reduced palmitate oxidation 20% (P < 0.05).
- IL-6 increased IRS1-associated PI3-kinase activity 4.5-fold (450%; P < 0.05), which was blunted by subsequent insulin. LY294002 prevented IL-6-stimulated glycogen synthesis but did not alter β-oxidation. IL-6 increased AMPK phosphorylation 3.8-fold (P < 0.05); AMPK α-subunit siRNA reduced IL-6-mediated fatty acid uptake and oxidation but did not affect glycogen synthesis.
- IL-6 increased STAT3 phosphorylation, peaking at 20 min, and increased ERK1/2 phosphorylation; it weakly increased AKT/PKB Thr308 phosphorylation 15% and Ser473 phosphorylation 20% (P < 0.05). Insulin, but not IL-6, increased AS160 and IRS1 Ser312 phosphorylation.
Methods
- Primary human skeletal muscle cells were obtained from muscle biopsies of seven subjects (four male, three female; mean age 52.5 ± 8 yr, BMI 25.3 ± 3.0 kg/m², fasting blood glucose 5.6 ± 0.5 mM). Differentiated myotubes were treated with IL-6 (5, 25, or 100 ng/ml) acutely (20 min or 3 h) or for 8 d, with or without insulin (6 or 60 nM).
- Metabolic assays included 14C-glucose incorporation into glycogen, 2-deoxy-[3H]glucose uptake, lactate production, [1-14C]palmitate or oleate oxidation and intracellular labeled palmitate accumulation, Western blot phosphorylation analysis, IRS1-associated PI3-kinase activity, real-time PCR, and Giemsa/Wright staining for myotube formation.
- AMPK α1/α2 were silenced by siRNA in differentiated myotubes; PI3-kinase was inhibited with LY294002 (10 µM). Data are mean ± SEM, analyzed by Student’s t test or ANOVA with Fisher’s least significant difference post hoc test.
Limitations
- The paper does not include a dedicated limitations section; stated limitations: Not stated in the paper.
- Evident from the text: findings are from in vitro primary human skeletal muscle cell cultures, and the paper notes unresolved/divergent in vivo effects of IL-6 on glucose metabolism in humans and rodents.
- Evident from the text: several experiments used small sample sizes (n = 4–6 subjects/experiments), some results are reported as “data not shown,” and AMPK α1 siRNA also silenced the α2 isoform, limiting isoform-specific conclusions.
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- Findingown data
IL-6 exposure for 8 d increased mRNA expression of GLUT4 in primary human skeletal muscle cultures.
“IL-6 exposure for 8 d increased mRNA expression of glucose transporter (GLUT)4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1 (PGC1)␣, glycogen synthase, myocyte enhancer factor 2D (MEF2D), uncoupling protein (UCP)2, fatty acid transporter 4, and IL-6 itself (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d increased mRNA expression of IL-6 itself in primary human skeletal muscle cultures.
“IL-6 exposure for 8 d increased mRNA expression of glucose transporter (GLUT)4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1 (PGC1)␣, glycogen synthase, myocyte enhancer factor 2D (MEF2D), uncoupling protein (UCP)2, fatty acid transporter 4, and IL-6 itself (P Ͻ 0.05).”
Quote in the paperNot a substantial claim - Findingown data
Insulin increased PI3-kinase activity 2-fold in primary human skeletal muscle cells.
“Insulin increased PI3-kinase activity 2-fold (P Ͻ 0.05; Fig. 5B).”
Quote in the paperNot a substantial claim - Findingown data
Insulin did not increase phosphorylation of STAT3 in differentiated primary human skeletal muscle cultures.
“Insulin did not increase phosphorylation of STAT3.”
Quote in the paperSubstantial claim - Findingown data
IL-6 induced a weak 15% increase in AKT/PKB Thr 308 phosphorylation in differentiated primary human skeletal muscle cultures.
“IL-6 induced a weak (15%; P Ͻ 0.05; Fig. 4c), although detectable, increase in AKT/ PKB Thr 308 phosphorylation.”
Quote in the paperSubstantial claim
- Findingown data
Cells exposed to IL-6 for 8 d increased glycogen synthesis approximately 2-fold in primary skeletal muscle cultures.
“Cells exposed to IL-6 for 8 d increased glycogen synthesis approximately 2-fold (P Ͻ 0.05 Fig. 1C), with similar effects noted under insulin-mediated conditions as seen after 3 h of IL-6 treatment (Fig. 1, B and C).”
Quote in the paperSubstantial claim - Findingown data
IL-6-mediated increase in PGC1α was blocked in cells in which AMPK α-subunit expression was reduced by siRNA.
“Interestingly, IL-6-mediated increase in PGC1␣ was blocked in cells in which AMPK ␣-subunit expression was reduced by siRNA.”
Quote in the paperSubstantial claim - Findingown data
Insulin robustly increased phosphorylation of AKT/PKB on Thr 308 and Ser 473 in differentiated primary human skeletal muscle cultures.
“Insulin robustly increased phosphor- ylation of AKT/protein kinase B (PKB) on Thr 308 and Ser 473 (Fig. 4, c and d).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d increased mRNA expression of PPARγ in primary human skeletal muscle cultures.
“IL-6 exposure for 8 d increased mRNA expression of glucose transporter (GLUT)4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1 (PGC1)␣, glycogen synthase, myocyte enhancer factor 2D (MEF2D), uncoupling protein (UCP)2, fatty acid transporter 4, and IL-6 itself (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
Treatment of primary human skeletal muscle cells with 25 ng/ml IL-6 increased PI3-kinase activity 4.5-fold.
“Treatment of cells with 25 ng/ml IL-6 increased PI3-kinase activity 4.5-fold (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
Silencing of AMPK α-subunits did not affect the IL-6-mediated glucose incorporation into glycogen in primary human skeletal muscle cells.
“In contrast, silencing of AMPK ␣-subunits did not affect the IL-6-mediated glucose incorporation into glycogen (Fig. 8C).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d increased mRNA expression of PPARα in primary human skeletal muscle cultures.
“IL-6 exposure for 8 d increased mRNA expression of glucose transporter (GLUT)4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1 (PGC1)␣, glycogen synthase, myocyte enhancer factor 2D (MEF2D), uncoupling protein (UCP)2, fatty acid transporter 4, and IL-6 itself (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d increased mRNA expression of PGC1α in primary human skeletal muscle cultures.
“IL-6 exposure for 8 d increased mRNA expression of glucose transporter (GLUT)4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1 (PGC1)␣, glycogen synthase, myocyte enhancer factor 2D (MEF2D), uncoupling protein (UCP)2, fatty acid transporter 4, and IL-6 itself (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
IL-6 effects on mRNA expression of GLUT4 were not dependent on AMPK.
“In contrast, IL-6 effects on mRNA expression of GLUT4, GLUT1, UCP3, and glycogen synthase was not dependent on AMPK, suggesting that IL-6 effects on mRNA expression are mediated via several distinct signaling pathways.”
Quote in the paperSubstantial claim - Findingown data
Eight days of exposure to IL-6 profoundly increased glucose uptake in primary human skeletal muscle cultures.
“Interestingly, 8 d of exposure to IL-6 profoundly increased glucose uptake, possibly due to IL-6-mediated effects on skeletal muscle differentiation.”
Quote in the paperSubstantial claim - Findingown data
The effect of IL-6 on glucose incorporation into glycogen was prevented in the presence of LY294002 in primary human skeletal muscle cells.
“The effect of IL-6 on glucose incorporation into glycogen was prevented in the presence of LY294002 (Fig. 6).”
Quote in the paperSubstantial claim - Findingown data
Insulin partially suppressed IL-6-mediated palmitate oxidation in primary human skeletal muscle cells.
“Insulin partially suppressed IL-6mediated palmitate oxidation.”
Quote in the paperSubstantial claim - Findingown data
IL-6 increased palmitate oxidation 2.5-fold in primary human skeletal muscle cells.
“In contrast, IL-6 robustly increased palmitate oxidation 2.5-fold (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
Chronic IL-6 exposure increased myotube fusion and formation in primary human skeletal muscle cultures.
“Chronic IL-6 exposure increased myotube fusion and formation and the mRNA expression of glucose transporter 4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1, glycogen synthase, myocyte enhancer factor 2D, uncoupling protein 2, fatty acid transporter 4, and IL-6 (P < 0.05)”
- Also stated in: § Chronic IL-6 Exposure Enhances Skeletal Muscle Differentiation · plain
“Primary cultures exposed to 25 ng/ml IL-6 for 8 d during the differentiation process displayed increased myotube formation and fusion rate (15 Ϯ 4% over basal, myotubes with Ͼ5 nucleus/myotubes/m 2 ) (Fig. 9).”
Quote in the paperSubstantial claim - Also stated in: § Chronic IL-6 Exposure Enhances Skeletal Muscle Differentiation · plain
- Findingown data
IL-6 increased AKT/PKB Ser 473 phosphorylation by 20% in differentiated primary human skeletal muscle cultures.
“IL-6 increased AKT/PKB Ser 473 phosphorylation 20% (P Ͻ 0.05; Fig. 4d).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d increased mRNA expression of fatty acid transporter 4 in primary human skeletal muscle cultures.
“IL-6 exposure for 8 d increased mRNA expression of glucose transporter (GLUT)4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1 (PGC1)␣, glycogen synthase, myocyte enhancer factor 2D (MEF2D), uncoupling protein (UCP)2, fatty acid transporter 4, and IL-6 itself (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
IL-6-mediated increase in palmitate oxidation was prevented by silencing of AMPK α-subunits in primary human skeletal muscle cells.
“Similar results were noted for IL-6-mediated increase in palmitate oxidation (Fig. 8B).”
Quote in the paperSubstantial claim - Findingown data
β-oxidation was unaltered by LY294002 in primary human skeletal muscle cells.
“In contrast, -oxidation was unaltered by LY294002 (data not shown).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d increased mRNA expression of PPARδ in primary human skeletal muscle cultures.
“IL-6 exposure for 8 d increased mRNA expression of glucose transporter (GLUT)4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1 (PGC1)␣, glycogen synthase, myocyte enhancer factor 2D (MEF2D), uncoupling protein (UCP)2, fatty acid transporter 4, and IL-6 itself (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
Similar effects on palmitate oxidation were noted in skeletal muscle myotubes after chronic 8 d exposure to IL-6.
“Similar results were noted in skeletal muscle myotubes after chronic (8 d) exposure to IL-6.”
Quote in the paperNot a substantial claim - Findingown data
IL-6 exposure for 8 d increased mRNA expression of MEF2D in primary human skeletal muscle cultures.
“IL-6 exposure for 8 d increased mRNA expression of glucose transporter (GLUT)4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1 (PGC1)␣, glycogen synthase, myocyte enhancer factor 2D (MEF2D), uncoupling protein (UCP)2, fatty acid transporter 4, and IL-6 itself (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
IL-6 effects on mRNA expression of GLUT1 were not dependent on AMPK.
“In contrast, IL-6 effects on mRNA expression of GLUT4, GLUT1, UCP3, and glycogen synthase was not dependent on AMPK, suggesting that IL-6 effects on mRNA expression are mediated via several distinct signaling pathways.”
Quote in the paperSubstantial claim - Findingown data
IL-6 increased basal and insulin-stimulated intracellular accumulation of labeled palmitic acid in primary human skeletal muscle cells.
“IL-6 increased basal and insulin-stimulated intracellular accumulation of labeled palmitic acid (Fig. 3A).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d increased mRNA expression of UCP2 in primary human skeletal muscle cultures.
“IL-6 exposure for 8 d increased mRNA expression of glucose transporter (GLUT)4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1 (PGC1)␣, glycogen synthase, myocyte enhancer factor 2D (MEF2D), uncoupling protein (UCP)2, fatty acid transporter 4, and IL-6 itself (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
Combined exposure of insulin and IL-6 attenuated the PI3-kinase signal compared with IL-6 alone in primary human skeletal muscle cells.
“A combined exposure of insulin and IL-6 attenuated the PI3-kinase signal, as compared with IL-6 alone (Fig. 5).”
Quote in the paperSubstantial claim - Findingown data
Insulin did not increase phosphorylation of AMPK in primary human skeletal muscle cells.
“Insulin did not increase phosphorylation of AMPK.”
Quote in the paperSubstantial claim - Findingown data
Acute stimulation of primary human skeletal muscle cultures with 25 ng/ml IL-6 for 3 h resulted in a small but significant increase in glucose uptake.
“Acute stimulation of primary human skeletal muscle cultures with 25 ng/ml of IL-6 for 3 h resulted in a small but significant (P Ͻ 0.05) increase in glu- cose uptake (Fig. 2A).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d decreased mRNA expression of GLUT1 in primary human skeletal muscle cultures.
“Conversely, expression of GLUT1, CCAAT/enhancer-binding protein-␣ (CEBP␣) and UCP3 was decreased (P Ͻ 0.05; Table 2).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d increased mRNA expression of glycogen synthase in primary human skeletal muscle cultures.
“IL-6 exposure for 8 d increased mRNA expression of glucose transporter (GLUT)4, peroxisome proliferator activated receptor (PPAR)␣, PPAR␦, PPAR␥, PPAR␥ coactivator 1 (PGC1)␣, glycogen synthase, myocyte enhancer factor 2D (MEF2D), uncoupling protein (UCP)2, fatty acid transporter 4, and IL-6 itself (P Ͻ 0.05).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure increased phosphorylation of AMPK 3.8-fold in primary human skeletal muscle cells.
“IL-6 exposure increased phosphorylation of AMPK 3.8-fold (P Ͻ 0.05; Fig. 4b).”
Quote in the paperSubstantial claim - Findingown data
In primary human skeletal muscle cultures, insulin, but not IL-6, increased phosphorylation of IRS1 Ser 312.
“In primary human skeletal muscle cultures, insulin, but not IL-6, increased phosphorylation of insulin receptor substrate (IRS)1 Ser 312 (Fig. 4f).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d decreased mRNA expression of CEBPα in primary human skeletal muscle cultures.
“Conversely, expression of GLUT1, CCAAT/enhancer-binding protein-␣ (CEBP␣) and UCP3 was decreased (P Ͻ 0.05; Table 2).”
Quote in the paperSubstantial claim - Findingown data
IL-6 and 60 nM insulin increased glucose incorporation into glycogen in an additive manner in primary skeletal muscle cultures.
“IL-6 and 60 nM insulin increased glucose incorporation into glycogen in additive manner (P Ͻ 0.05; Fig. 1B).”
Quote in the paperSubstantial claim - Findingown data
Combined exposure to insulin and IL-6 reduced the insulin effect on lactate production to the levels observed with IL-6 alone in cultured muscle cells.
“Interestingly, a combined exposure to insulin and IL-6 resulted in a reduction of the insulin effect to the levels observed with IL-6 alone (Fig. 2B).”
Quote in the paperSubstantial claim - Findingown data
Insulin reduced skeletal muscle palmitic acid oxidation by 20% in primary human skeletal muscle cells.
“Insulin reduced skeletal muscle palmitic acid oxidation 20% (P Ͻ 0.05; Fig. 3B).”
Quote in the paperSubstantial claim - Findingown data
IL-6-mediated fatty acid uptake was prevented by silencing of AMPK α-subunits in primary human skeletal muscle cells.
“IL-6-mediated fatty acid uptake was prevented by silencing of AMPK ␣-subunits (Fig. 8A).”
Quote in the paperSubstantial claim - Findingown data
IL-6 exposure for 8 d decreased mRNA expression of UCP3 in primary human skeletal muscle cultures.
“Conversely, expression of GLUT1, CCAAT/enhancer-binding protein-␣ (CEBP␣) and UCP3 was decreased (P Ͻ 0.05; Table 2).”
Quote in the paperSubstantial claim - Findingown data
Exposure to 25 ng/ml IL-6 is associated with changes in mRNA expression of UCP3 in primary human skeletal muscle cultures.
“Changes in mRNA expression of (A) glycogen synthase, (B) PGC1␣, (C) GLUT4, (D) GLUT1, and (E) UCP3 in primary human skeletal muscle cultures after exposure to 25 ng/ml IL-6 at d 1, 3, and 8with or without AMPK ␣1/2 siRNA (only for d 1 and 3).”
Quote in the paperSubstantial claim - Findingown data
Long-term (8 d) treatment with 25 ng/ml IL-6 is associated with morphological changes in human skeletal muscle myotube formation.
“Morphological Changes of Human Skeletal Muscle Myotube Formation after Long-Term (8 d) Treatment with 25 ng/ml IL-6”
Quote in the paperNot a substantial claim - Findingown data
Exposure to 25 ng/ml IL-6 is associated with changes in mRNA expression of GLUT1 in primary human skeletal muscle cultures.
“Changes in mRNA expression of (A) glycogen synthase, (B) PGC1␣, (C) GLUT4, (D) GLUT1, and (E) UCP3 in primary human skeletal muscle cultures after exposure to 25 ng/ml IL-6 at d 1, 3, and 8with or without AMPK ␣1/2 siRNA (only for d 1 and 3).”
Quote in the paperSubstantial claim - Findingown data
IL-6 affects phosphorylation of PKB/Akt kinase Ser 473 in myotubes.
“Western blot showing the IL-6 effect on the phosphorylation of (a) STAT3, (b) AMPK, (c) PKB/Akt kinase Thr 308, (d) PKB/Akt kinase Ser 473, (e) AS160, (f) IRS1ser312, and (g) EKR1/2 MAPK in myotubes after 20 min or 3 h of treatment with 25 ng/ml IL-6 and/or insulin as indicated.”
Quote in the paperSubstantial claim - Findingown data
IL-6 effects on mRNA expression of glycogen synthase were not dependent on AMPK.
“In contrast, IL-6 effects on mRNA expression of GLUT4, GLUT1, UCP3, and glycogen synthase was not dependent on AMPK, suggesting that IL-6 effects on mRNA expression are mediated via several distinct signaling pathways.”
Quote in the paperSubstantial claim - Findingown data
IL-6 and insulin affect intracellular accumulation of labeled palmitate in differentiated primary human skeletal muscle myotubes.
“Effect of 3 h of treatment with 25 ng/ml IL-6 on (A) intracellular accumulation of labeled palmitate and (B) oxidation with or without insulin (60 nM) on differentiated primary human skeletal muscle myotubes (n ϭ 4).”
Quote in the paperSubstantial claim - Findingown data
AMPK α1 and α2 depletion by siRNA has an effect on glycogen synthesis in human skeletal muscle myotubes.
“Effect of AMPK ␣1 and AMPK ␣2 depletion by siRNA on intracellular accumulation of labeled palmitate (A), palmitate oxidation (B), and glycogen synthesis (C) in human skeletal muscle myotubes (d 5).”
Quote in the paperSubstantial claim - Findingown data
IL-6 affects phosphorylation of ERK1/2 MAPK in myotubes.
“Western blot showing the IL-6 effect on the phosphorylation of (a) STAT3, (b) AMPK, (c) PKB/Akt kinase Thr 308, (d) PKB/Akt kinase Ser 473, (e) AS160, (f) IRS1ser312, and (g) EKR1/2 MAPK in myotubes after 20 min or 3 h of treatment with 25 ng/ml IL-6 and/or insulin as indicated.”
Quote in the paperSubstantial claim - Findingown data
Exposure to 25 ng/ml IL-6 is associated with changes in mRNA expression of GLUT4 in primary human skeletal muscle cultures.
“Changes in mRNA expression of (A) glycogen synthase, (B) PGC1␣, (C) GLUT4, (D) GLUT1, and (E) UCP3 in primary human skeletal muscle cultures after exposure to 25 ng/ml IL-6 at d 1, 3, and 8with or without AMPK ␣1/2 siRNA (only for d 1 and 3).”
Quote in the paperSubstantial claim - Findingown data
IL-6 affects phosphorylation of AMPK in myotubes.
“Western blot showing the IL-6 effect on the phosphorylation of (a) STAT3, (b) AMPK, (c) PKB/Akt kinase Thr 308, (d) PKB/Akt kinase Ser 473, (e) AS160, (f) IRS1ser312, and (g) EKR1/2 MAPK in myotubes after 20 min or 3 h of treatment with 25 ng/ml IL-6 and/or insulin as indicated.”
Quote in the paperSubstantial claim - Findingown data
IL-6 affects phosphorylation of PKB/Akt kinase Thr 308 in myotubes.
“Western blot showing the IL-6 effect on the phosphorylation of (a) STAT3, (b) AMPK, (c) PKB/Akt kinase Thr 308, (d) PKB/Akt kinase Ser 473, (e) AS160, (f) IRS1ser312, and (g) EKR1/2 MAPK in myotubes after 20 min or 3 h of treatment with 25 ng/ml IL-6 and/or insulin as indicated.”
Quote in the paperSubstantial claim - Findingown data
After 8 d of IL-6 (25 ng/ml) exposure, PPARδ mRNA expression in primary human skeletal muscle cultures was 156 ± 19% of untreated cultures (P < 0.05).
“PPAR␦ | 156 Ϯ 19 a”
- Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
“a P Ͻ 0.05 compared with untreated cells.”
Quote in the paperSubstantial claim - Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
- Findingown data
IL-6 affects phosphorylation of IRS1ser312 in myotubes.
“Western blot showing the IL-6 effect on the phosphorylation of (a) STAT3, (b) AMPK, (c) PKB/Akt kinase Thr 308, (d) PKB/Akt kinase Ser 473, (e) AS160, (f) IRS1ser312, and (g) EKR1/2 MAPK in myotubes after 20 min or 3 h of treatment with 25 ng/ml IL-6 and/or insulin as indicated.”
Quote in the paperSubstantial claim - Findingown data
PI3-kinase inhibitor LY294002 has an effect on IL-6-stimulated glycogen synthesis in human skeletal muscle myotubes.
“Effect of the PI3-kinase inhibitor (LY294002, 10 M) on IL-6 (25ng/ml)-stimulated glycogen synthesis (3 h) with or without insulin stimulation (60 nM) in human skeletal muscle myotubes (d 8).”
Quote in the paperSubstantial claim - Findingown data
AMPK α1 and α2 depletion by siRNA has an effect on palmitate oxidation in human skeletal muscle myotubes.
“Effect of AMPK ␣1 and AMPK ␣2 depletion by siRNA on intracellular accumulation of labeled palmitate (A), palmitate oxidation (B), and glycogen synthesis (C) in human skeletal muscle myotubes (d 5).”
Quote in the paperSubstantial claim - Findingnone given
Transfection of AMPK siRNA impaired myocyte differentiation.
“Because the transfection of AMPK siRNA impaired myocyte differentiation, we applied this technique to differentiated myotubes.”
Quote in the paperSubstantial claim - Findingown data
Exposure to 25 ng/ml IL-6 is associated with changes in mRNA expression of PGC1α in primary human skeletal muscle cultures.
“Changes in mRNA expression of (A) glycogen synthase, (B) PGC1␣, (C) GLUT4, (D) GLUT1, and (E) UCP3 in primary human skeletal muscle cultures after exposure to 25 ng/ml IL-6 at d 1, 3, and 8with or without AMPK ␣1/2 siRNA (only for d 1 and 3).”
Quote in the paperSubstantial claim - Findingown data
IL-6 affects phosphorylation of AS160 in myotubes.
“Western blot showing the IL-6 effect on the phosphorylation of (a) STAT3, (b) AMPK, (c) PKB/Akt kinase Thr 308, (d) PKB/Akt kinase Ser 473, (e) AS160, (f) IRS1ser312, and (g) EKR1/2 MAPK in myotubes after 20 min or 3 h of treatment with 25 ng/ml IL-6 and/or insulin as indicated.”
Quote in the paperSubstantial claim - Findingown data
After 8 d of IL-6 (25 ng/ml) exposure, CEBPα mRNA expression in primary human skeletal muscle cultures was 82 ± 11% of untreated cultures (P < 0.05).
“CEBP␣ | 82 Ϯ 11 a”
- Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
“a P Ͻ 0.05 compared with untreated cells.”
Quote in the paperSubstantial claim - Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
- Findingown data
AMPK α1 and α2 depletion by siRNA has an effect on intracellular accumulation of labeled palmitate in human skeletal muscle myotubes.
“Effect of AMPK ␣1 and AMPK ␣2 depletion by siRNA on intracellular accumulation of labeled palmitate (A), palmitate oxidation (B), and glycogen synthesis (C) in human skeletal muscle myotubes (d 5).”
Quote in the paperSubstantial claim - Findingown data
IL-6 has an effect on IRS-1-associated PI3-kinase activity in differentiated primary human skeletal muscle myotubes.
“Effect of 25 ng/ml IL-6 treatment (20 min) on IRS-associated PI3-kinase activity on differentiated primary human skeletal muscle myotubes (n ϭ 4).”
Quote in the paperSubstantial claim - Findingown data
IL-6 and insulin affect palmitate oxidation in differentiated primary human skeletal muscle myotubes.
“Effect of 3 h of treatment with 25 ng/ml IL-6 on (A) intracellular accumulation of labeled palmitate and (B) oxidation with or without insulin (60 nM) on differentiated primary human skeletal muscle myotubes (n ϭ 4).”
Quote in the paperSubstantial claim - Findingown data
After 8 d of IL-6 (25 ng/ml) exposure, FATP4 mRNA expression in primary human skeletal muscle cultures was 172 ± 21% of untreated cultures (P < 0.05).
“FATP4 | 172 Ϯ 21 a”
- Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
“a P Ͻ 0.05 compared with untreated cells.”
Quote in the paperSubstantial claim - Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
- Findingown data
After 8 d of IL-6 (25 ng/ml) exposure, PPARα mRNA expression in primary human skeletal muscle cultures was 131 ± 11% of untreated cultures (P < 0.05).
“PPAR␣ | 131 Ϯ 11 a”
- Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
“a P Ͻ 0.05 compared with untreated cells.”
Quote in the paperSubstantial claim - Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
- Findingown data
IL-6 effects on mRNA expression of UCP3 were not dependent on AMPK.
“In contrast, IL-6 effects on mRNA expression of GLUT4, GLUT1, UCP3, and glycogen synthase was not dependent on AMPK, suggesting that IL-6 effects on mRNA expression are mediated via several distinct signaling pathways.”
Quote in the paperSubstantial claim - Findingown data
IL-6 affects phosphorylation of STAT3 in myotubes.
“Western blot showing the IL-6 effect on the phosphorylation of (a) STAT3, (b) AMPK, (c) PKB/Akt kinase Thr 308, (d) PKB/Akt kinase Ser 473, (e) AS160, (f) IRS1ser312, and (g) EKR1/2 MAPK in myotubes after 20 min or 3 h of treatment with 25 ng/ml IL-6 and/or insulin as indicated.”
Quote in the paperSubstantial claim - Findingown data
Exposure to 25 ng/ml IL-6 is associated with changes in mRNA expression of glycogen synthase in primary human skeletal muscle cultures.
“Changes in mRNA expression of (A) glycogen synthase, (B) PGC1␣, (C) GLUT4, (D) GLUT1, and (E) UCP3 in primary human skeletal muscle cultures after exposure to 25 ng/ml IL-6 at d 1, 3, and 8with or without AMPK ␣1/2 siRNA (only for d 1 and 3).”
Quote in the paperSubstantial claim - Findingown data
After 8 d of IL-6 (25 ng/ml) exposure, IL-6 mRNA expression in primary human skeletal muscle cultures was 183 ± 25% of untreated cultures (P < 0.05).
“IL-6 | 183 Ϯ 25 a”
- Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
“a P Ͻ 0.05 compared with untreated cells.”
Quote in the paperNot a substantial claim - Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
- Findingown data
After 8 d of IL-6 (25 ng/ml) exposure, UCP2 mRNA expression in primary human skeletal muscle cultures was 145 ± 13% of untreated cultures (P < 0.05).
“UCP2 | 145 Ϯ 13 a”
- Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
“a P Ͻ 0.05 compared with untreated cells.”
Quote in the paperSubstantial claim - Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
- Study design and conductown data
Sequences targeted at AMPK α1 silenced the α1 and α2 isoforms, as evidenced by protein and mRNA expression analysis.
“Sequences targeted at AMPK ␣1 silenced the ␣1and ␣2-isoform, as evidenced by protein and mRNA expression analysis (Fig. 7).”
Quote in the paperSubstantial claim - Interpretationown data
IL-6 effects on glucose incorporation into glycogen and fatty acid oxidation appear to be mediated via separate pathways.
“Thus, IL-6 effects on glucose incorporation into glycogen and fatty acid oxidation appear to be mediated via separate pathways.”
Quote in the paperSubstantial claim - Premisecitation
Mice treated with a monoclonal anti-IL-6 antibody display increased levels of TNF.
“Mice treated with a monoclonal anti-IL-6 antibody display increased levels of TNF (34), suggesting that IL-6 may in fact counter regulate TNF levels.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [34] Matthys, 1995, Anti-γ interferon and anti-interleukin-6 antibodies affect staphylococcal enterotoxin B-induced weight loss, hypoglycemia, and cytokine release in D-galactosamine-sensitized and unsensitized mice., Infect Immun source
Not checked in the free run.
- Interpretationown data
The IL-6-mediated increase in fatty acid uptake and oxidation is dependent on AMPK.
“Here we show that the IL-6-mediated increase in fatty acid uptake and oxidation is depen-dent on AMPK, because siRNA mediated down-regulation of AMPK ␣1 and ␣2 reduces both the IL-6mediated -oxidation and palmitate uptake.”
Quote in the paperSubstantial claim- Rests on an assumption: Silencing AMPK α-subunits by siRNA specifically reduces AMPK without off-target effects on other pathways.
- Premisecitation
In human subjects, an in vivo IL-6 infusion does not alter splanchnic glucose output.
“However, in human subjects, an in vivo IL-6 infusion does not alter splanchnic glucose output (30,31).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [30] Petersen, 2005, Acute IL-6 treatment increases fatty acid turnover in elderly humans in vivo and in tissue culture in vitro., Am J Physiol Endocrinol Metab source
Not checked in the free run.
- cites [31] Steensberg, 2003, IL-6 enhances plasma IL-1ra, IL-10, and cortisol in humans., Am J Physiol Endocrinol Metab source
Not checked in the free run.
- Interpretationown data
IL-6 appears to facilitate the differentiation of myoblasts.
“Thus, IL-6 appears to facilitate the differentiation of myoblasts.”
Quote in the paperSubstantial claim - Interpretationcitation
IL-6 is a regulator of whole-body lipid metabolism.
“In vivo experiments in humans indicates that IL-6 infusion stimulates lipolysis and rates of whole-body fat oxidation(36), suggesting that IL-6 is a regulator of whole-body lipid metabolism.”
Quote in the paperNot a substantial claim - Study design and conductown data
No further cell death was observed in cultures exposed to siRNA/Lipofectamine 2000 compared with those exposed to Lipofectamine 2000 alone.
“We observed no further cell death in cultures exposed to siRNA/Lipofectamine 2000 compared with those exposed to Lipofectamine 2000 alone.”
Quote in the paperNot a substantial claim - Premisecitation
In cultured hepatocytes, preadipocytes, and mature adipocytes, IL-6 directly impairs insulin action.
“In cultured hepatocytes (25)(26)(27)(28), preadipocytes, and mature adipocytes (29), IL-6 directly impairs insulin action.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [25] Klover, 2005, Interleukin-6 depletion selectively improves hepatic insulin action in obesity., Endocrinology source
Not checked in the free run.
- cites [26] Cai, 2005, Local and systemic insulin resistance resulting from hepatic activation of IKK-β and NF-κB., Nat Med source
Not checked in the free run.
- cites [27] Senn, 2002, Interleukin-6 induces cellular insulin resistance in hepatocytes., Diabetes source
Not checked in the free run.
- Interpretationown data
Signaling specificity of IL-6 action on glucose and lipid metabolism is observed in skeletal muscle.
“Thus, signaling specificity of IL-6 action on glucose and lipid metabolism is observed in skeletal muscle.”
Quote in the paperSubstantial claim - Premisecitation
In rodents, IL-6 activates AMP-activated protein kinase (AMPK).
“In rodents, IL-6 has also been shown to activate AMP-activated protein kinase (AMPK) (37), a key enzyme involved in the activation of acetyl-coenzyme A carboxylase and lipid oxidation (38).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [37] Kelly, 2004, AMPK activity is diminished in tissues of IL-6 knockout mice: the effect of exercise., Biochem Biophys Res Commun source
Not checked in the free run.
- Premisecitation
IL-6 infusion in humans is correlated with increased lipolysis and fat oxidation.
“IL-6 infusion in humans is correlated with increased lipolysis and fat oxidation (36), providing clinical support for a role of IL-6 in lipid metabolism.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [36] van Hall, 2003, Interleukin-6 stimulates lipolysis and fat oxidation in humans., J Clin Endocrinol Metab source
Not checked in the free run.
- Study design and conductown data
siRNA-mediated depletion of AMPK α1 and AMPK α2 occurs in human skeletal muscle myotubes.
“Protein and mRNA expression of AMPK ␣1 (A) and AMPK ␣2 (B) in human skeletal muscle myotubes (d 4 of differentiation) after siRNA-mediated depletion of AMPK ␣1 and AMPK ␣2.”
Quote in the paperSubstantial claim - Study design and conductown data
The control samples indicated that there was no genomic contamination in the total RNA preparation.
“The control samples indicated that there was no genomic contamination in the total RNA preparation (data not shown).”
Quote in the paperNot a substantial claim - Interpretationown data
IL-6 has a direct effect on glucose metabolism in primary human cultured muscle.
“We demonstrate that, in primary human cultured muscle, IL-6 has a direct effect on glucose metabolism.”
Quote in the paperSubstantial claim
- May combine two claims. 16
- The quote only partly states this claim. 2
- Classified as probably not a substantial claim. 10
May combine two claims.
Findingown dataTwenty minutes of IL-6 exposure increased PI3-kinase activity approximately 3-fold in primary human skeletal muscle cells, and this activation was reduced at longer exposures.
“Twenty minutes of IL-6 exposure increased PI3kinase activity approximately 3-fold (P Ͻ 0.05; Fig. 5A), and this activation was reduced at longer exposures.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIL-6 potently increased lactate production in primary differentiated human skeletal muscle cultures, although the magnitude of this increase was less than that observed with insulin.
“IL-6 also potently increased lactate production, although the magnitude of this increase was less than that observed with insulin.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIL-6 increased phosphorylation of STAT3 in differentiated primary human skeletal muscle cultures, with phosphorylation peaking at 20 min and returning to basal levels after 3 h.
“IL-6 increased phosphorylation of signal transducer and activator of transcription (STAT)3, with phosphorylation peaking at 20 min and returning to basal levels after 3 h (Fig. 4a).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataInsulin and IL-6 independently increased ERK1 and ERK2 phosphorylation in primary human skeletal muscle cultures, and combined exposure showed a trend toward an additive effect.
“Insulin and IL-6 independently increased ERK1 and ERK2 phosphorylation, and a combined exposure to insulin and IL-6 showed a trend toward an additive effect (Fig. 4g).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataInsulin, but not IL-6, increased phosphorylation of the AKT substrate AS160 in primary human skeletal muscle cultures.
“Insulin, but not IL-6, increased phosphorylation of the AKT substrate AS160 (Fig. 4e).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIL-6 increased glucose incorporation into glycogen approximately 1.5-fold in primary skeletal muscle cultures, with no dose-response effect noted.
“IL-6 increased glucose incorporation into glycogen approximately 1.5-fold (P Ͻ 0.05), with no dose-response effect noted (Fig. 1A).”
Quote in the paperSubstantial claimThe quote only partly states this claim.
Findingown dataAfter 8 d of IL-6 (25 ng/ml) exposure, MEF2D mRNA expression in primary human skeletal muscle cultures was 122 ± 1% of untreated cultures (P < 0.05).
“MEF2D | 122 Ϯ 1 a”
- Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
“a P Ͻ 0.05 compared with untreated cells.”
Quote in the paperNot a substantial claim- Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
The quote only partly states this claim.
Findingown dataAfter 8 d of IL-6 (25 ng/ml) exposure, PPARγ mRNA expression in primary human skeletal muscle cultures was 156 ± 6% of untreated cultures (P < 0.05).
“PPAR␥ | 156 Ϯ 6 a”
- Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
“a P Ͻ 0.05 compared with untreated cells.”
Quote in the paperSubstantial claim- Also stated in: § GCCAACCCACCCAAAGCT AAACATGCCCAGTGCCCCAGG CCGCACCTCCTCCTCTTCT · plain
May combine two claims.
Study design and conductown dataSequences targeted at AMPK α2 specifically reduced α2 but not α1 RNA and protein.
“Sequences targeted at AMPK ␣2 specifically reduced ␣2 but not ␣1 RNA and protein.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductnone givenTarget sequences were aligned to the human genome database in a BLAST search to eliminate sequences with significant homology to other genes.
“Target sequences were aligned to the human genome database in a BLAST search to eliminate sequences with significant homology to other genes.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe 18s gene levels showed least variation between different conditions compared to β2-microglobulin and glyceraldehyde-3-phosphate dehydrogenase.
“Two other housekeeping genes (2-microglubolin and glyceraldehyde-3phosphate dehydrogenase) were also assessed, but the 18s gene levels showed least variation between different conditions.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationSignal transduction via AMPK plays an important role in stimulation of skeletal muscle fatty acid oxidation and muscle glucose uptake.
“AMPK is expressed in most mammalian tissues (39,40), and signal transduction via this pathway plays an important role in stimulation of skeletal muscle fatty acid oxidation and muscle glucose uptake (40)(41)(42).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [40] Winder, 1999, AMP-activated protein kinase, a metabolic master switch: possible roles in type 2 diabetes., Am J Physiol
Not checked in the free run.
- cites [41] Barnes, 2002, Isoform-specific regulation of 5′ AMP-activated protein kinase in skeletal muscle from obese Zucker (fa/fa) rats in response to contraction., Diabetes source
Not checked in the free run.
- cites [42] Kemp, 1999, Dealing with energy demand: the AMP-activated protein kinase., Trends Biochem Sci source
Not checked in the free run.
May combine two claims.
PremisecitationTargeted over-expression of IL-6 increases the extent of myogenic differentiation and myotube development in C2C12 cells, and this effect is reduced by depletion of IL-6 using small interfering RNA (siRNA).
“Targeted over-expression of IL-6 increases the extent of myogenic differentiation and myotube development in C2C12 cells and this effect is reduced by depletion of IL-6 using small interfering RNA (siRNA) (16).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [16] Baeza-Raja, 2004, p38 MAPK-induced nuclear factor-κB activity is required for skeletal muscle differentiation: role of interleukin-6., Mol Biol Cell source
Not checked in the free run.
May combine two claims.
Interpretationown dataIL-6 is a potent mediator of metabolism in skeletal muscle by directly promoting skeletal muscle differentiation and regulating substrate utilization to promote glycogen storage and lipid oxidation.
“Thus, IL-6 is a potent mediator of metabolism in skeletal muscle by directly promoting skeletal muscle differentiation and regulating substrate utilization to promote glycogen storage and lipid oxidation.”
Quote in the paperSubstantial claim- Rests on an assumption: Primary human skeletal muscle cell cultures are a valid model for skeletal muscle metabolism in vivo.
May combine two claims.
Interpretationown dataCompared with insulin, the IL-6-mediated increase in production of lactate is approximately 50% reduced, suggesting that, in response to IL-6, skeletal muscle shifts substrate utilization toward a more glucose sparing phenotype.
“Compared with insulin, the IL-6-mediated increase in production of lactate is approximately 50% reduced, suggesting that, in response to IL-6, skeletal muscle shifts substrate utilization toward a more glucose sparing phenotype.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationIn vivo experiments in humans indicate that IL-6 infusion stimulates lipolysis and rates of whole-body fat oxidation.
“In vivo experiments in humans indicates that IL-6 infusion stimulates lipolysis and rates of whole-body fat oxidation(36), suggesting that IL-6 is a regulator of whole-body lipid metabolism.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [36] van Hall, 2003, Interleukin-6 stimulates lipolysis and fat oxidation in humans., J Clin Endocrinol Metab source
Not checked in the free run.
May combine two claims.
Interpretationown dataThe magnitude of the IL-6-mediated increase in β-oxidation was similar after acute and long-term IL-6 exposure and, thus, was independent of changes in gene expression.
“However, the magnitude of the IL-6-mediated increase in -oxidation was similar after acute and long-term IL-6 exposure and, thus, was independent of changes in gene expression.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataIL-6 increases glycogen synthesis via a PI3-kinase-dependent mechanism and enhances lipid oxidation via an AMPK-dependent mechanism in skeletal muscle.
“In summary, IL-6 increases glycogen synthesis via a PI3-kinase-dependent mechanism and enhances lipid oxidation via an AMPK-dependent mechanism in skeletal muscle.”
Quote in the paperSubstantial claim- Rests on an assumption: Silencing AMPK α-subunits by siRNA specifically reduces AMPK without off-target effects on other pathways.
- Rests on an assumption: LY294002 specifically inhibits PI3-kinase without affecting other pathways relevant to IL-6-mediated glycogen synthesis.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAMPK is a critical regulator of glucose and fat metabolism in skeletal muscle during exercise.
“Furthermore, AMPK is a critical regulator of glucose and fat metabolism in skeletal muscle during exercise (38,45).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [38] Winder, 2001, Energy-sensing and signaling by AMP-activated protein kinase in skeletal muscle., J Appl Physiol source
Not checked in the free run.
- cites [45] Musi, 2002, Metformin increases AMP-activated protein kinase activity in skeletal muscle of subjects with type 2 diabetes., Diabetes source
Not checked in the free run.
May combine two claims.
InterpretationreasoningIL-6 appears to mediate effects on mRNA expression via at least two separate signaling pathways, one dependent on AMP kinase and one possibly dependent on PI3-kinase.
“Thus, IL-6 appears to mediate effects on mRNA expression via at least two separate signaling pathways, one dependent on AMP kinase and one possibly dependent on PI3-kinase.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataIL-6 directly promotes skeletal muscle differentiation and regulates muscle substrate utilization, promoting glycogen storage and lipid oxidation.
“Thus, IL-6 directly promotes skeletal muscle differentiation and regulates muscle substrate utilization, promoting glycogen storage and lipid oxidation.”
Quote in the paperSubstantial claim- Rests on an assumption: Primary human skeletal muscle cell cultures are a valid model for skeletal muscle metabolism in vivo.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationIL-6 infusion in mice reduces the effect of insulin to suppress hepatic glucose output and reduces insulin-stimulated skeletal muscle glucose uptake.
“IL-6 infusion in mice has been reported to reduce the effect of insulin to suppress hepatic glucose output and reduce insulin-stimulated skeletal muscle glucose uptake (32), whereas others report no effect of IL-6 on whole-body glucose disposal (33).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [32] Kim, 2004, Differential effects of interleukin-6 and -10 on skeletal muscle and liver insulin action in vivo., Diabetes source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationOthers report no effect of IL-6 on whole-body glucose disposal.
“IL-6 infusion in mice has been reported to reduce the effect of insulin to suppress hepatic glucose output and reduce insulin-stimulated skeletal muscle glucose uptake (32), whereas others report no effect of IL-6 on whole-body glucose disposal (33).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [33] Rotter Sopasakis, 2004, Short-term infusion of interleukin-6 does not induce insulin resistance in vivo or impair insulin signalling in rats., Diabetologia source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIL-6 is a proinflammatory cytokine generally believed to promote insulin resistance.
“IL-6 is a proinflammatory cytokine generally believed to promote insulin resistance (46).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [46] Lazar, 2005, Evaluation of viral replication in children with chronic hepatitis B with and without interferon treatment., Rom J Gastroenterol
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationCorrelative evidence links elevated IL-6 levels with the development of insulin resistance in obesity and diabetes mellitus.
“Correlative evidence links elevated IL-6 levels with the development of insulin resistance in obesity and diabetes mellitus (24).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [24] Sharma, 2005, Obesity, hypertension and insulin resistance., Acta Diabetologica source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationAMPK is a key enzyme involved in the activation of acetyl-coenzyme A carboxylase and lipid oxidation.
“In rodents, IL-6 has also been shown to activate AMP-activated protein kinase (AMPK) (37), a key enzyme involved in the activation of acetyl-coenzyme A carboxylase and lipid oxidation (38).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [38] Winder, 2001, Energy-sensing and signaling by AMP-activated protein kinase in skeletal muscle., J Appl Physiol source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationActivation of AMPK mediates insulin-independent stimulation of glucose uptake in resting skeletal muscle.
“Activation of AMPK mediates insulinindependent stimulation of glucose uptake in resting skeletal muscle (43,44).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [43] Jessen, 2003, Effects of AICAR and exercise on insulin-stimulated glucose uptake, signaling, and GLUT-4 content in rat muscles., J Appl Physiol source
Not checked in the free run.
- cites [44] Kurth-Kraczek, 1999, 5′ AMP-activated protein kinase activation causes GLUT4 translocation in skeletal muscle., Diabetes source
Not checked in the free run.
The paper relies on this without support.
Primary human skeletal muscle cell cultures are a valid model for skeletal muscle metabolism in vivo.
“Here we show that, in primary cultures of human skeletal muscle, IL-6 exposure increases differentiation and myotube formation.”
“Thus, IL-6 directly promotes skeletal muscle differentiation and regulates muscle substrate utilization, promoting glycogen storage and lipid oxidation.”
The paper relies on this without support.
Silencing AMPK α-subunits by siRNA specifically reduces AMPK without off-target effects on other pathways.
“Sequences targeted at AMPK ␣1 silenced the ␣1and ␣2-isoform, as evidenced by protein and mRNA expression analysis (Fig. 7).”
The paper relies on this without support.
LY294002 specifically inhibits PI3-kinase without affecting other pathways relevant to IL-6-mediated glycogen synthesis.
“The effect of IL-6 on glucose incorporation into glycogen was prevented in the presence of LY294002 (Fig. 6).”
The paper relies on this without support.
The IL-6 concentrations used (25 ng/ml and others) are physiologically relevant to in vivo exercise conditions.
“Primary human skeletal muscle cells were exposed to IL-6 (25 ng/ml either acutely or for several days), and small interfering RNA gene silencing was applied to measure glucose and fat metabolism.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
IL-6 is additive to insulin in stimulating glucose uptake, but this was not observed by all studies.
“Their study and Geiger et al. [164] also suggested that IL-6 is additive to insulin in stimulating glucose uptake; however, this was not observed by all studies [165] who found that IL-6 regulated glucose uptake and glycogen synthesis via a PI3-dependent pathway and not AMPK; given human myotubes targeted for AMPK depletion by siRNA did not have impaired insulin sensitivity.”
From AMPK and Exercise: Glucose Uptake and Insulin Sensitivity (2013) · cites this paper as [165]
Accumulating data suggest that IL-6 enhances glucose uptake in myocytes.
“Thus, accumulating data suggest that IL-6 enhances glucose uptake in myocytes [54–57].”
From Exercise as a Mean to Control Low‐Grade Systemic Inflammation (2008) · cites this paper as [57]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
siRNA experiment days do not match the stated transfection schedule
MinorThe methods say myotubes were transfected on differentiation day 2 and used four days later, which would be day 6. Figure 7 instead identifies the assayed myotubes as day 4; Figure 8 identifies them as day 5.
“Protein and mRNA expression of AMPK ␣1 (A) and AMPK ␣2 (B) in human skeletal muscle myotubes (d 4 of differentiation) after siRNA-mediated depletion of AMPK ␣1 and AMPK ␣2.”
“Differentiated myotubes (2 d) were washed with sterile PBS twice, and 1 ml of serum/ antibiotic-free DMEM was added to each well and incubated at 37 C. siRNA transfection complexes (100 l) were added to each well and incubated for more than 16 h.Myotubes were washed with sterile PBS, and 2 ml/well 4% FBS-supplemented DMEM was added without or with IL-6 (25 ng/ml).Myotubes were used 4 d after transfection.”
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Local and systemic insulin resistance resulting from hepatic activation of IKK-β and NF-κB
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Muscle as an Endocrine Organ: Focus on Muscle-Derived Interleukin-6
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- Authors
- Al-Khalili, L., Bouzakri, K., Glund, S., Lönnqvist, F., Koistinen, H. A., & Krook, A.
- Affiliations
- Departments of Molecular Medicine and Surgery (L.A.-K., K.B., S.G., F.L.), S-171 77 Stockholm, Sweden;
- Helsinki University Hospital (FI)
- Karolinska Institutet (SE)
- Corresponding author
- Krook, Anna
- Venue
- Molecular Endocrinology
- Publisher
- The Endocrine Society
- Published
- 2006-12-01
- Volume
- 20
- Issue
- 12
- Pages
- 3364-3375
- ISSN
- 0888-8809 (ISSN-L)
- 1944-9917
- OpenAlex
- W2016060556
- Semantic Scholar
- 8de4448729e84ffab008aaf22cdd3c10c1604018
- Cited by
- 250
- References
- 72
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 6 · 2023: 11 · 2022: 11 · 2021: 7 · 2020: 13 · 2019: 10 · 2018: 6 · 2017: 12 · 2016: 11 · 2015: 9 · 2014: 16 · 2013: 21 · 2012: 14
- FWCI
- 7.60
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Molecular Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Funders
- Foundation for Cardiovascular Research
- Stiftelsen Forska Utan Djurförsök
- Petrus och Augusta Hedlunds Stiftelse
- European Commission (LSHMCT-2004-005272, LSHM-CT-2004-512013)
- Suomen Kulttuurirahasto
- Karolinska Institutet
- Novo Nordisk
- Vetenskapsrådet
- Sydäntutkimussäätiö
- Sveriges Läkarförbund
- Diabetestutkimussäätiö
- University at Buffalo
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Keywords
- interleukin-6, skeletal muscle, glucose metabolism, lipid metabolism, glycogen synthesis, fatty acid oxidation, PI3K signaling, AMPK, peroxisome proliferator-activated receptors, glucose transporter 4, myotube differentiation, insulin signaling
- MeSH terms
- Phosphoinositide-3 Kinase Inhibitors, Cells, Cultured, Chromones, Fatty Acids, Glucose, Glycogen, Humans, Morpholines, Multienzyme Complexes, Oxidation-Reduction, Phosphorylation, Signal Transduction, Interleukin-6, Protein Serine-Threonine Kinases, Muscle, Skeletal, Muscle Fibers, Skeletal, Lactic Acid, Phosphatidylinositol 3-Kinases, RNA, Small Interfering, Peroxisome Proliferator-Activated Receptors, Lipid Metabolism, Glucose Transporter Type 1, Glucose Transporter Type 4, AMP-Activated Protein Kinases
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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