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Molecular Mechanisms of the Diabetogenic Effects of Arsenic: Inhibition of Insulin Signaling by Arsenite and Methylarsonous Acid
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Background: Increased prevalences of diabetes mellitus have been reported among individuals chronically exposed to inorganic arsenic (iAs). However, the mechanisms underlying the diabetogenic effects of iAs have not been characterized. We have previously shown that trivalent metabolites of iAs, arsenite (iAsIII) and methylarsonous acid (MAsIII) inhibit insulin-stimulated glucose uptake (ISGU) in 3T3-L1 adipocytes by suppressing the insulin-dependent phosphorylation of protein kinase B (PKB/Akt). Objectives: Our goal was to identify the molecular mechanisms responsible for the suppression of PKB/Akt phosphorylation by iAsIII and MAsIII. Methods: The effects of iAsIII and MAsIII on components of the insulin-activated signal transduction pathway that regulate PKB/Akt phosphorylation were examined in 3T3-L1 adipocytes. Results: Subtoxic concentrations of iAsIII or MAsIII had little or no effect on the activity of phosphatidylinositol 3-kinase (PI-3K), which synthesizes phosphatidylinositol-3,4,5-triphosphate (PIP3), or on phosphorylation of PTEN (phosphatase and tensin homolog deleted on chromosome ten), a PIP3 phosphatase. Neither iAsIII nor MAsIII interfered with the phosphorylation of 3-phosphoinositide-dependent kinase-1 (PDK-1) located downstream from PI-3K. However, PDK-1 activity was inhibited by both iAsIII and MAsIII. Consistent with these findings, PDK-1-catalyzed phosphorylation of PKB/Akt(Thr308) and PKB/Akt activity were suppressed in exposed cells. In addition, PKB/Akt(Ser473) phosphorylation, which is catalyzed by a putative PDK-2, was also suppressed. Notably, expression of constitutively active PKB/Akt restored the normal ISGU pattern in adipocytes treated with either iAsIII or MAsIII. Conclusions: These results suggest that inhibition of the PDK-1/PKB/Akt-mediated transduction step is the key mechanism for the inhibition of ISGU in adipocytes exposed to iAsIII or MAsIII, and possibly for impaired glucose tolerance associated with human exposures to iAs.
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![Figure 1 iAsIII and MAsIII inhibit ISGU by adipocytes at concentrations that do not compromise cell viability. 3T3-L1 adipocytes were treated with iAsIII (A) or MAsIII (B) for 4 hr. [14C]-2-Deoxyglucose uptake was assessed in treated and untreated (control) cells after a 10-min activation with insulin. Cell viability was measured by MTT assay. Each value represents the mean ± SD; n = 3–5 experiments. *Statistically significant differences (p < 0.05) between treated and control cells. The concentrations of 50 μM iAsIII and 2 μM MAsIII (indicated by arrows) were used in all subsequent experiments.](/paper-figures/a59842ce2a42453ebd349cf75f2cd876/molecular-mechanisms-of-the-diabetogenic-effects-of-arsenic-inhibition-of-figure-1.jpg)
![Figure 2 ISGU in adipocytes exposed to subtoxic concentrations of iAsIII and MAsIII is independent of caspase-3 activation. (A) Caspase-3 activity was measured in 3T3-L1 adipocytes treated for 4 hr with 50 μM iAsIII or 2 μM MAsIII and in untreated (control) cells in the presence or absence of 75 μM AC-DEVD-CHO, a caspase-3 inhibitor. Adipocytes treated with 500 μM H2O2 for 4 hr were used as positive controls. (B) Basal and insulin-stimulated uptake of [14C]-2-deoxyglucose was measured in adipocytes exposed for 4 hr to 50 μM iAsIII or 2 μM MAsIII in the presence or absence of 75 μM AC-DEVD-CHO. Each value represents the mean ± SD; n = 3–5 experiments. *Statistically significant differences (p < 0.05) between treated and untreated (control) cells.](/paper-figures/c3bdf965825240c78c231a2d45c5549e/molecular-mechanisms-of-the-diabetogenic-effects-of-arsenic-inhibition-of-figure-2.jpg)






![Figure 9 Constitutive activation of protein kinase B (PKB/Akt) prevents the inhibition of insulin-stimulated glucose uptake in adipocytes treated with subtoxic concentrations of iAsIII or MAsIII. Basal and insulin-stimulated [14C]-2-deoxyglucose uptake by 3T3-L1 adipocytes treated for 4 hr with 50 μM iAsIII or 2 μM MAsIII and by untreated adipocytes expressing a constitutively active myr-PKB/Akt) (black bar, an inactive PKB/Akt mutant (A2myr-PKB/Akt) (blue bar), or an empty expression vector (white bar). Each value represents the mean ± SD; n = 4–5 experiments. *Statistically significant differences (p < 0.05) between treated and control cells.](/paper-figures/5748efb02f9c46168d0e9483013ccf32/molecular-mechanisms-of-the-diabetogenic-effects-of-arsenic-inhibition-of-figure-9.jpg)

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“Besides being well-known carcinogen, arsenic also causes a number of noncancerous multisystemic diseases including cardiovascular disease, dermal disease, hypertension, and diabetes mellitus [73, 74].”
From Arsenic Contamination of Groundwater: A Review of Sources, Prevalence, Health Risks, and Strategies for Mitigation (2014) · cites this paper as [73]
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Metadata
- Authors
- Paul, D. S., Harmon, A. W., Devesa, V., Thomas, D. J., & Stýblo, M.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Department of Nutrition and
- Environmental Protection Agency (US)
- Corresponding author
- Stýblo, Miroslav
- Venue
- Environmental Health Perspectives
- Publisher
- American Chemical Society (ACS)
- Published
- 2007-01-29
- Volume
- 115
- Issue
- 5
- Pages
- 734-742
- ISSN
- 0091-6765 (ISSN-L)
- 1552-9924
- PMC
- PMC1867998
- OpenAlex
- W1987873876
- Cited by
- 161
- References
- 75
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 6 · 2023: 11 · 2022: 8 · 2021: 11 · 2020: 5 · 2019: 8 · 2018: 5 · 2017: 15 · 2016: 9 · 2015: 12 · 2014: 9 · 2013: 11 · 2012: 13
- FWCI
- 5.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- public-domain
- creativecommons.org/licenses/by/4.0/ (vor, 3987 d)
- Locations
- Environmental Health Perspectives (publishedVersion, public-domain)
- Europe PMC (PubMed Central) (publishedVersion, public-domain)
- PubMed Central (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Funders
- U.S. Environmental Protection Agency
- National Institutes of Health (DK56350)
- National Institute of Diabetes and Digestive and Kidney Diseases (T32DK007686, 5 T32 DK07686, DK56350, P30DK056350)
- Topics
- Physical Sciences › Environmental Science › Environmental Chemistry › Arsenic contamination and mitigation
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Heavy Metal Exposure and Toxicity
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Keywords
- inorganic arsenic, arsenite, diabetogenic effect, insulin signaling, insulin-stimulated glucose uptake, adipocytes, 3T3-L1 cells, Akt/protein kinase B, PDK1, phosphatidylinositol 3-kinase, PTEN, phosphatidylinositol 3,4,5-trisphosphate, chronic arsenic exposure, diabetes mellitus, arsenic metabolites
- MeSH terms
- Animals, Arsenicals, Diabetes Mellitus, Glucose, Insulin, Microscopy, Fluorescence, Phosphorylation, Immunoblotting, Signal Transduction, 3T3 Cells, Protein Serine-Threonine Kinases, Adipocytes, Arsenites, Phosphatidylinositol 3-Kinases, Proto-Oncogene Proteins c-akt, PTEN Phosphohydrolase, Glucose Transporter Type 4, Mice, 3-Phosphoinositide-Dependent Protein Kinases
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