Cited by 534Adipokines, Inflammation, and Metabolic DiseasesMetabolism, Diabetes, and CancerCytokine Signaling Pathways and Interactions

Differential Effects of Interleukin-6 and -10 on Skeletal Muscle and Liver Insulin Action In Vivo

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Kim, Hyo-Jeong, Higashimori, Takamasa, Park, So-Young, Choi, Hyejeong, Dong, Jianying, Kim, Yoon-Jung, Noh, Hye-Lim, Cho, You-Ree +3 more·2004·Diabetes

Abstract

The circulating level of the inflammatory cytokine interleukin (IL)-6 is elevated in various insulin-resistant states including type 2 diabetes, obesity, cancer, and HIV-associated lipodystrophy. To determine the role of IL-6 in the development of insulin resistance, we examined the effects of IL-6 treatment on whole-body insulin action and glucose metabolism in vivo during hyperinsulinemic-euglycemic clamps in awake mice. Pretreatment of IL-6 blunted insulin’s ability to suppress hepatic glucose production and insulin-stimulated insulin receptor substrate (IRS)-2–associated phosphatidylinositol (PI) 3-kinase activity in liver. Acute IL-6 treatment also reduced insulin-stimulated glucose uptake in skeletal muscle, and this was associated with defects in insulin-stimulated IRS-1–associated PI 3-kinase activity and increases in fatty acyl-CoA levels in skeletal muscle. In contrast, we found that co-treatment of IL-10, a predominantly anti-inflammatory cytokine, prevented IL-6–induced defects in hepatic insulin action and signaling activity. Additionally, IL-10 co-treatment protected skeletal muscle from IL-6 and lipid-induced defects in insulin action and signaling activity, and these effects were associated with decreases in intramuscular fatty acyl-CoA levels. This is the first study to demonstrate that inflammatory cytokines IL-6 and IL-10 alter hepatic and skeletal muscle insulin action in vivo, and the mechanism may involve cytokine-induced alteration in intracellular fat contents. These findings implicate an important role of inflammatory cytokines in the pathogenesis of insulin resistance.

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Crossref · 10.2337/diabetes.53.4.1060

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  • Interleukin-6 causes hepatic and muscle insulin resistance in humans and in mice.

    “and causes hepatic and muscle insulin resistance in humans and in mice (39,55-60).”

    From Expression of <i>Mfn2</i>, the Charcot-Marie-Tooth Neuropathy Type 2A Gene, in Human Skeletal Muscle (2005) · cites this paper as [57]

    The sections on IL-6-induced hepatic insulin resistance and decreased skeletal muscle insulin action report both effects in IL-6-treated mice. The paper does not establish that IL-6 causes hepatic and muscle insulin resistance in humans; its introduction mentions an association between IL-6 gene variants and human insulin sensitivity, not the claimed causal, tissue-specific effects. (LLM, conf=0.88)

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  • Recent studies in rodents have demonstrated that acute infusions of IL-6 cause insulin resistance in both liver and skeletal muscle.

    “Recent studies in rodents have demonstrated that acute infusions of IL-6 caused insulin resistance in both liver and skeletal muscle (32).”
  • In contexts of chronically increased IL6 such as obesity or rheumatoid arthritis, IL6 has been shown to induce insulin resistance.

    “In contexts of chronically increased IL6 such as obesity or rheumatoid arthritis, IL6 has been shown to induce insulin resistance (Castaneda et al., 2019; Kim et al., 2004; Perry et al., 2015).”

    From Origin and function of stress-induced IL-6 in murine models (2020) · cites this paper as Kim et al., 2004

  • IL-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).”
  • In vitro studies demonstrate that IL-6 can induce insulin resistance in isolated 3T3-L1 adipocytes and in mice.

    “In vitro studies demonstrate that IL-6 can induce insulin resistance in isolated 3T3-L1 adipocytes [51, 52] and in mice [53].”

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Authors
Kim, H.-J., Higashimori, T., Park, S.-Y., Choi, H., Dong, J., Kim, Y.-J., Noh, H.-L., Cho, Y.-R., Cline, G., Kim, Y.-B., & Kim, J. K.
Affiliations
  • Yale University (US)
  • Department of Internal Medicine, Section of Endocrinology and Metabolism, Yale University School of Medicine, New Haven, Connecticut
  • Beth Israel Deaconess Medical Center (US)
Venue
Diabetes
Published
2004-04-01
Volume
53
Issue
4
Pages
1060-1067
ISSN
  • 0012-1797 (ISSN-L)
  • 1939-327X
OpenAlex
W2097447032
Cited by
534
References
59
Citations by year
2026: 6 · 2025: 7 · 2024: 13 · 2023: 12 · 2022: 26 · 2021: 20 · 2020: 19 · 2019: 18 · 2018: 20 · 2017: 23 · 2016: 19 · 2015: 37 · 2014: 27 · 2013: 27 · 2012: 22
FWCI
25.25
Type
journal article
Language
en
Open access
Locations
  • Diabetes (publishedVersion)
  • PubMed (publishedVersion)
Funders
American Diabetes Association
Topics
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
  • Health Sciences › Medicine › Oncology › Cytokine Signaling Pathways and Interactions
Keywords
interleukin-6, IL-10, insulin resistance, hepatic glucose production, PI3K signaling, insulin receptor substrate 2, IRS-1, fatty acyl-CoA, inflammatory cytokines, hyperinsulinemic-euglycemic clamp, type 2 diabetes
MeSH terms
Animals, Blood Glucose, Hyperinsulinism, Infusions, Intravenous, Insulin, Lipids, Liver, Male, Mice, Inbred C57BL, Glucose Clamp Technique, Signal Transduction, Interleukin-6, Interleukin-10, Muscle, Skeletal, Mice

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