Targeted disruption of the CREB coactivator Crtc2 increases insulin sensitivity

Y Wang, H Inoue, K Ravnskjaer… - Proceedings of the …, 2010 - National Acad Sciences
Y Wang, H Inoue, K Ravnskjaer, K Viste, N Miller, Y Liu, S Hedrick, L Vera, M Montminy
Proceedings of the National Academy of Sciences, 2010National Acad Sciences
Under fasting conditions, increases in circulating concentrations of pancreatic glucagon
maintain glucose homeostasis through induction of gluconeogenic genes by the CREB
coactivator CRTC2. Hepatic CRTC2 activity is elevated in obesity, although the extent to
which this cofactor contributes to attendant increases in insulin resistance is unclear. Here
we show that mice with a knockout of the CRTC2 gene have decreased circulating glucose
concentrations during fasting, due to attenuation of the gluconeogenic program. CRTC2 was …
Under fasting conditions, increases in circulating concentrations of pancreatic glucagon maintain glucose homeostasis through induction of gluconeogenic genes by the CREB coactivator CRTC2. Hepatic CRTC2 activity is elevated in obesity, although the extent to which this cofactor contributes to attendant increases in insulin resistance is unclear. Here we show that mice with a knockout of the CRTC2 gene have decreased circulating glucose concentrations during fasting, due to attenuation of the gluconeogenic program. CRTC2 was found to stimulate hepatic gene expression in part through an N-terminal CREB binding domain that enhanced CREB occupancy over relevant promoters in response to glucagon. Deletion of sequences encoding the CREB binding domain in CRTC2 −/− mice lowered circulating blood glucose concentrations and improved insulin sensitivity in the context of diet-induced obesity. Our results suggest that small molecules that attenuate the CREB–CRTC2 pathway may provide therapeutic benefit to individuals with type 2 diabetes.
National Acad Sciences