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Circulation. 2000;101:1539-1545

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(Circulation. 2000;101:1539.)
© 2000 American Heart Association, Inc.


Clinical Investigation and Reports

Roles for Insulin Receptor, PI3-Kinase, and Akt in Insulin-Signaling Pathways Related to Production of Nitric Oxide in Human Vascular Endothelial Cells

Guangyuan Zeng, MD, PhD; Frederick H. Nystrom, MD, PhD; Lingamanaidu V. Ravichandran, PhD; Li-Na Cong, MD; Martha Kirby, BS; Howard Mostowski, BS; Michael J. Quon, MD, PhD

From the Hypertension-Endocrine Branch (G.Z., F.H.N., L.V.R., L.-N.C., M.J.Q.) and Hematology Branch (M.K.), National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md; and the Center for Biological Experimental Research (H.M.), Food and Drug Administration, Bethesda, Md.

Correspondence to Michael J. Quon, MD, PhD, Hypertension-Endocrine Branch, NHLBI, NIH, Bldg 10, Room 8C-218, 10 Center Dr MSC 1755, Bethesda, MD 20892-1755. E-mail quonm{at}nih.gov

Background—Previously, we demonstrated that insulin stimulates production of nitric oxide (NO) in endothelial cells. However, specific insulin-signaling pathways mediating production of NO have not been elucidated.

Methods and Results—We developed methods for transfection of human umbilical vein endothelial cells (HUVECs) and direct measurement of NO to begin defining insulin-signaling pathways related to NO production. HUVECs were cotransfected with enhanced Green Fluorescent Protein (eGFP) and another gene of interest. Transfection efficiencies >95% were obtained by selecting cells expressing eGFP. Overexpression of insulin receptors in HUVECs resulted in an {approx}3-fold increase in production of NO in response to insulin. In contrast, HUVECs overexpressing a tyrosine kinase–deficient mutant insulin receptor had a dose-response curve similar to that of control cells. Overexpression of inhibitory mutants of either phosphatidylinositol 3-kinase (PI3K) or Akt resulted in nearly complete inhibition of insulin-stimulated production of NO. Overexpression of an inhibitory mutant of Ras had a much smaller effect.

Conclusions—Receptor kinase activity is necessary to mediate production of NO through the insulin receptor. Both PI3K and Akt contribute importantly to this process, whereas the contribution of Ras is small.


Key Words: insulin • endothelium • signal transduction • nitric oxide • receptors




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Am. J. Physiol. Heart Circ. Physiol.Home page
M. A. Potenza, F. L. Marasciulo, D. M. Chieppa, G. S. Brigiani, G. Formoso, M. J. Quon, and M. Montagnani
Insulin resistance in spontaneously hypertensive rats is associated with endothelial dysfunction characterized by imbalance between NO and ET-1 production
Am J Physiol Heart Circ Physiol, August 1, 2005; 289(2): H813 - H822.
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HypertensionHome page
D. Grassi, S. Necozione, C. Lippi, G. Croce, L. Valeri, P. Pasqualetti, G. Desideri, J. B. Blumberg, and C. Ferri
Cocoa Reduces Blood Pressure and Insulin Resistance and Improves Endothelium-Dependent Vasodilation in Hypertensives
Hypertension, August 1, 2005; 46(2): 398 - 405.
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Vasc MedHome page
K. Sydow, C. E Mondon, and J. P Cooke
Insulin resistance: potential role of the endogenous nitric oxide synthase inhibitor ADMA
Vascular Medicine, July 1, 2005; 10(1_suppl): S35 - S43.
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J. Pharmacol. Exp. Ther.Home page
K. Budzyn, P. D. Marley, and C. G. Sobey
Opposing Roles of Endothelial and Smooth Muscle Phosphatidylinositol 3-Kinase in Vasoconstriction: Effects of Rho-Kinase and Hypertension
J. Pharmacol. Exp. Ther., June 1, 2005; 313(3): 1248 - 1253.
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CirculationHome page
D. von Lewinski, S. Bruns, S. Walther, H. Kogler, and B. Pieske
Insulin Causes [Ca2+]i-Dependent and [Ca2+]i-Independent Positive Inotropic Effects in Failing Human Myocardium
Circulation, May 24, 2005; 111(20): 2588 - 2595.
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Arterioscler. Thromb. Vasc. Bio.Home page
J.-a Kim, K. K. Koh, and M. J. Quon
The Union of Vascular and Metabolic Actions of Insulin in Sickness and in Health
Arterioscler Thromb Vasc Biol, May 1, 2005; 25(5): 889 - 891.
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Arterioscler. Thromb. Vasc. Bio.Home page
F. Kim, K. A. Tysseling, J. Rice, M. Pham, L. Haji, B. M. Gallis, A. S. Baas, P. Paramsothy, C. M. Giachelli, M. A. Corson, et al.
Free Fatty Acid Impairment of Nitric Oxide Production in Endothelial Cells Is Mediated by IKK{beta}
Arterioscler Thromb Vasc Biol, May 1, 2005; 25(5): 989 - 994.
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Vasc MedHome page
K. Sydow, C. E Mondon, and J. P Cooke
Insulin resistance: potential role of the endogenous nitric oxide synthase inhibitor ADMA
Vascular Medicine, May 1, 2005; 10(2_suppl): S35 - S43.
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DiabetesHome page
M. O. Goodarzi, K. D. Taylor, X. Guo, M. J. Quinones, J. Cui, X. Li, T. Hang, H. Yang, E. Holmes, W. A. Hsueh, et al.
Variation in the Gene for Muscle-Specific AMP Deaminase Is Associated With Insulin Clearance, a Highly Heritable Trait
Diabetes, April 1, 2005; 54(4): 1222 - 1227.
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Diabetes CareHome page
R. Rossi, E. Cioni, A. Nuzzo, G. Origliani, and M. G. Modena
Endothelial-Dependent Vasodilation and Incidence of Type 2 Diabetes in a Population of Healthy Postmenopausal Women
Diabetes Care, March 1, 2005; 28(3): 702 - 707.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
C. Rask-Madsen and G. L. King
Proatherosclerotic Mechanisms Involving Protein Kinase C in Diabetes and Insulin Resistance
Arterioscler Thromb Vasc Biol, March 1, 2005; 25(3): 487 - 496.
[Abstract] [Full Text] [PDF]


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HeartHome page
S Jadhav, J Petrie, W Ferrell, S Cobbe, and N Sattar
Insulin resistance as a contributor to myocardial ischaemia independent of obstructive coronary atheroma: a role for insulin sensitisation?
Heart, December 1, 2004; 90(12): 1379 - 1383.
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HypertensionHome page
T. Kobayashi, K. Taguchi, T. Yasuhiro, T. Matsumoto, and K. Kamata
Impairment of PI3-K/Akt Pathway Underlies Attenuated Endothelial Function in Aorta of Type 2 Diabetic Mouse Model
Hypertension, December 1, 2004; 44(6): 956 - 962.
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DiabetesHome page
C. C. L. Wang, M. L. Goalstone, and B. Draznin
Molecular Mechanisms of Insulin Resistance That Impact Cardiovascular Biology
Diabetes, November 1, 2004; 53(11): 2735 - 2740.
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Am. J. Physiol. Endocrinol. Metab.Home page
T. Nystrom, A. Nygren, and A. Sjoholm
Tetrahydrobiopterin increases insulin sensitivity in patients with type 2 diabetes and coronary heart disease
Am J Physiol Endocrinol Metab, November 1, 2004; 287(5): E919 - E925.
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Am. J. Physiol. Heart Circ. Physiol.Home page
E. C. Eringa, C. D. A. Stehouwer, G. P. van Nieuw Amerongen, L. Ouwehand, N. Westerhof, and P. Sipkema
Vasoconstrictor effects of insulin in skeletal muscle arterioles are mediated by ERK1/2 activation in endothelium
Am J Physiol Heart Circ Physiol, November 1, 2004; 287(5): H2043 - H2048.
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CirculationHome page
H.-N. Huang, P.-J. Lu, W.-C. Lo, C.-H. Lin, M. Hsiao, and C.-J. Tseng
In Situ Akt Phosphorylation in the Nucleus Tractus Solitarii Is Involved in Central Control of Blood Pressure and Heart Rate
Circulation, October 19, 2004; 110(16): 2476 - 2483.
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DiabetesHome page
S. B. Wheatcroft, A. M. Shah, J.-M. Li, E. Duncan, B. T. Noronha, P. A. Crossey, and M. T. Kearney
Preserved Glucoregulation but Attenuation of the Vascular Actions of Insulin in Mice Heterozygous for Knockout of the Insulin Receptor
Diabetes, October 1, 2004; 53(10): 2645 - 2652.
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Eur. J. Cardiothorac. Surg.Home page
G. Li, R. W. Currie, and I. S. Ali
Insulin potentiates expression of myocardial heat shock protein 70
Eur. J. Cardiothorac. Surg., August 1, 2004; 26(2): 281 - 288.
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J. Biol. Chem.Home page
D. Fulton, R. Babbitt, S. Zoellner, J. Fontana, L. Acevedo, T. J. McCabe, Y. Iwakiri, and W. C. Sessa
Targeting of Endothelial Nitric-oxide Synthase to the Cytoplasmic Face of the Golgi Complex or Plasma Membrane Regulates Akt- Versus Calcium-dependent Mechanisms for Nitric Oxide Release
J. Biol. Chem., July 16, 2004; 279(29): 30349 - 30357.
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J. Clin. Endocrinol. Metab.Home page
F. Perticone, A. Sciacqua, A. Scozzafava, G. Ventura, E. Laratta, A. Pujia, M. Federici, R. Lauro, and G. Sesti
Impaired Endothelial Function in Never-Treated Hypertensive Subjects Carrying the Arg972 Polymorphism in the Insulin Receptor Substrate-1 Gene
J. Clin. Endocrinol. Metab., July 1, 2004; 89(7): 3606 - 3609.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. Kobayashi, T. Matsumoto, K. Ooishi, and K. Kamata
Differential expression of {alpha}2D-adrenoceptor and eNOS in aortas from early and later stages of diabetes in Goto-Kakizaki rats
Am J Physiol Heart Circ Physiol, July 1, 2004; 287(1): H135 - H148.
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Diabetes CareHome page
A. Natali, S. Baldeweg, E. Toschi, B. Capaldo, D. Barbaro, A. Gastaldelli, J. S. Yudkin, and E. Ferrannini
Vascular Effects of Improving Metabolic Control With Metformin or Rosiglitazone in Type 2 Diabetes
Diabetes Care, June 1, 2004; 27(6): 1349 - 1357.
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DiabetesHome page
M. A. Vincent, L. H. Clerk, J. R. Lindner, A. L. Klibanov, M. G. Clark, S. Rattigan, and E. J. Barrett
Microvascular Recruitment Is an Early Insulin Effect That Regulates Skeletal Muscle Glucose Uptake In Vivo
Diabetes, June 1, 2004; 53(6): 1418 - 1423.
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Am. J. Physiol. Endocrinol. Metab.Home page
S. I. Chisalita and H. J. Arnqvist
Insulin-like growth factor I receptors are more abundant than insulin receptors in human micro- and macrovascular endothelial cells
Am J Physiol Endocrinol Metab, June 1, 2004; 286(6): E896 - E901.
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Circ. Res.Home page
F. Andreozzi, E. Laratta, A. Sciacqua, F. Perticone, and G. Sesti
Angiotensin II Impairs the Insulin Signaling Pathway Promoting Production of Nitric Oxide by Inducing Phosphorylation of Insulin Receptor Substrate-1 on Ser312 and Ser616 in Human Umbilical Vein Endothelial Cells
Circ. Res., May 14, 2004; 94(9): 1211 - 1218.
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ANN INTERN MEDHome page
M. J. Quinones, M. Hernandez-Pampaloni, H. Schelbert, I. Bulnes-Enriquez, X. Jimenez, G. Hernandez, R. De La Rosa, Y. Chon, H. Yang, S. B. Nicholas, et al.
Coronary Vasomotor Abnormalities in Insulin-Resistant Individuals
Ann Intern Med, May 4, 2004; 140(9): 700 - 708.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. R. Sowers
Insulin resistance and hypertension
Am J Physiol Heart Circ Physiol, May 1, 2004; 286(5): H1597 - H1602.
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Endocr. Rev.Home page
V. Fonseca, C. Desouza, S. Asnani, and I. Jialal
Nontraditional Risk Factors for Cardiovascular Disease in Diabetes
Endocr. Rev., February 1, 2004; 25(1): 153 - 175.
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Diabetes CareHome page
F. Pistrosch, J. Passauer, S. Fischer, K. Fuecker, M. Hanefeld, and P. Gross
In Type 2 Diabetes, Rosiglitazone Therapy for Insulin Resistance Ameliorates Endothelial Dysfunction Independent of Glucose Control
Diabetes Care, February 1, 2004; 27(2): 484 - 490.
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DiabetesHome page
L. Zhang, M. A. Vincent, S. M. Richards, L. H. Clerk, S. Rattigan, M. G. Clark, and E. J. Barrett
Insulin Sensitivity of Muscle Capillary Recruitment In Vivo
Diabetes, February 1, 2004; 53(2): 447 - 453.
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Arterioscler. Thromb. Vasc. Bio.Home page
S. Vehkavaara and H. Yki-Jarvinen
3.5 Years of Insulin Therapy With Insulin Glargine Improves In Vivo Endothelial Function in Type 2 Diabetes
Arterioscler Thromb Vasc Biol, February 1, 2004; 24(2): 325 - 330.
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CirculationHome page
M. Federici, A. Pandolfi, E. A. De Filippis, G. Pellegrini, R. Menghini, D. Lauro, M. Cardellini, M. Romano, G. Sesti, R. Lauro, et al.
G972R IRS-1 Variant Impairs Insulin Regulation of Endothelial Nitric Oxide Synthase in Cultured Human Endothelial Cells
Circulation, January 27, 2004; 109(3): 399 - 405.
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Am. J. Physiol. Heart Circ. Physiol.Home page
U. Campia, G. Sullivan, M. B. Bryant, M. A. Waclawiw, M. J. Quon, and J. A. Panza
Insulin impairs endothelium-dependent vasodilation independent of insulin sensitivity or lipid profile
Am J Physiol Heart Circ Physiol, January 1, 2004; 286(1): H76 - H82.
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Arterioscler. Thromb. Vasc. Bio.Home page
L. Bergandi, F. Silvagno, I. Russo, C. Riganti, G. Anfossi, E. Aldieri, D. Ghigo, M. Trovati, and A. Bosia
Insulin Stimulates Glucose Transport Via Nitric Oxide/Cyclic GMP Pathway in Human Vascular Smooth Muscle Cells
Arterioscler Thromb Vasc Biol, December 1, 2003; 23(12): 2215 - 2221.
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