Insulin signaling in skeletal muscle and liver of neonatal pigs during endotoxemia

Renán A. Orellana, Agus Suryawan, Scot R. Kimball, Guoyao Wu, Hanh V. Nguyen, Leonard S. Jefferson, Teresa A. Davis

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Sepsis has been associated with tumor necrosis factor α (TNF-α) and nitric oxide (NO) overproduction, insulin resistance, and a profound suppression of muscle protein synthesis. However, lesser suppression of muscle protein synthesis in neonatal pigs occurs in response to endotoxin (LPS) when glucose and amino acids are provided. We hypothesize that the LPS-induced TNF-α and NO overproduction down-regulates insulin signaling pathway activation in neonatal pigs in the presence of fed levels of insulin, glucose, and amino acids. In skeletal muscle, inducible NOS activity was increased in response to LPS infusion, but phosphorylation of the insulin receptor, insulin receptor substrate-1 (IRS-1), p42/p44 mitogen-activated protein kinase (MAPK), and protein kinase B, the association of IRS-1 with phosphatidylinositol 3-kinase (PI 3-kinase), and constitutive NOS activity were not altered. In liver, activation of the insulin receptor, IRS-1, and PI 3-kinase were not affected by LPS, but p42 MAPK phosphorylation was increased. The absence of a down-regulation in the insulin signaling cascade in muscle despite the LPS-induced increase in TNF-α and muscle iNOS, may contribute to the near-maintenance of muscle protein synthesis rates in the presence of glucose and amino acids in LPS-infused neonatal pigs.

Original languageEnglish (US)
Pages (from-to)505-510
Number of pages6
JournalPediatric Research
Issue number5
StatePublished - Nov 2008

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health


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