Akt1 kinase and dynamics of insulin resistance in denervated muscles in vivo

Basal and insulin-stimulated activity of Akt1 kinase and uptake of 2-deoxy-D-glucose (2-DG) were measured in soleus (slow-twitch) and plantaris (fast-twitch) muscles of rats at 1 and 3 days after sectioning the sciatic nerve in one hindlimb of the animals. At 1 day after surgery, the insulin-stimulated activity of Akt1 kinase in denervated soleus and plantaris muscles remained unchanged, but the insulin-stimulated 2-DG uptake by these muscles was reduced by 71 and 61%, respectively, compared with the corresponding muscles of the contralateral sham (control) hindlimb. At 3 days, the insulin-stimulated activity of Akt1 kinase in the denervated soleus and plantaris muscles was 86 and 71% lower, respectively, than in their sham counterparts. At this time point, the denervated soleus muscles showed no increase in 2-DG uptake in response to insulin. In contrast, the denervated plantaris muscle exhibited the same absolute level of insulin-stimulated 2-DG uptake as the sham plantaris muscle; however, the insulin-induced increment in 2-DG uptake was reduced by 60%, whereas basal 2-DG uptake was increased by 251% compared with the sham plantaris muscle. None of the denervated muscles showed a decrease in the abundance of Akt1 kinase. The results demonstrate that the causes of insulin resistance in denervated muscles are dependent on time after surgery. Initially, they involve only mechanisms downstream of Akt1 kinase (day I), whereas at clay 3 they also involve mechanisms upstream of, and including, Akt1 kinase.