Hyperglycemia,
glucose intolerance and elevated
insulin levels frequently occur in burned patients; however, the mechanism(s) for this
insulin resistance has not been fully elucidated. One possible mechanism could involve alterations in the phosphorylation of
serine 307 of the
insulin receptor substrate-1 (IRS-1) via activation of stress
kinase enzymes, including SAPK/JNK. In the present study we examined the time course of the effect of
burn injury to mice on: levels of IRS-1
protein, phosphorylation of
serine 307 of IRS-1, SAPK/
JNK kinase levels and activity and Akt
kinase activity in hind limb skeletal muscle.
Burn injury produced a reduction in hind limb muscle mass 24 h after injury, and, which persisted for 168 h. At 24 h after injury, there was a dramatic ( approximately 9-fold) increase in phosphorylation of IRS-1
serine 307 followed by a more moderate elevation thereafter. Total IRS-1
protein was slightly elevated at 24 h after injury and decreased to levels below
sham treated animals at the later times.
Burn injury did not appear to change total SAPK/JNK
protein content, however,
enzyme activity was increased for 7 days after injury. Akt
kinase activity was decreased in skeletal muscle following
burn injury; providing a biochemical basis for
burn-induced
insulin resistance. These findings are consistent with the hypothesis that
burn-induced
insulin resistance may be related, at least in part, to alterations in the phosphorylation of key
proteins in the
insulin signaling cascade, including IRS-1, and that changes in stress
kinases, such as SAPK/JNK produced by
burn injury, may be responsible for these changes in phosphorylation.