Disruption of KSR2 in humans and mice decreases metabolic rate and induces
obesity, coincident with dysregulation of
glucose homeostasis. Relative to wild-type mice, ksr2(-/-) mice are small prior to weaning with normal
glucose tolerance at 6 weeks of age, but demonstrate excess adiposity by 9 weeks and
glucose intolerance by 12-14 weeks. Defects in
AICAR tolerance, a measure of whole-body AMPK activation, are detectable only when ksr2(-/-) mice are obese. Food restriction prevents the
obesity of adult ksr2(-/-) mice and normalizes
glucose and
AICAR sensitivity.
Obesity and
glucose intolerance return when ad lib feeding is restored to the diet-restricted mice, indicating that
glucose dysregulation is secondary to
obesity in ksr2(-/-) mice. The phenotype of C57BL/6 ksr2(-/-) mice, including
obesity and
obesity-related dysregulation of
glucose homeostasis, recapitulates that of humans with KSR2 mutations, demonstrating the applicability of the C57BL/6 ksr2(-/-) mouse model to the study of the pathogenesis of human disease. These data implicate KSR2 as a physiological regulator of
glucose metabolism during development affecting energy sensing,
insulin signaling, and
lipid storage, and demonstrate the value of the C57BL/6 ksr2(-/-) mouse model as a unique and relevant model system in which to develop and test therapeutic targets for the prevention and treatment of
obesity,
type 2 diabetes, and
obesity-related metabolic disorders.