GH and
IGF-I control over 80% of postnatal growth. We recently established that
TNFalpha impairs the ability of
IGF-I to increase
protein synthesis and promote expression of
myogenin in myoblasts. Here we extend these results by showing that
ceramide, a second messenger in both
TNFalpha and IL-1beta receptor signaling pathways, is a key downstream
sphingosine-based
lipid that leads to
IGF-I resistance. A cell-permeable
ceramide analog,
C2-ceramide, inhibits
IGF-I-induced
protein synthesis by 65% and blocks the ability of
IGF-I to increase expression of two key myogenic factors,
myogenin and MyoD. Identical results were obtained with both
TNFalpha and IL-1beta (1 ng/ml). Consistent with these data, neutral
sphingomyelinase (N-SMase), an
enzyme that catalyzes formation of
ceramide from
sphingomyelin, blocks
IGF-I-induced
protein synthesis and expression of both
myogenin and MyoD. The possibility that
cytokine-induced
ceramide production is required for disruption of
IGF-I biologic activity was confirmed by treating C2C12 myoblasts with inhibitors of all three
ceramide-generating pathways. A N-SMase inhibitor,
glutathione, as well as an acidic
sphingomyelinase (A-SMase) inhibitor,
D609, reverse the
cytokine inhibition of
IGF-I-induced
protein synthesis by 80% and 45%, respectively. Likewise, an inhibitor of de novo
ceramide synthesis, FB1, causes a 50% inhibition. Similarly, all three inhibitors significantly impair the ability of both
TNFalpha and IL-1beta to suppress
IGF-I-driven expression of
myogenin. These experiments establish that
ceramide, derived both from
sphingomyelin and de novo synthesis, is a key intermediate by which proinflammatory
cytokines impair the ability of
IGF-I to promote
protein synthesis and expression of critical muscle-specific
transcription factors.