The effect of early intervention with a
peroxisome proliferator-activated receptor-gamma (
PPARgamma) agonist on skeletal muscle GLUT4 translocation and
insulin signaling was examined in intrauterine (IUGR) and postnatal (PNGR) growth-restricted pregestational female rat offspring.
Rosiglitazone [11 mumol/day provided from postnatal day (PN)21 to PN60] improved skeletal muscle
insulin sensitivity and GLUT4 translocation in prenatal nutrient restriction [50% calories from embryonic day (e)11 to e21; IUGR] with (IUGR+PNGR) and without (IUGR) postnatal nutrient restriction (50% calories from PN1 to PN21; PNGR) similar to that of control (ad libitum feeds throughout; Con) (n = 6 each). This was accomplished by diminished basal and improved
insulin-responsive GLUT4 association with the plasma membrane in IUGR, IUGR+PNGR, and PNGR mimicking that in Con (P < 0.005). While no change in p85-phosphatidylinositol 3-kinase (PI3-K) and
phosphatase and
tensin homolog deleted on chromosome 10 (PTEN) was observed, a decrease in
protein tyrosine phosphatase 1B (PTP1B; P < 0.0002) and SH2-containing
protein tyrosine phosphatase 2 (SHP2; P < 0.05) contributing to the
rosiglitazone-induced
insulin sensitivity was seen only in IUGR+PNGR. In contrast, an increase in phosphorylated 5'-adenosine monophosphate
kinase (pAMPK; P < 0.04) and
insulin responsiveness of phosphorylated
phosphoinositide-dependent
protein kinase-1 (pPDK1; P < 0.05), pAkt (P < 0.01), and particularly pPKCzeta (P < 0.0001) and its corresponding
enzyme activity (P < 0.005) were observed in all four experimental groups. We conclude that early introduction of
PPARgamma agonist improved skeletal muscle activation of AMPK and
insulin signaling, resulting in
insulin-independent AMPK and
insulin-responsive GLUT4 association with plasma membranes in IUGR, IUGR+PNGR, and PNGR adult offspring, similar to that of Con. These findings support a role for
insulin sensitizers in preventing the subsequent development of gestational or
type 2 diabetes mellitus in intrauterine and postnatal growth-restricted offspring.