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研究生:林文星
研究生(外文):Lin,wen-hsing
論文名稱:胰島素阻抗性,糖尿病,肥胖:由差異呈現法至分子遺傳學的研究
論文名稱(外文):Insulin Resistance,Diabetes Mellitus, Obesity : From Differential Display to Molecular Genetics Study
指導教授:莊立民莊立民引用關係
指導教授(外文):Chuang,lee-ming
學位類別:博士
校院名稱:國立臺灣大學
系所名稱:分子醫學研究所
學門:醫藥衛生學門
學類:醫學學類
論文種類:學術論文
論文出版年:2001
畢業學年度:89
語文別:中文
論文頁數:105
中文關鍵詞:糖尿病胰島素阻抗性肥胖差異呈現法3T3-L1脂肪分化
外文關鍵詞:Diabetes MellitusInsulin ResistanceObesityDifferential Display3T3-L1 adipogenesis
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  • 被引用被引用:11
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利用mRNA差異呈現法 (Differential Display) 比較3T3-L1前脂肪細胞與分化成脂肪細胞基因表現之差異,我們發現56個基因在此過程中會有表現量上的差別。其中40個基因表現增加,另16個基因表現減少。這些基因的功能大致可歸類成DNA remodeling、轉錄、細胞骨架和胞外基質、胰島素/生長因子訊息傳遞因子、脂肪代謝之酵素、粒線體蛋白或基因、脂肪細胞分泌有關的各類中。在56個基因中有18個基因 (18/56= 32%) 表現受到BRL49653之調控,這些基因可能和胰島素之敏感性或阻抗性有關。
SH3P12/CAP/Ponsin即是用上述方法分離出,在3T3-L1分化時明顯增加表現且又受BRL49653影響的基因。SH3P12其蛋白質結構在N端具一sorbin homology domain (SoHo) 結構區,在C端具有三個連續之SH3 domain結構區。為瞭解其可能參與胰島素訊息傳遞而為胰島素阻抗性之基因,我們進一步描述人類SH3P12基因,經過人類基因體組織命名委員會之同意,我們稱之為SORBS1 (sorbin and SH3 domain containing 1) ,之基因選殖、染色體上之座落區域、各組織表現量和其可能之功能。在一些組織mRNA之表現觀察中,可發現SORBS1具多種transcript。由肝臟、肌肉、脂肪等、三個胰島素感受性組識中,我們分離出其主要的full-length cDNA和13個alternativly spliced exons。 其中主要的cDNA,最短的isoform具2223個鹼基會製造出約81.5 kDa之蛋白質,最長者具3879個鹼基會製造出約142.2 kDa之蛋白質。此基因座落於人類染色體10q23.3-24.1的區域,此區域與Pima印第安族群所發現與胰島素阻抗性有關的位置重疊。在人類Hep3B肝臟細胞株中,SORBS1蛋白在胰島素作用後,會由與胰島素受體相互作用的蛋白質複合體中脫離,而與c-Abl蛋白質產生互動,此作用為經由與SORBS1 蛋白C端之第三個SH3結構區結合,而SORBS1蛋白質必需有胰島素作用後可能改變結構後才能與c-Abl結合。由此推測c-Abl與SORBS1之作用可能在胰島素訊息傳遞上扮演一重要的角色。
從上述研究,我們認為SORBS1基因可能為形成胰島素阻抗性的重要基因。為了驗證其與肥胖和第2型糖尿病的遺傳性關係,我們嘗試尋找此基因的SNP。在40條染色體,各分析13,136個鹼基後,我們篩選出14個SNPs。其中2個位於蛋白質轉譯區域 (R74W和T228A),4個雖也位於蛋白質轉譯區域但無胺基酸之改變,另8個位於intron中。經由分析202位非肥胖之正常人、113位肥胖患者和455位第2型糖尿病人之基因型,發現位於exon7之T228A SNP,其A對偶基因對肥胖和第2型糖尿病產生具預防性 (protective) 角色,而R74W SNP對疾病之產生則無關連性。經此研究顯示T228A SNP 之A228對偶基因是肥胖和第2型糖尿病產生之預防因子。此也更証實SORBS1基因在人類胰島素阻抗性相關的疾病發生上扮演一重要的角色。
To identify the expression of genes that are regulated during adipocyte differentiation, the gene expression patterns in 3T3-L1 preadipocytes and mature 3T3-L1 adipocytes were analysed with mRNA differential display. The expression of 56 genes was differentially regulated, 40 were up-regulated while 16 were down-regulated in differentiated adipocytes. DNA sequences analyses indicated that differentiation of adipocytes was associated with a complex array of gene expression involving diverse biological functions, including DNA remodeling/transcription, cytoskeletal/extracellular matrix proteins, insulin/growth factor signaling, lipid metabolism, mitochondrial functions, and adipocyte secretory proteins. Among these genes, 32 % (18 of 56) were also regulated by a PPARγ agonist, BRL49653.
SH3P12/CAP/ponsin, a gene product with a sorbin homology domain and three consecutive SH3 domains in the carboxy-terminus, was one of genes upregulated in 3T3-L1 adipogenesis and enhanced by BRL49653 treatment. Here we described the cloning, mapping, and expression of the human homologue, termed SORBS1 (sorbin and SH3 domain containing 1). Multiple transcripts of this gene with different mRNA isoforms were observed among different tissues. We had identified 13 alternatively spliced exons, which were ascertained from the full-length cDNA cloning in adipose, liver and skeletal muscle tissues. Among the major isoforms, the shortest 2,223-bp open reading frame (ORF) encodes a protein with a predicted molecular weight of 81.5 kDa, while the longest 3879-bp ORF encodes a protein of about 142.2 kDa. This gene was mapped to human chromosome 10q23.3-4, which is a candidate region for insulin resistance found in Pima Indians. In human hepatoma Hep3B cells, SORBS1 was partly dissociated from the insulin receptor complexes and bound to c-Abl protein upon insulin stimulation. This interaction with c-Abl was through the third SH3 domain and a possible conformational change of SORBS1 induced by insulin. Our data suggested c-Abl oncoprotein via SORBS1 might play a role in insulin signaling pathway.
To explore the genetic role of SORBS1 in human obesity and type 2 diabetes, we investigated the nucleotide polymorphisms in the SORBS1 gene with molecular scanning. After scanning for a total of 13,136 base pairs in each of 40 chromosomes, we have identified 14 single nucleotide polymorphisms (SNPs) in the human SORBS1 gene. Among them, 2 affected amino acid coding (R74W and T228A), 4 occurred within exons but did not affect amino acid coding, and the remaining 8 occurred within introns, which were located outside of the consensus region of the splicing mechanism. Further studies in 202 non-obese, 113 obese and 455 subjects with type 2 diabetes revealed that the A-allele of the T228A polymorphism in exon 7 exerted a protective role for both obesity (relative risk: 0.466, 95% CI 0.265-0.821) and diabetes (relative risk: 0.668, 95% CI 0.472-0.945). Neither allele of the R74W polymorphism was associated with obesity or diabetes. In conclusion, our results suggest that the A228 allele of the T228A polymorphism of the SORBS1 gene is a protective factor for both obesity and diabetes, and also imply that the SORBS1 gene plays an important role in the pathogenesis of human disorders with insulin resistance.
封面
中文摘要
英文摘要(Abstract)
縮寫(Abreviations)
導論
糖尿病(Diabetes Melitus)
糖尿病與胰島素阻抗性(Insulin Resistance)
胰島素阻抗性成因研究
胰島素阻抗性與肥胖(Obesity)
第一章、脂肪細胞胰島素作用相關基因之篩選-SH3P12、CCR4之研究
一、前言
Mrna Differential Display
3T3-L1 adipogenesis
PPARr
二、材料與方法
3T3-L1 細胞株之培養
Oil red染色法
mRNA差異呈現法
北方雜交分析法
Reverse transcription-PCR (RT-PCR)之分析法
三、結果
3T3-L1脂肪分化中差異表想基因的確認
分離出的基因在3T3-L1分化過程表現的型態
分化表現基因的功能分析
BRL49653與基因的表現
CCR4、SH3P12的基因表現
四、討論
第二章、人類SORBS1基因染色體定位與肝細胞中胰島素傳遞訊息之角色
一、前言
二、材料與方法
SORBS1的EST選殖法
以RT-PCR選殖出SORBS1 cDNA
含多種組織的北方轉漬分析
BAC質體的選殖和FISH
Hep3B細胞之培養和萃取
GST fusion蛋白質的製備
三、結果
SORBS1 cDNA選殖和序列分析
SORBS1的基因結構
SORBS1的組織分佈表現
SORBS1在人類染色體的位置
SORBS1、c-Ab1和胰島素受體之相互作用
四、討論
第三章、人類SORBS1基因之SNP與肥胖和第2型糖尿病之關連性
一、前言
SNP
二、材料與方法
樣品(Subject)
樣本的生化和外表型特性
篩選SNP的策略
變異的篩選
PCR-RELP的T229A變異判斷
DHPLC的R74W變異判斷
三、結果
SORBS1 SNP的篩選
T228A的表現型(phenotypes)研究
T228A多樣性與糖尿病和肥胖關連性
四、討論
第四章、總結與展望
參考文獻
圖表
圖1-1A CC4、SH3P12表現量與C/EBPa,C/EBPB,C/EBPr所做的比較
圖1-1B RT-PCR分析基因的表現量.3T3T1脂肪分化各基因每一天的表現量
圖1-1C RT-PCR分析基因的表現量.CC4、SH3P12表現量與PPARr所做的比較
圖1-2 CCR4和SH3P12在第六天分化的脂肪細胞受RRL49653的影響
圖1-3 SHEP12 alternativly spliced exon DNA序列
表1-1 總結由DD方法篩選出3T3L1脂肪細胞分化的基因
表1-2 篩選出3T3L1脂肪細胞分化的基因功能分類
表1-3 BRL49653的影響
表1-4 用於RT-PCR的引子資料
圖2-1 SORBSI Cdna的EST選殖
圖2-2A SORBS1的脂肪、肝臟、肌肉中Mrna表現狀況
圖2-2B SORBS1選殖
圖2-2C SORBS1 gene exon7 and exon30 DNA序列
圖2-3A SORBS1 cDNA序列
圖2-3B SORBS1 alternativly sliced exons DNA序列
圖2-4 SORBS1的基因結構
圖2-5 SORBS1 mRNA的組織分佈
圖2-6 SORBS1的FISH實驗
圖2-7A ArgBP2A與含H exn之SORBS1的蛋白質所做的比對
圖2-8B c-Cb1,Sos1,c-Ab1 PXXP motif的序列比對
圖2-8 SORBS1與胰島素受體的相互作用情形
圖2-9A SORBS1與c-Ab1相互作用情形-免疫沉澱法實驗
圖2-9B SORBS1與c-Ab1相互作用情形-GST融含蛋白質之pull down實驗
表2-1 SORBS1基因exon/intron的結構
圖3-1 SORBS1的基因結構和14個SNP位置
圖3-2A 非糖尿病樣品依SORBS1基因型所做的BMI分析
圖3-2B 非糖尿病樣品依SORBS1基因型所做的HMOA-IR分析
表3-1 SORBS1 SNP尋找的引子資料
表3-2 20位分析個體中SORBS1基因的變異和對偶基因頻率
表3-3 各樣本組的T228A基因型比率
附錄:與本論文相關之已發表文章
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