High glucose and insulin inhibit VSMC MKP-1 expression by blocking iNOS via p38 MAPK activation

Our laboratory has recently demonstrated arole for the phosphatidylinositol 3-kinase-mediatedinducible NO synthase (iNOS) signaling pathway in acute regulation ofinsulin-induced mitogen-activated protein phosphatase-1 (MKP-1)expression in primary cultures of rat aortic vascular smooth musclecells (VSMCs) (N. Begum, L. Ragolia, M. McCarthy, and N. Duddy.J. Biol. Chem. 273: 25164-25170, 1998). We now show that prolonged treatment of VSMCs with 100 nMinsulin and high glucose (25 mM) for 12-24 h, to mimichyperinsulinemia and hyperglycemia, completely blocked MKP-1 mRNA andprotein expression in response to subsequent acute insulin treatment.To understand the mechanism of insulin resistance induced by highglucose and insulin, we studied the regulation of iNOS proteininduction in these cells. Both high glucose and chronic insulintreatment caused a marked impairment of iNOS induction in response toacute insulin. Blocking of signaling via the p38 mitogen-activatedprotein kinase (MAPK) pathway by prior treatment for 1 h withSB-203580, a synthetic p38 MAPK inhibitor, completely prevented theinhibition of iNOS induced by high glucose and insulin and restoredMKP-1 induction to levels observed with acute insulin treatment. Incontrast, PD-98059, a MEK inhibitor, had no effect. Furthermore, highglucose and chronic insulin treatment caused sustained p38 MAPKactivation. We conclude 1) thatchronic insulin and high glucose-induced insulin resistance isaccompanied by marked reductions in both iNOS and MKP-1 inductions dueto p38 MAPK activation that leads to excessive cell growth and2) that p38 MAPK/extracellularsignal-regulated kinase pathways regulate iNOS induction, therebycontrolling MKP-1 expression, which in turn inactivates MAPKs as afeedback mechanism and inhibits cell growth.