Insulin Regulates Adipocyte Lipolysis via an Akt-Independent Signaling Pathway

After a meal, insulin suppresses lipolysis through the activation of its downstream kinase, Akt, resulting in the inhibition of protein kinase A (PKA), the main positive effector of lipolysis. During insulin resistance, this process is ineffective, leading to a characteristic dyslipidemia and the worsening of impaired insulin action and obesity. Here, we describe a noncanonical Akt-independent, phosphoinositide-3 kinase (PI3K)-dependent pathway that regulates adipocyte lipolysis using restricted subcellular signaling. This pathway selectively alters the PKA phosphorylation of its major lipid droplet-associated substrate, perilipin. In contrast, the phosphorylation of another PKA substrate, hormone-sensitive lipase (HSL), remains Akt dependent. Furthermore, insulin regulates total PKA activity in an Akt-dependent manner. These findings indicate that localized changes in insulin action are responsible for the differential phosphorylation of PKA substrates. Thus, we identify a pathway by which insulin regulates lipolysis through the spatially compartmentalized modulation of PKA.The storage and mobilization of nutrients from specialized tissues requires the spatial organization of both signaling functions and energy stores. Nowhere is this more evident than in mammalian adipose tissue, which maintains the most efficient repository for readily available energy. Here, fuel is segregated into lipid droplets, once thought to be inert storehouses but now recognized as complex structures that represent a regulatable adaptation of a ubiquitous organelle (5, 40). The synthesis and maintenance of functional lipid droplets requires numerous proteins, not only fatty acid binding proteins and enzymes of lipid synthesis but also molecules critical to constitutive and specialized membrane protein trafficking (23).During times of nutritional need, triglycerides within the adipocyte lipid droplet are hydrolyzed into their components, fatty acids, acyl-glycerides, and, ultimately, glycerol. This process, termed lipolysis, is controlled dynamically by multiple hormonal signals that respond to the nutrient status of the organism. During fasting, catecholamines such as norepinephrine stimulate lipolysis via beta-adrenergic receptor activation, promoting adenylyl cyclase activity and the production of cyclic AMP (cAMP) (17). cAMP binds to the regulatory subunits of its major effector, protein kinase A (PKA), triggering the dissociation of these subunits and the subsequent activation of the catalytic subunits (62, 63). PKA is frequently sequestered into multiple parallel, intracellular signaling complexes, though such structures have not been studied in hormone-responsive adipocytes (68). Two targets of activated PKA important for lipolysis are hormone-sensitive lipase (HSL) and perilipin, the major lipid droplet coat protein (17). The phosphorylation of HSL on Ser 559/660 is crucial for its activation and translocation to the lipid droplet, where HSL catalyzes the hydrolysis of diglycerides to monoglycerides (26, 55). Another lipase, adipose triglyceride lipase (ATGL), carries out the initial cleavage of triglycerides to diglycerides and most likely is rate limiting for lipolysis, but it does not appear to be regulated directly via PKA phosphorylation (24, 73). Perilipin under basal conditions acts as a protective barrier against lipase activity; upon stimulation, the phosphorylation of least six PKA consensus sites triggers a conformational change in perilipin, permitting access to the lipid substrates in the droplet, the recruitment of HSL, and possibly the activation of ATGL (7, 8, 21, 41, 46, 58, 60, 61). Perilipin, therefore, possesses dual functions, both blocking lipolysis in the basal state as well as promoting lipolysis upon its phosphorylation (5, 58, 60).Following the ingestion of a meal, insulin stimulates the uptake of nutrients such as glucose into specialized tissues and also potently inhibits lipolysis in adipocytes (17). Insulin signaling in the adipocyte involves the activation of the insulin receptor tyrosine kinase, the phosphorylation of insulin receptor substrates, the activation of PI3K, and the subsequent production of specific phosphoinositides at the plasma membrane (59). These phosphoinositides then recruit Akt, via its pleckstrin homology domain, to the plasma membrane, where Akt becomes phosphorylated and activated by two upstream kinases. Akt stimulates the translocation of the glucose transporter GLUT4 to the plasma membrane, thereby promoting the uptake of glucose into the cell (2). The mechanism by which insulin inhibits lipolysis has been proposed to involve the reduction of cAMP levels and thus PKA activity. In this model, insulin signaling activates phosphodiesterase 3b (PDE3b) via the Akt-mediated phosphorylation of Ser273 (14, 32). Upon activation by Akt, PDE3b catalyzes the hydrolysis of cAMP to 5′AMP, thereby attenuating PKA activity and lipolysis. Recent studies of PDE3b knockout mice have highlighted the importance of PDE3b activity in the regulation of lipolysis but were uninformative regarding the mechanism of insulin action (12). Adipocytes isolated from these mice exhibit reduced responses to insulin with respect to lipolysis, but it is not clear whether this is due to the loss of the critical target enzyme or a normal mechanism being overwhelmed by supraphysiological concentrations of cAMP (12). Biochemical studies using dominant-inhibitory Akt have demonstrated that Akt can regulate PDE3b activity, and other studies also have suggested that Akt interacts directly with PDE3b, implying a direct connection to lipolysis regulation (1, 32). Nevertheless, the actual requirement for Akt in insulin action with regard to the lipolysis itself has not been demonstrated directly in, for example, genetic loss-of-function experiments.There now is substantial evidence implicating elevated free fatty acid levels as a consequence of inappropriate lipolysis as a major etiological factor for insulin resistance and type 2 diabetes mellitus (T2DM) (51). Conditions such as obesity and diabetes are characterized by a pathophysiological state in which these tissues become unresponsive to insulin, which contribute to the adverse long-term sequelae of diseases such as T2DM and the metabolic syndrome (4, 44). Thus, understanding in detail the mechanism by which insulin suppresses fat cell lipolysis is critical to identifying the underlying defect in resistant adipose tissue and ultimately developing effective therapeutics. In the present study, we investigated both Akt-dependent and -independent modes of insulin action toward lipolysis. We found the latter to predominate at low, physiological levels of adrenergic stimulation, acting via a pathway dependent on the preferential phosphorylation of downstream PKA substrates.