Endocrinology Vol. 139, No. 2 520-526
Copyright © 1998 by The Endocrine Society
Changes in the Kinase Activity of the Insulin Receptor Account for an Increased Insulin Sensitivity of Mammary Gland in Late Pregnancy1
J. M. Carrascosa,
P. Ramos,
J. C. Molero and
E. Herrera
Department of Biochemistry (J.M.C., J.C.M.), Centro Biología
Molecular-Consejo Superior de Investigaciones Científicas,
Universidad Autónoma de Madrid, E-28049 Madrid, Spain; and
Faculty of Experimental and Technical Sciences (P.R., E.H.),
Universidad San Pablo-CEU, E-28668 Madrid, Spain
Address all correspondence and requests for reprints to: Emilio Herrera, Facultad de Ciencias Experimentales, Universidad San Pablo-CEU, Ctra. de Boadilla del Monte km 5.3, E-28668 Madrid, Spain. E-mail: e.herrera{at}offcampus.es
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Abstract
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Mammary gland is an organ that undergoes cycles of growth,
differentiation, and function during pregnancy and lactation. Although
it is known that the gland enhances its sensitivity to insulin during
lactation, it remains to be investigated whether this increased
sensitivity develops during pregnancy and which are the molecular
mechanisms underlying such a change. To address this issue, virgin and
late-pregnant rats were subjected to a continuous infusion with 50%
glucose for 72 h to produce a prolonged
hyperinsulinemic-euglycemic condition. Insulin sensitivity in mammary
gland was determined as the glucose utilization index by using
2-[3H]-deoxyglucose. Furthermore, binding characteristics
and kinase activity were studied by means of both
[125I]insulin binding and in vitro
phosphorylation studies with insulin receptors partially purified from
mammary gland.
Whereas the glucose utilization index in mammary gland from nonpregnant
rats remained unaffected by hyperinsulinemia, glands from pregnant rats
displayed a high insulin-dependent glucose uptake. This effect was not
paralleled by changes in the binding characteristics of insulin to the
high-affinity receptor, suggesting that the high insulin sensitivity of
mammary gland in pregnancy is not accounted for by changes at the level
of hormone-receptor interaction. Autophosphorylation studies showed
that insulin-stimulated kinase activity of insulin receptors from
mammary gland was 6- and 20-fold higher in pregnant than in virgin
animals under normo- and hyperinsulinemic conditions, respectively.
Moreover, insulin dose-response curves revealed that the efficacy of
insulin to stimulate kinase activity of the insulin receptor was
markedly higher in pregnant than in virgin rats, whereas its potency
(ED50
15 nM) was not changed. These data,
therefore, show that mammary glands develop increased insulin
sensitivity during late pregnancy, caused by an augmented kinase
activity of the insulin receptor.
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Introduction
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LATE pregnancy is characterized by the
development of insulin resistance in both humans (1, 2, 3) and rats
(4, 5, 6). Among the tissues that most actively contribute to the reduced
insulin sensitivity are adipose tissue (4, 7) and skeletal muscle (8, 9). Whereas adipose tissue remains insulin-resistant during lactation
(10), lactating mammary gland becomes highly sensitive to insulin
(11, 12, 13). This enhanced mammary gland insulin sensitivity is rapidly
abolished on weaning (12), but nothing is known about insulin
responsiveness in the late-pregnancy mammary tissue.
The mammary gland in late pregnancy is characterized by alveolar
morphogenesis, disappearance of adipose cells, and structural and
functional differentiation of alveolar epithelial cells, enabling them
to secrete milk fat and protein during lactation (14, 15). This
development and differentiation of the rat mammary gland are further
accompanied by changes in the expression of glucose transporters.
Whereas in mammary gland of virgin rats, the insulin sensitive isoform
of the glucose transporter Glut4 predominates (16), during late
pregnancy, expression of Glut4 decreases and is abolished in the
lactating mammary tissue (14, 16). Furthermore, lipoprotein lipase
activity increases during late pregnancy (17), reaching a maximum
during lactation (18). Thus, the morphological and functional changes
characteristic for the lactating and mature mammary gland apparently
start to develop already during pregnancy. Therefore, the present study
was designed to clarify whether the increased insulin sensitivity of
mammary gland observed in lactation does develop during pregnancy. To
address this issue, virgin and pregnant rats were exposed to a
continuous iv infusion with glucose that has been already shown to
induce hyperinsulinemia (HI) unaccompanied by hypoglycemia (19, 20). In
these animals, insulin sensitivity was assessed using the
euglycemic-hyperinsulinemic clamp, and glucose utilization in the
mammary gland was quantified by means of the 2-deoxyglucose (2-DOG)
technique. These experiments revealed that mammary gland tissue becomes
insulin sensitive during pregnancy. To further investigate the
molecular mechanism underlying the increased responsiveness of the
tissue, the study was extended to determine whether the interaction of
insulin with its receptor and/or the insulin receptor kinase activity
are affected during pregnancy under basal or hyperinsulinemic
conditions, by means of radioligand binding and in vitro
phosphorylation studies. Finally, insulin-dependent autophosphorylation
of the receptors was correlated with the insulin responsiveness of the
mammary gland, providing evidence for the involvement of increased
receptor kinase activity in the enhanced insulin sensitivity of mammary
gland during late pregnancy.
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Materials and Methods
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Animals
Female Wistar rats were housed at 2224 C, with light cycles
from 0800 to 2000 h. They had free access to water and to a chow
diet (Letica, Barcelona, Spain). Some animals were mated when they
weighed 170180 g. The beginning of pregnancy was determined by the
presence of spermatozoids in vaginal smears. In pregnant rats at day 17
of gestation and in age-matched virgin rats, a SILASTIC
brand catheter (Dow Corning, Midland, MI, 0.02 inch ID, 0.037 inch OD)
was placed into the right jugular vein and another one into the right
femoral vein, under ketamine cocktail anesthesia (ketamine, 50 mg/ml;
diazepan, 5 mg/ml; and atropine, 1 mg/ml; 5/4/1, vol/vol/vol). After
recovery from anesthesia, animals were housed in individual cages and
continuously infused for 72 h with either bidistilled water or
50% glucose, through the catheter placed into the jugular vein, at the
rate of 35 ml/day. Other methodological details have been previously
described (19, 20). At the end of the 72-h infusion period, some
animals from each group were decapitated, blood was collected from the
neck wound, and mammary glands rapidly dissected and placed in liquid
nitrogen, to be stored at -80 C until processed for insulin receptor
studies, as described below. The experimental protocol was approved by
the Animal Research Committee of the Faculty of Experimental Sciences,
University San Pablo-CEU.
Studies of insulin resistance
Euglycemic clamp studies in the conscious rat. A number of
rats from each group were subjected to an euglycemic- hyperinsulinemic
clamp to test the insulin sensitivity state of the animals, as
described before (20). In brief, after the 72-h infusion, blood samples
were obtained from the tail tips for determination of blood glucose
(21) and plasma insulin (22). The catheter placed in the jugular vein
was connected to a two-way interconnector that received flow from two
different infusion pumps (Precidor Infusion Pump Type 5003, Infors HT,
Denkendorf, Germany). Human insulin (Actrapid monocomponent, Novo,
Copenhagen, Denmark) was infused, by means of one pump at a constant
rate of 16 µl/min (0.8 IU x h-1 x kg
-1), for 60 min. Glucose infusion (20%) was given at a
variable rate through the other pump via the same catheter, to maintain
the blood glucose concentration constant at basal levels. A
steady-state glucose infusion was normally achieved within 30 min after
starting the clamp experiment. A few additional blood samples (200
µl) were collected to determine the insulin concentration (22) at the
steady-state. The glucose disposal rate (M) was estimated as the rate
of glucose infusion at the steady-state normalized to the body weight.
The insulin sensitivity index (Sip), proposed by Ader and
Bergman (23), was measured as described (19, 20).
Estimate of glucose utilization index (GUI) in mammary
gland. The method of Sokoloff et al. (24), developed
for the brain, was adapted for the unrestrained rat (19). Briefly,
2-deoxy-D-[1-3H]glucose (2-DOG; 18.3 Ci/mmol,
from Amersham, Buckinghamshire, UK) was administered, as a bolus (30
µCi) through the catheter placed in the jugular vein, to virgin and
pregnant rats: 1) at the end of a 72-h infusion with bidistilled water
(basal group); 2) after 1 h of an euglycemic-hyperinsulinemic
clamp, subsequent to a 72-h infusion with bidistilled water (1-h
hyperinsulinemic group); or 3) at the end of a 72-h infusion with 50%
glucose (72-h hyperinsulinemic group). In the 1-h hyperinsulinemic
group, the clamp, i.e. insulin and 20% glucose infusions,
was maintained until death. Blood samples (50 µl) were collected from
the catheter placed in the femoral vein at 1, 2, 5, 7, 10, 20, 30, 45,
and 60 min after the 2-DOG administration. Blood was deproteinized
(25), and glucose concentrations (21) and 2-DOG radioactivity were
determined in the supernatants. After the last blood collection,
animals were decapitated, and blood was collected from the neck wound
for plasma insulin determination (22). Mammary gland tissue was
immediately dissected and immersed in 0.5 ml of 1 M NaOH to
determine its content of 2-DOG-6-phosphate (26) and to estimate the
GUI, as previously described (19).
Studies with insulin receptors
Preparation of partially purified insulin receptors. Pools
of mammary gland from each group (711 g) were homogenized in 3 vol of
25 mM Tris-HCl (pH 7.4) buffer, containing 0.3
M sucrose, 7 mM EDTA, 50 mM NaF, 10
mM sodium pyrophosphate, 1.3 mM
phenylmethylsulfonyl fluoride (PMSF), 2 mg/ml bacitracin, and 0.3 mg/ml
trypsin inhibitor. After centrifugation at 3,000 x g
for 15 min, the supernatant was centrifuged at 50,000 x
g for 1 h. The microsomal pellet was resuspended in 50
mM Tris-HCl (pH 7.4) buffer, containing 150 mM
NaCl and 1 mM PMSF, and stored at -70 C. Microsomes (500
µl) were solubilized for 1 h in 2 ml of 25 mM
Tris-HCl (pH 7.4) buffer, containing 1% Triton-X-100, 4 mM
EDTA, 7 mM sodium pyrophosphate, 30 mM NaF, 0.6
mg/ml benzamidine, 0.3 mg/ml trypsin inhibitor, 2.5 mg/ml bacitracin,
and 1.3 mM PMSF. Insoluble material was removed by
centrifugation at 150,000 x g for 1 h, and the
clear supernatant was diluted 1:5 with 50 mM Tris-HCl (pH
7.4), containing 0.05% Triton-X-100, 100 mM NaCl, 2.5
mM KCl, and 1 mM CaCl2, added to
0.5 ml of wheat germ agglutinin-Sepharose (WGA-Sepharose, Pharmacia,
Uppsala, Sweden) and rotated end-over-end for 2 h at room
temperature. The WGA-Sepharose was then washed five times with 20 vol
of the same buffer, and receptors were eluted by the addition of 500
µl of 0.3 M N-acetyl-glucosamine in the same
buffer. The protein concentration was measured (27) in these fractions
and always ranged between 0.2 and 0.4 mg/ml.
Binding to solubilized receptors. Aliquots (10 µl) of the
WGA-Sepharose eluates were incubated overnight at 4 C, with
[125I-TyrA14]insulin (100 pM,
from Amersham) and various concentrations of human monocomponent
insulin (0.161600 nM) in a final vol of 500 µl. After
incubation, receptor-hormone complexes were separated from free insulin
by 10% polyethylene glycol precipitation, and measurement of the bound
hormone was done as previously described (28). Insulin binding
constants [equilibrium dissociation constants (Kd) and
maximal binding constants (Bmax)] were estimated by
Scatchard analysis.
Autophosphorylation of solubilized receptors. Aliquots
(1015 µg of protein) of WGA-Sepharose purified insulin receptors
were incubated at room temperature for 2 h in the
N-acetyl-glucosamine buffer supplemented with increasing
amounts of porcine insulin (Sigma, 0160 nM).
Phosphorylation assays were carried out at 0 C in the presence of
[
-32P]ATP, as previously described (29). Briefly, the
phosphorylation reaction was initiated by adding 50 µM
[
-32P]ATP (specific radioactivity
3300 cpm/pmol),
12 mM MgCl2, 6 mM
MnCl2, and 1 mM sodium orthovanadate (final
concentrations), to give a final vol of 80 µl. After a 15-min
incubation, the reaction was ended by applying 80 µl of a 50
mM Tris-HCl (pH 7.4), containing 20 mM EDTA, 20
mM sodium pyrophosphate, 1 mM ATP, 1
mM sodium orthovanadate, and 1 mM
dithiothreitol. Insulin receptors were quantitatively
immunoprecipitated with antiphosphotyrosine antibodies prepared as in
(30). After immobilization on Protein A (Sigma Chemical Co., St. Louis,
MO), the pellets were washed three times with 50 mM TripH
7.4 (containing 0.1% SDS, 0.1% Triton-X-100, and 0.15 M
NaCl), and proteins were separated by SDS-PAGE (7% acrylamide).
Radioactive proteins were identified by autoradiography, and the
32P-incorporation into the insulin receptor ß-subunit was
quantified by densitometric scanning.
Statistical analysis
Statistical comparisons were made with ANOVA, followed by the
Tuckey test, or by a multiple linear-regression analysis with a 95%
confidence interval, using the Systat program (Systat, Inc., Evanston,
IL). Results are expressed as means ± SEM.
The Kd and Bmax were calculated using the
nonlinear regression fitting option of the Sigma Plot Program (Jandel
Scientific Corp., San Rafael, CA).
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Results
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Model of the euglycemic-hyperinsulinemic rat
Body weight, circulating components. In the present study, to
investigate the response of mammary glands to insulin in late
pregnancy, an animal model of prolonged iv glucose infusion in the rat,
to attain hyperinsulinemia under euglycemic conditions, was used (19, 20). Virgin and pregnant rats (17 day of gestation) were subjected to a
continuous infusion with bidistilled water (control) or 50% glucose
for 72 h. Animals within each group were of equal weight at the
beginning of the infusion and, as shown in Table 1
, 50% glucose treatment for 72 h
did not affect the body weight of either virgin or pregnant rats. Blood
glucose levels were lower in pregnant than in virgin rats and remained
the same upon glucose infusion in both groups. Plasma insulin levels
were higher in pregnant than in virgin rats, but both groups responded
similarly to glucose treatment with a 2- to 3-fold increase in plasma
insulin concentration (Table 1
). These data, therefore, show that the
model of glucose infusion for 3 days is suitable to generate
hyperinsulinemic-euglycemic conditions, both in virgin and pregnant
rats.
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Table 1. Effect of 50% glucose infusion (35 ml/day) for 3
days in pregnant (day 1720 of gestation) and virgin rats on body
weight and circulating components
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Euglycemic-hyperinsulinemic clamp. To determine how the
glucose infusion affected insulin sensitivity, an
euglycemic-hyperinsulinemic clamp (0.8 IU insulin x
h-1 x kg -1) was performed for 60 min in
unrestrained virgin and pregnant rats at the end of the 72-h infusion
with either 50% glucose or bidistilled water. Under these conditions,
blood glucose remained stable, whereas plasma insulin increased in the
four groups (Table 2
) when compared with
the basal values before the clamp (Table 1
). Plasma insulin
concentrations during the clamp were higher in the groups receiving the
50% glucose infusion than in their respective controls, and in
pregnant than in virgin rats (Table 2
). In virgin animals, 72 h of
50% glucose infusion resulted in a significant decrease in both the M
and the Sip, by 39% and 43%, respectively, showing the
development of insulin resistance under hyperinsulinemic-euglycemic
conditions (Table 2
). Pregnant control animals clearly exhibited
insulin resistance, as evidenced by their low M and
Sip-values (41% and 55% of virgin controls,
respectively). In contrast to virgin animals, in pregnant rats, 72
h of 50% glucose infusion markedly increased the M by 64% and
completely restored the impaired Sip to values that did not
differ from those of the virgin control rats, thus indicating the full
reversion of the insulin-resistant condition.
Insulin responsiveness of mammary gland in late pregnancy: GUI
As shown above, insulin resistance that normally develops during
late pregnancy disappears in response to a prolonged hyperinsulinemia
caused by the 72 h of 50% glucose infusion. To investigate
insulin responsiveness of mammary gland during late pregnancy and how
this tissue responds to such prolonged hyperinsulinemic condition,
glucose utilization was quantified by measuring the GUI. GUI was
assessed by the administration of an iv bolus of 2-DOG and the
subsequent analysis of phosphorylated 2-DOG in the mammary tissue.
These experiments were performed in pregnant and nonpregnant rats under
normoinsulinemia (basal) and under both short- and long-term
hyperinsulinemia, generated by means of the euglycemic-hyperinsulinemic
clamp (1-h HI) and by the 72-h continuous glucose infusion (72-h HI),
respectively. As shown in Fig. 1
, in
mammary gland of normoglycemic virgin animals (basal), the GUI value
was 1.60 ± 0.15 mg x min-1 x
kg-1, and neither short-term (1-h HI) nor prolonged (72-h
HI) exposure to hyperinsulinemia affected the GUI in mammary glands of
these animals (1.56 ± 0.34 and 1.91 ± 0.34 mg x
min-1 x kg -1, respectively). In pregnant
rats, under basal conditions, the GUI of mammary gland was 1.31 ±
0.26 mg x min-1 x kg -1 and, thus, did
not differ from the value found in the virgin basal group. However, in
contrast to virgin rats, mammary glands of pregnant animals responded
to hyperinsulinemia with increased glucose utilization (Fig. 1
). This
effect seemed to be dependent on the duration of hyperinsulinemia, with
GUI values increasing to 2.08 ± 0.15 mg x
min-1 x kg-1 (1.6-fold) and to 3.08 ±
0.35 mg x min-1 x kg-1 (2.4-fold) upon
exposure to hyperinsulinemic conditions for 1 and 72 h,
respectively.

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Figure 1. Effect of hyperinsulinemia (HI) on glucose
utilization in the mammary gland of virgin and pregnant rats. GUI in
mammary gland of virgin and 20-day-pregnant rats was measured as
described in Materials and Methods under normoglycemic,
short-term, and long-term hyperinsulinemic conditions,
i.e. in rats at the end of a 72-h infusion with
bidistilled water (basal group), after 1 h of an
euglycemic-hyperinsulinemic clamp (0.8 IU insulin x
h-1 x kg-1), subsequent to a 72-h infusion
with bidistilled water (1-h HI) or at the end of a 72-h infusion with
50% glucose [72 h hyperinsulinemic group (72-h HI)], respectively.
Statistical comparisons were made by ANOVA, followed by a Tuckey test
with 95% confidence limits. Significance is shown by
letters: different letters indicate
significant difference (P < 0.05). Capital
letters are used for the pregnant rats.
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Insulin binding characteristics of insulin receptors from mammary
gland
To investigate whether the increased insulin sensitivity of
mammary gland in late pregnancy can be accounted for by changes in
binding of insulin to its receptor, we performed competition binding
studies with 125I-labeled insulin and insulin receptors
partially purified from mammary glands of virgin and pregnant rats
exposed to normo- and hyperinsulinemic conditions (i.e.
infusion of bidistilled water or 50% glucose for 72 h,
respectively). Scatchard analysis of competition binding curves (not
shown) revealed that virgin and pregnant rats exhibited both low- and
high-affinity sites for insulin. As shown in Table 3
, both binding capacity and affinity of
insulin receptors were similar in mammary gland of pregnant and virgin
rats. The binding data also show that in virgin and pregnant animals,
hyperinsulinemia caused by the 50% glucose infusion did not
significantly modify either maximal insulin binding to both the
high-(Bmax-1, ANOVA P = 0.68) and
low-affinity (B max-2, ANOVA P = 0.08)
receptor or the affinity of insulin for the high-(Kd-1,
ANOVA P = 0.761) or for the low-affinity binding sites
(Kd-2, ANOVA P = 0.203) (Table 3
).
Furthermore, the number of receptors per mg of tissue was not
significantly affected either by pregnancy or by sustained
hyperinsulinemia (ANOVA P = 0.177).
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Table 3. Effect of 50% glucose infusion (35 ml/day) for 3
days on insulin binding to the mammary gland insulin receptor of virgin
and pregnant rats
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Kinase activity of insulin receptor from mammary gland
Because the binding data did not provide an explanation for the
development of increased insulin sensitivity in the mammary gland
during late pregnancy, we speculated that pregnancy might modify the
kinase activity of the mammary gland insulin receptor. To address this
issue, in vitro phosphorylation studies, with insulin
receptors partially purified from mammary glands of control and
glucose-infused virgin and pregnant rats, were performed; and the
kinase activity of the receptor was determined as insulin-dependent
autophosphorylation of its 95 kDa
-subunit. Representative
autoradiographs of the phosphorylated and immunoprecipitated mammary
gland insulin receptors, in the presence (160 nM) or the
absence of insulin, are depicted in the upper part of Fig. 2
. To quantify the kinase activity of the
insulin receptor under the different experimental conditions in each
preparation, 32P-incorporation into the ß-subunit was
determined by scanning densitometry and normalized to its insulin
binding activity (IBA). As shown in Fig. 2
, insulin receptors from
mammary glands displayed basal autophosphorylation that was
approximately 20-fold higher in pregnant than in virgin rats. Although,
in both groups, autophosphorylation was markedly increased upon
incubation with 160 nM insulin, phosphorylation levels were
always higher in the pregnant than in the virgin group. The effect of
glucose infusion also was different in virgin and pregnant animals. The
quantitative analysis shown in Fig. 2
revealed that in receptors from
mammary gland of glucose-infused virgin rats (i.e. rats kept
hyperinsulinemic for 72 h), insulin (160
nM)-stimulated kinase activity was only 38% of that found
in control animals. Hence, whereas in virgin rats the glucose infusion
reduced the insulin-dependent phosphorylation even more, in pregnant
rats it led to a slight (although not significant) increase in
insulin-stimulated autophosphorylation. Thus, in the insulin receptors
of mammary glands from pregnant rats, the insulin-stimulated kinase
activity was 6- and 20-fold higher under normo- and hyperinsulinemic
conditions, respectively, as compared with virgin animals.

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Figure 2. Insulin receptor (IR) ß-subunit
autophosphorylation. Insulin receptors, partially purified from mammary
gland, were phosphorylated after incubation in the absence or presence
(160 nM) of insulin. Phosphorylated receptors were
immunoprecipitated with antiphosphotyrosine specific antibodies and
separated by SDS-PAGE. The autoradiographs shown in the upper
part of the figure identify a 95-kDa band corresponding to the
receptor ß-subunit. Equal amounts of WGA-purified protein were used
in the four groups. The lower part of the figure shows
the absolute 32P-incorporation into the insulin receptor.
Autoradiographs were quantified by scanning densitometry, and data were
corrected according to the IBA of each preparation.
32Pi-incorporation was expressed as percentage of maximal
phosphorylation, which was always observed in the presence of 160
nM insulin, with receptors obtained from glucose-infused
pregnant rats. Data are mean ± SEM of three
experiments.
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To determine whether pregnancy and/or hyperinsulinemia are accompanied
by changes in the insulin-responsiveness of the kinase activity of the
mammary gland insulin receptor, phosphorylation experiments were
carried out in the presence of increasing concentrations of insulin
(0160 nM), and the degree of autophosphorylation of the
receptor was quantified (by scanning densitometry of the obtained
autoradiographs) and normalized to IBA. The dose-response curves (Fig. 3
) show that the insulin concentrations
required for half-maximal stimulation of receptor autophosphorylation
were virtually identical (ED50
15 nM) under
the various experimental conditions, i.e. virgin and
pregnant rats under control or glucose-infused conditions. These curves
clearly show that the efficacy of insulin to stimulate the kinase
activity of the mammary gland insulin receptor is markedly higher in
pregnant than in virgin rats and that the highest insulin-dependent
phosphorylation was detected in the glucose-infused pregnant rat group
(Fig. 3
).
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Discussion
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The model of the euglycemic-hyperinsulinemic rat, obtained by 50%
glucose infusion for 3 days, was used to study mammary gland insulin
sensitivity during pregnancy and to shed light on the molecular
mechanism underlying the responsiveness of this tissue to insulin. It
was found here, in agreement with previous reports (19), that sustained
euglycemia-hyperinsulinemia decreases overall insulin sensitivity in
virgin rats and reverts the insulin resistance condition (19) normally
present in pregnant animals (5, 6, 31, 32). Furthermore, the present
study shows, for the first time, that in pregnant rats, mammary gland
displays high insulin-dependent glucose uptake under hyperinsulinemia,
caused by either the euglycemic-hyperinsulinemic clamp or by the
continuous glucose infusion. In contrast, glucose utilization by the
glands from nonpregnant rats is not affected under the same conditions.
The increased insulin responsiveness in mammary glands of pregnant rats
may be accounted for by changes in the binding characteristics of the
insulin receptor, by an altered kinase activity and/or phosphorylation
status of the receptor, or by postreceptor events. The data obtained
from radioligand binding studies argue against changes in the
hormone-receptor interaction in late pregnancy or in response to
hyperinsulinemia, because both maximal insulin binding and affinity to
both high- and low-affinity sites remain unaffected. These data agree
with previous reports (33, 34), showing that the number of insulin
receptors expressed per amount of protein in wheat-germ agglutinin
eluates is similar in mammary gland tissue of untreated virgin and
pregnant rats, without relevant differences in affinity values between
the partially purified insulin receptors from both groups. Thus,
similar to the situation found in liver (29), the moderate
hyperinsulinemia characteristic of pregnancy apparently does not result
in a down-regulation of insulin binding in mammary gland.
In various physiological and pathological situations, insulin
resistance has been associated with changes in insulin receptor
function (for review, see Ref.35) and, more specifically, to an
impaired tyrosine kinase activity of the receptor (for review, see
Refs. 36, 28, and 29) or with the existence of postreceptor defects
(12). Supporting the hypothesis that changes in the insulin receptor
kinase activity also may account for the increased insulin sensitivity
of mammary gland during late pregnancy, it was found here that
insulin-induced autophosphorylation of the receptor ß-subunit of
pregnant rats was approximately 6-fold higher than in virgin animals.
In addition, basal autophosphorylation of the insulin receptor,
determined in the absence of insulin, was also markedly higher in
mammary glands from pregnant rats than in those from virgin animals.
These differences in basal autophosphorylation may be caused by changes
in the receptor structure or in phosphatase levels. However, this
increased basal autophosphorylation does not modify the glucose uptake
in the pregnant mammary gland, as compared with the nonpregnant tissue.
Thus, it seems that the differences in the basal phosphorylation are
physiologically irrelevant. Dose-response curves confirmed that the
concentration of insulin giving the half-maximal stimulation of
autophosphorylation (ED50
15 nM) of the
insulin receptor in mammary gland was similar in the virgin and
pregnant groups. These results indicate that the increased kinase
activity in pregnant rats is mainly caused by an enhanced
responsiveness to insulin and not to an altered sensitivity to the
hormone.
The hyperinsulinemic condition caused by the prolonged glucose infusion
further impairs insulin stimulation of receptor ß-subunit
phosphorylation in virgin rats. Incubation of adipocytes with high
concentrations of glucose has been reported to inhibit insulin receptor
kinase activity (37). Because adipocytes are the predominant cells in
the mammary gland of virgin rats (14, 15), it may be proposed that,
although glucose homeostasis is maintained during the glucose infusion,
the increased availability of glucose might induce an inhibitory
mechanism, impairing insulin receptor autophosphorylation in the
mammary gland of virgin rats.
It could be argued that the observed differences in insulin sensitivity
of mammary gland between pregnant and virgin rats are mainly caused by
the insulin-sensitive epithelial cells, which are the major cellular
type in the mature gland of the pregnant rat. However, it is known that
lipoprotein lipase activity is associated with adipose cells in the
mature mammary gland (15, 18) and becomes extremely sensitive to
hyperinsulinemia in both pregnant (17) and lactating rats (10, 38).
This, therefore, suggests that the enhanced insulin sensitivity of
mammary gland tissue seen in late pregnancy results from the increased
activity of insulin receptors from both adipose and epithelial cells.
Furthermore, because adipose tissue is one of the most
insulin-sensitive tissues, the absence of insulin response in virgin
rat mammary gland (which is formed mainly by adipose cells) can be
explained only by postulating the existence of mammary gland-specific
mechanisms that inhibit the kinase activity of insulin receptors in
virgin, but not in pregnant or lactating, animals.
In conclusion, present findings indicate that, opposite to the insulin
resistance present in most tissues of late-pregnant rats, mammary
glands exhibit increased insulin sensitivity. Furthermore, we provide
evidence that the increased response to insulin of the mature mammary
gland in late pregnancy is not accounted for by changes at the level of
the hormone-receptor interaction but by up-regulation of insulin
receptor kinase activity.
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Acknowledgments
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The authors thank Beatriz Ramos for her editorial help.
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Footnotes
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1 This study was supported by grants from the Comisión
Interministerial de Ciencia y Tecnología (PM 950044-00201).
The CBM-CSIC is recipient of an institutional grant from
Fundación Ramón Areces. 
Received June 19, 1997.
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