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Glucose intolerance in aging is mediated by the Gpcpd1-GPC metabolic axis

Domagoj Cikes, Michael Leutner, Shane J.F. Cronin, Maria Novatchkova, Lorenz Pfleger, Radka Klepochová, Gerhard Dürnberger, Elisabeth Roitinger, Eric Rullman, Thomas Gustafsson, Astrid Hagelkruys, Claude Knauf, Cedric Moro, Michael Krebs, Alexandra Kautzky-Willer, Martin Krssak, Michael Orthofer, Josef M. Penninger
doi: https://doi.org/10.1101/2021.10.26.465828
Domagoj Cikes
1IMBA, Institute of Molecular Biotechnology of the Austrian Academy of Sciences, Vienna, 1030, Austria
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  • For correspondence: domagoj.cikes@imba.oeaw.ac.at josef.penninger@ubc.ca
Michael Leutner
2Division of Endocrinology and Metabolism Department of Internal Medicine III, Medical University of Vienna, Vienna, 1090, Austria
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Shane J.F. Cronin
1IMBA, Institute of Molecular Biotechnology of the Austrian Academy of Sciences, Vienna, 1030, Austria
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Maria Novatchkova
1IMBA, Institute of Molecular Biotechnology of the Austrian Academy of Sciences, Vienna, 1030, Austria
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Lorenz Pfleger
2Division of Endocrinology and Metabolism Department of Internal Medicine III, Medical University of Vienna, Vienna, 1090, Austria
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Radka Klepochová
2Division of Endocrinology and Metabolism Department of Internal Medicine III, Medical University of Vienna, Vienna, 1090, Austria
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Gerhard Dürnberger
1IMBA, Institute of Molecular Biotechnology of the Austrian Academy of Sciences, Vienna, 1030, Austria
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Elisabeth Roitinger
1IMBA, Institute of Molecular Biotechnology of the Austrian Academy of Sciences, Vienna, 1030, Austria
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Eric Rullman
4Division of Clinical Physiology, Department of Laboratory Medicine, Karolinska Institutet, and Unit of Clinical Physiology, Karolinska University Hospital, Stockholm; Sweden
5Cardiovascular Theme, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm; Sweden
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Thomas Gustafsson
4Division of Clinical Physiology, Department of Laboratory Medicine, Karolinska Institutet, and Unit of Clinical Physiology, Karolinska University Hospital, Stockholm; Sweden
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Astrid Hagelkruys
1IMBA, Institute of Molecular Biotechnology of the Austrian Academy of Sciences, Vienna, 1030, Austria
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Claude Knauf
6INSERM U1220 Institut de Recherche en Santé Digestive, CHU Purpan, Université Toulouse III Paul Sabatier Toulouse; France
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Cedric Moro
7Institute of Metabolic and Cardiovascular Diseases, Inserm/Paul Sabatier University UMR 1297, Toulouse, France
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Michael Krebs
2Division of Endocrinology and Metabolism Department of Internal Medicine III, Medical University of Vienna, Vienna, 1090, Austria
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Alexandra Kautzky-Willer
2Division of Endocrinology and Metabolism Department of Internal Medicine III, Medical University of Vienna, Vienna, 1090, Austria
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Martin Krssak
2Division of Endocrinology and Metabolism Department of Internal Medicine III, Medical University of Vienna, Vienna, 1090, Austria
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Michael Orthofer
1IMBA, Institute of Molecular Biotechnology of the Austrian Academy of Sciences, Vienna, 1030, Austria
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Josef M. Penninger
1IMBA, Institute of Molecular Biotechnology of the Austrian Academy of Sciences, Vienna, 1030, Austria
3Department of Medical Genetics, Life Sciences Institute, University of British Columbia, Vancouver; Canada
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  • For correspondence: domagoj.cikes@imba.oeaw.ac.at josef.penninger@ubc.ca
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Abstract

Skeletal muscle plays a central role in the regulation of systemic metabolism during lifespan. With aging, muscle mediated metabolic homeostasis is perturbed, contributing to the onset of multiple chronic diseases. Our knowledge on the mechanisms responsible for this age-related perturbation is limited, as it is difficult to distinguish between correlation and causality of molecular changes in muscle aging. Glycerophosphocholine phosphodiesterase 1 (GPCPD1) is a highly abundant muscle enzyme responsible for the hydrolysis of the lipid glycerophosphocholine (GPC). The physiological function of GPCPD1 remained largely unknown. Here, we report that the GPCPD1-GPC metabolic pathway is dramatically perturbed in the aged muscle. Muscle-specific inactivation of Gpcpd1 resulted in severely affected glucose metabolism, without affecting muscle development. This pathology was muscle specific and did not occur in white fat-, brown fat- and liver-specific Gpcpd1 deficient mice. Moreover, in the muscle specific mutant mice, glucose intolerance was markedly accelerated under high sugar and high fat diet. Mechanistically, Gpcpd1 deficiency results in accumulation of GPC, without any other significant changes in the global lipidome. This causes an “aged-like” transcriptomic signature in young Gpcpd1 deficient muscles and impaired insulin signaling. Finally, we report that GPC levels are markedly perturbed in muscles from both aged humans and patients with Type 2 diabetes, with highly significant positive correlation of GPC levels with advanced age. These results identify the GPCPD1-GPC metabolic pathway as critical to muscle aging and age-associated glucose intolerance.

Competing Interest Statement

The authors have declared no competing interest.

Footnotes

  • New experimental work as well as text format has been expanded as requested by the reviewers

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Posted July 30, 2022.
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Glucose intolerance in aging is mediated by the Gpcpd1-GPC metabolic axis
Domagoj Cikes, Michael Leutner, Shane J.F. Cronin, Maria Novatchkova, Lorenz Pfleger, Radka Klepochová, Gerhard Dürnberger, Elisabeth Roitinger, Eric Rullman, Thomas Gustafsson, Astrid Hagelkruys, Claude Knauf, Cedric Moro, Michael Krebs, Alexandra Kautzky-Willer, Martin Krssak, Michael Orthofer, Josef M. Penninger
bioRxiv 2021.10.26.465828; doi: https://doi.org/10.1101/2021.10.26.465828
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Glucose intolerance in aging is mediated by the Gpcpd1-GPC metabolic axis
Domagoj Cikes, Michael Leutner, Shane J.F. Cronin, Maria Novatchkova, Lorenz Pfleger, Radka Klepochová, Gerhard Dürnberger, Elisabeth Roitinger, Eric Rullman, Thomas Gustafsson, Astrid Hagelkruys, Claude Knauf, Cedric Moro, Michael Krebs, Alexandra Kautzky-Willer, Martin Krssak, Michael Orthofer, Josef M. Penninger
bioRxiv 2021.10.26.465828; doi: https://doi.org/10.1101/2021.10.26.465828

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