Insulin regulation of solute carrier family 2 member 1 (glucose transporter 1) expression and glucose uptake in decidual

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(2020) 18:117

RESEARCH

Open Access

Insulin regulation of solute carrier family 2 member 1 (glucose transporter 1) expression and glucose uptake in decidualizing human endometrial stromal cells: an in vitro study Ivika Jakson1,2* , Dorina Ujvari1, Sebastian Brusell Gidlöf3,4 and Angelica Lindén Hirschberg1,5

Abstract Background: Solute carrier family 2 member 1 (SLC2A1; previously known as glucose transporter 1), is the most abundant glucose transporter in human endometrium and is up-regulated during decidualization, whereas high insulin may have a negative impact on this process. The present study aimed to investigate the effect of insulin on the expression of SLC2A1 and glucose uptake in decidualizing human endometrial stromal cells. Methods: We induced in vitro decidualization of endometrial stromal cells obtained from regularly menstruating healthy non-obese women. The cells were treated with increasing concentrations of insulin, and the involvement of the transcription factor forkhead box O1 (FOXO1) was evaluated using a FOXO1 inhibitor. SLC2A1 mRNA levels were measured by Real-Time PCR and protein levels were evaluated by immunocytochemistry. Glucose uptake was estimated by an assay quantifying the cellular uptake of radioactive glucose. One-way ANOVA, Dunnett’s multiple comparisons test and paired t-test were used to determine the statistical significance of the results. Results: We found that insulin dose-dependently decreased SLC2A1 mRNA levels and decreased protein levels of SLC2A1 in decidualizing human endometrial stromal cells. Transcriptional inactivation of FOXO1 seems to explain at least partly the down-regulation of SLC2A1 by insulin. Glucose uptake increased upon decidualization, whereas insulin treatment resulted in a slight inhibition of the glucose uptake, although not significant for all insulin concentrations. Conclusions: These results indicate an impairment of decidualization by high concentrations of insulin. Future studies will determine the clinical significance of our results for endometrial function and decidualization in women with insulin resistance and hyperinsulinemia. Keywords: Decidualization, GLUT1, SLC2A1, Insulin, Glucose uptake, Human endometrium

* Correspondence: [email protected] 1 Department of Women’s and Children’s Health, Karolinska Institutet, Karolinska vägen 37A, 171 76 Stockholm, Sweden 2 Women’s Health Theme, Karolinska University Hospital, Stockholm, Sweden Full list of author information is available at the end of the article

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