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The Journal of Neuroscience, August 6, 2003, 23(18):7084-7092

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Insulin Receptor Substrate-2 Deficiency Impairs Brain Growth and Promotes Tau Phosphorylation

Markus Schubert,1 * Derek P. Brazil,1 * Deborah J. Burks,1 * Jake A. Kushner,1 Jing Ye,1 Carrie L. Flint,1 Janet Farhang-Fallah,1 Pieter Dikkes,2 Xavier M. Warot,2 Carlos Rio,2 Gabriel Corfas,2 and Morris F. White1

1Howard Hughes Medical Institute, Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts 02215, and 2Division of Neuroscience, Department of Neurology, Harvard Medical School, Boston, Massachusetts 02115

Insulin resistance and diabetes might promote neurodegenerative disease, but a molecular link between these disorders is unknown. Many factors are responsible for brain growth, patterning, and survival, including the insulin-insulin-like growth factor (IGF)-signaling cascades that are mediated by tyrosine phosphorylation of insulin receptor substrate (IRS) proteins. Irs2 signaling mediates peripheral insulin action and pancreatic {beta}-cell function, and its failure causes diabetes in mice. In this study, we reveal two important roles for Irs2 signaling in the mouse brain. First, disruption of the Irs2 gene reduced neuronal proliferation during development by 50%, which dissociated brain growth from Irs1-dependent body growth. Second, neurofibrillary tangles containing phosphorylated tau accumulated in the hippocampus of old Irs2 knock-out mice, suggesting that Irs2 signaling is neuroprotective. Thus, dysregulation of the Irs2 branch of the insulin-Igf-signaling cascade reveals a molecular link between diabetes and neurodegenerative disease.

Key words: diabetes; insulin receptor substrates; Irs2; growth factors; tau phosphorylation; brain size; neuron survival; Alzheimer's disease


Received Mar. 17, 2003; revised Apr. 23, 2003; accepted May. 8, 2003.




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