eLife (Feb 2018)

Mitochondrial CoQ deficiency is a common driver of mitochondrial oxidants and insulin resistance

  • Daniel J Fazakerley,
  • Rima Chaudhuri,
  • Pengyi Yang,
  • Ghassan J Maghzal,
  • Kristen C Thomas,
  • James R Krycer,
  • Sean J Humphrey,
  • Benjamin L Parker,
  • Kelsey H Fisher-Wellman,
  • Christopher C Meoli,
  • Nolan J Hoffman,
  • Ciana Diskin,
  • James G Burchfield,
  • Mark J Cowley,
  • Warren Kaplan,
  • Zora Modrusan,
  • Ganesh Kolumam,
  • Jean YH Yang,
  • Daniel L Chen,
  • Dorit Samocha-Bonet,
  • Jerry R Greenfield,
  • Kyle L Hoehn,
  • Roland Stocker,
  • David E James

DOI
https://doi.org/10.7554/eLife.32111
Journal volume & issue
Vol. 7

Abstract

Read online

Insulin resistance in muscle, adipocytes and liver is a gateway to a number of metabolic diseases. Here, we show a selective deficiency in mitochondrial coenzyme Q (CoQ) in insulin-resistant adipose and muscle tissue. This defect was observed in a range of in vitro insulin resistance models and adipose tissue from insulin-resistant humans and was concomitant with lower expression of mevalonate/CoQ biosynthesis pathway proteins in most models. Pharmacologic or genetic manipulations that decreased mitochondrial CoQ triggered mitochondrial oxidants and insulin resistance while CoQ supplementation in either insulin-resistant cell models or mice restored normal insulin sensitivity. Specifically, lowering of mitochondrial CoQ caused insulin resistance in adipocytes as a result of increased superoxide/hydrogen peroxide production via complex II. These data suggest that mitochondrial CoQ is a proximal driver of mitochondrial oxidants and insulin resistance, and that mechanisms that restore mitochondrial CoQ may be effective therapeutic targets for treating insulin resistance.

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