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Table 1 Insulin resistance 'subphenotypes' seen in humans and mice with deficiency or mutations of HMGA1 or INSR*

From: From bending DNA to diabetes: the curious case of HMGA1

  

Human

Mouse

Tissue

Characteristic

INSR mutation†

HMGA1 mutation

Common IR/T2DM

Hmga1 -/-

Insrloss of function‡

Whole body

Fasting glucose

↓ to → to ↑

↓ to → to ↑

→ to ↑

→

↓ to → to ↑

 

Fasting insulin

↑↑↑

↑↑↑

↑ to ↑↑

↓

↑↑

 

Insulin sensitivity

↓↓↓

↓↓↓

↓ to ↓↓

↑

↓↓↓

 

Glucose tolerance

→ to ↓

→ to ↓

→ to ↓

↓

↓

Liver

Lipid profile

Normal Tg and HDL

?

High Tg, low HDL

?

?

 

IGFBP1

↑

↓

↓

↓

↑↑

 

SHBG

↑

?

↓

?

?

 

Liver fat

Normal

?

↑

?

?

Adipose tissue

Adiponectin

↑↑

?

↓

?

↑

 

Leptin

↓

?

→ to ↑↑

?

↓

 

RBP

↓

?

↑

↓↓

?

  1. *Tg, triglyceride; HDL, high density lipoprotein cholesterol; IGFBP1, insulin-like growth factor binding protein 1; SHBG, sex hormone binding globulin; RBP, retinol binding protein. †Representative of patients with Rabson Mendenhall syndrome, in which there is approximately 90% loss of INSR function. ‡No strictly Insr hypomorphic mice with 10% residual receptor function have been reported, so results are inferred from related models, such as a conditional peripheral Insr knockout and an Insr mosaic knockout.