Lysophosphatidic acid impairs glucose homeostasis and inhibits insulin secretion in high-fat diet obese mice
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Lysophosphatidic acid (LPA) is a lipid mediator produced by adipocytes that acts via specific G-protein-coupled receptors; its synthesis is modulated in obesity. We previously reported that reducing adipocyte LPA production in high-fat diet (HFD)-fed obese mice is associated with improved glucose tolerance, suggesting a negative impact of LPA on glucose homeostasis. Here, our aim was to test this hypothesis.
First, glucose tolerance and plasma insulin were assessed after acute (30 min) injection of LPA (50 mg/kg) or of the LPA1/LPA3 receptor antagonist Ki16425 (5 mg kg−1 day−1, i.p.) in non-obese mice fed a normal diet (ND) and in obese/prediabetic (defined as glucose-intolerant) HFD mice. Glucose and insulin tolerance, pancreas morphology, glycogen storage, glucose oxidation and glucose transport were then studied after chronic treatment (3 weeks) of HFD mice with Ki16425.
In ND and HFD mice, LPA acutely impaired glucose tolerance by inhibiting glucose-induced insulin secretion. These effects were blocked by pre-injection of Ki16425 (5 mg/kg, i.p.). Inhibition of glucose-induced insulin secretion by LPA also occurred in isolated mouse islets. Plasma LPA was higher in HFD mice than in ND mice and Ki16425 transiently improved glucose tolerance. The beneficial effect of Ki16425 became permanent after chronic treatment and was associated with increased pancreatic islet mass and higher fasting insulinaemia. Chronic treatment with Ki16425 also improved insulin tolerance and increased liver glycogen storage and basal glucose use in skeletal muscle.
Exogenous and endogenous LPA exerts a deleterious effect on glucose disposal through a reduction of plasma insulin; pharmacological blockade of LPA receptors improves glucose homeostasis in obese/prediabetic mice.
KeywordsAntagonist Glucose homeostasis Insulin Lysophosphatidic acid Obesity Receptors
Adipocyte-specific ATX knockout
Krebs Ringer Bicarbonate HEPES buffer
Monocyte chemotactic protein
Excessive accumulation of adipose tissue in obesity is frequently associated with metabolic defects (postprandial hyperglycaemia, dyslipidaemia, insulin resistance) that may lead to type 2 diabetes and cardiovascular diseases (hypertension, atherosclerosis, nephropathies) [1, 2]. In parallel with its lipid storage capacity, the adipose tissue produces various bioactive molecules (adipokines, reactive phospholipids, glycerol, NEFA). The export of these molecules from adipose tissue is often altered in obese individuals and some of them (TNF-α, resistin, monocyte chemotactic protein-1 [MCP-1]) exert deleterious effects on glucose metabolism and insulin sensitivity .
Lysophosphatidic acid (LPA) is a phospholipid mediator that regulates several cellular responses (proliferation, migration, differentiation) via specific G-protein-coupled receptors (LPA1R to LPA6R) . LPA is synthesised via the hydrolysis of lysophosphatidylcholine by a secreted lysophospholipase D (autotaxin [ATX]) [5, 6]. The available pharmacological tools targeting ATX/LPA signalling are still scarce [7, 8, 9]. Ki16425  is a mixed LPA receptor antagonist that exhibits close and preferential affinity for the LPA1R and LPA3R subtypes (250 and 360 nmol/l, respectively) [8, 10] and its in vivo antagonist efficiency has been documented [11, 12, 13].
White adipose tissue secretes ATX and LPA in the extracellular milieu [12, 14, 15, 16]. The expression of ATX is increased in the adipose tissue of obese insulin-resistant individuals and mice [16, 17, 18]. Plasma levels of LPA are increased in high-fat diet (HFD) obese mice as the result of an increased expression of ATX in adipocytes . Invalidation of ATX in adipocytes (FATX-KO mice) reduces plasma LPA and enhances fat mass in HFD-fed mice , in agreement with the anti-adipogenic effect of LPA .
Whereas the growth factor-like properties of LPA have been studied extensively, a few and primarily in vitro studies have reported that LPA also regulates glucose metabolism [21, 22, 23]. Interestingly, in vivo deletion of ATX in adipocytes (FATX-KO mice) is associated with a better glucose tolerance , suggesting a negative effect of LPA on glucose homeostasis. If this hypothesis is correct, LPA receptors could represent valuable pharmacological targets for the treatment of impaired glucose homeostasis associated with obesity.
Our objective was to study the influence of LPA on glucose and insulin homeostasis. We found that administration of LPA to mice impairs glucose disposal via a reduction of plasma insulin levels, and that chronic pharmacological blockade of the LPA receptors restores normal glucose homeostasis in HFD obese/prediabetic (defined as glucose intolerant) mice.
C57Bl6/J male mice were housed conventionally under a constant temperature (20–22°C) and humidity (50–60%) with a 12/12 h light/dark cycle (lights on at 07:00 hours) and free access to food and water. Mice were handled in accordance with the principles and guidelines established by the National Institute of Medical Research (Inserm) and in conformity with the ‘Principles of laboratory animal care’ (NIH publication no. 85–23, revised 1985 http://grants1.nih.gov/grants/olaw/references/phspol.htm). The local animal facility committee at Inserm approved our protocols.
Ki16425 Cayman Chemicals-Interchim (Montluçon, France) was diluted at a concentration of 1 mg/ml in PBS supplemented with 10% DMSO. LPA (oleoyl lysophosphatidic acid; Avanti Polar, Alabaster, AL, USA) was diluted at 15 mg/ml in PBS supplemented with 1% fatty-acid-free BSA. Ki16425 (5 mg/kg), LPA (50 mg/kg) and vehicle (control) were administered by i.p. injection. Treatments with Ki16425 and LPA started 9 weeks after beginning the feeding protocol. The dose of LPA injected was adapted from previous reports [24, 25]. The concentration of Ki16425 used had previously been demonstrated to block LPA receptors in vivo . Acute treatments consisted of injecting a single dose of LPA or Ki16425 30 min before conducting glucose or insulin tolerance tests. Acute treatments were performed on ND and HFD mice after 9 weeks of diet. Chronic treatment consisted of a daily injection of Ki16425 for 3 weeks. HFD was maintained during chronic treatment. Chronic treatment was followed by glucose or insulin tolerance tests, which were conducted 24 h after the last injection of Ki16425. After glucose or insulin tolerance tests, treatment with Ki16425 was continued for few days before the mice were killed after an overnight fasting. Plasma and organs were collected for further analysis.
Glucose and insulin tolerance tests
Mice were fasted for 7 h before i.p. injection of glucose (1 g/kg) or insulin (0.75 U/kg). Blood from the tail vein was sampled before glucose load and every 15 min over 120 min to monitor glucose concentration. Plasma was collected 15 min before and after glucose injection to quantify insulin concentration. Glucose and insulin tolerance tests were conducted on separate groups of mice to limit the stress on the mice.
Fat and lean masses were determined by placing mice in a clear plastic holder, without anaesthesia or sedation, and inserting into the EchoMRI-3-in-1 system (Echo Medical Systems, Houston, TX, USA). The measure was performed 1 day before acute treatments with LPA and Ki16425, and after chronic treatment with Ki16425.
Blood glucose was quantified using a glucose meter (Accu-Chek; Roche Diagnostic, Grenoble, France). Plasma insulin was quantified using a mouse insulin ELISA kit (Mercodia, Uppsala, Sweden). Plasma NEFA were measured using the enzymatic colorimetric Wako NEFA kit (Wako Chemicals, Neuss, Germany). Plasma triacylglycerols were measured using the enzymatic colorimetric PAP 150 Kit (BioMerieux, Marcy l’Etoile, France). Plasma leptin and adiponectin were determined using Quantkine Immunoassays (R&D Systems, Minneapolis, MN, USA). Plasma LPA was measured using a radioenzymatic assay as previously described [19, 27]. Briefly, lipids were extracted from conditioned media or plasma with an equal volume of 1-butanol and evaporated. Extracted lipids were converted into [14C]phosphatidic acid with recombinant LPA acyl-transferase in the presence of [14C]oleoyl-CoA. The products of the reaction were extracted, separated by one-dimensional thin-layer chromatography and autoradiographed.
Organ triacylglycerol content
Skeletal muscle and liver were homogenised and triacylglycerols were extracted from 500 μl homogenate using 2.5 ml chloroform/methanol (2:1 vol./vol.) and 1.2 ml KCl/HCl 2 mol/l was added. The organic phase was evaporated and solubilised in isopropyl alcohol, and triacylglycerols were quantified using an enzymatic colorimetric PAP 150 Kit (BioMerieux).
Organ glycogen content
Skeletal muscle or liver was digested in NaOH (1 mol/l) and digestion was stopped with HCl (1 mol/l). Digestate was diluted in sodium acetate (1:4 vol./vol.) unsupplemented or supplemented with amyloglucosidase (500 U/ml) (Sigma-Aldrich, St Quentin Fallavier, France) and incubated at 55°C for 1 h to transform glycogen into glucose. Released glucose was quantified using an RTU kit (BioMerieux).
Glucose oxidation in ex vivo muscle
Glucose oxidation was measured as previously described  with minor modifications. Red bundles from gastrocnemus muscle were incubated in modified Krebs–Henseleit (KH) buffer containing 0.2% fatty-acid-free BSA, 5 mmol/l glucose and 5,550 Bq/ml [14C]glucose (PerkinElmer, Woodbridge, ON, Canada) for 60 min at 37°C in a sealed glass vial. At the end of the incubation, muscles were removed and homogenised in 800 μl lysis buffer to determine protein quantity. Oxidation was determined by acidifying the incubation buffer with 1 ml of H2SO4 1 mol/l, and the 14CO2 was trapped by benzethonium hydroxide (Sigma-Aldrich) placed in a 0.5 ml microtube in the sealed glass vial. After 180 min, the microtube was removed and placed in a scintillation vial and radioactivity was counted (Cytoscint; MP Biomedicals, Illkirch, France).
Glucose transport in ex vivo muscle
Glucose transport was measured as previously described . Soleus muscles were isolated and preincubated for 10 min in KH buffer, pH 7.4, containing BSA (2 mg/ml), 2 mmol/l sodium pyruvate and 20 mmol/l HEPES. Muscles were then incubated for 45 min in the absence or the presence of insulin (100 nmol/l). For glucose transport, muscles were transferred into another vial containing KH medium supplemented with insulin, d-2-deoxyglucose (0.1 mmol/l) and 2-deoxy-d-[3H]glucose (14,800 Bq/ml) for 10 min. Muscles were then washed for 1 h in ice-cold PBS and dissolved in 1 mol/l NaOH for a period of 1 h. 2-Deoxy-d-[3H]glucose 6-phosphate and 2-deoxy-d-[3H]glucose were differentially precipitated by the use of zinc sulfate (0.3 mol/l), barium hydroxide (0.3 mol/l) and perchloric acid solutions (6%). Radioactivity of each precipitate was quantified in a liquid scintillation fluid.
Insulin secretion from isolated islets
Insulin secretion from isolated islets was analysed as previously described . Briefly, islets were isolated from mouse pancreas by collagenase digestion and separated from exocrine tissue by Histopaque gradient. Handpicked islets were placed at 37°C in RPMI medium containing 11 mmol/l glucose for overnight recovery and then distributed in 24-well plates (ten islets per well) for a starvation period of 2 h in RPMI containing 3 mmol/l glucose. Islets were then transferred into Krebs Ringer Bicarbonate HEPES buffer (KRBH) containing 3 mmol/l glucose and 0.07% BSA for a preincubation period of 45 min and then incubated for 1 h in KRBH medium supplemented with 0.5% BSA containing 3, 8 or 16 mmol/l glucose or 35 mmol/l KCl in the absence or presence of LPA (0.1, 1 and 5 μmol/l). Notice that incubation with KCl allows the measurement of insulin secretion due to complete depolarisation of the islets. The insulin released in incubation buffers was quantified using an AlphaLISA Human Insulin Research Immunoassay Kit (PerkinElmer) and human standards at the Imaging and Cell Biology Core Facility of the Centre de Recherche du CHUM. Total islet insulin content was measured after acid–ethanol (1.5% HCl, 75% ethanol) extraction.
Histological analysis of pancreas
Immediately after dissection, a piece of pancreas was fixed for 24 h in formalin 4%, then maintained at 4°C in 70% ethanol until paraffin embedding and sectioned into sections, 5 μm thick. Sections were stained with haematoxylin and eosin. An image of the entire slice was performed with NanoZoomer Digital Pathology Image (Hamamatsu [v1.2], Hamamatsu City, Japan) and then analysed with NDP scan 2.5.80 from Hamamatsu to count islet number and the number of cells per islet, and to measure islet area and the total analysed sample area.
Total RNAs were extracted from tissues and cells using the RNeasy mini kit (Qiagen, Hilden, Germany). Total RNA (500 ng) was reverse transcribed for 60 min at 37°C using Superscript II reverse transcriptase (Invitrogen, St Aubin, France) in the presence of random hexamers. A minus reverse transcriptase (RT) reaction was performed in parallel to ensure the absence of genomic DNA contamination. Real-time PCR was performed on 12.5 ng cDNA and 100–900 nmol/l specific oligonucleotide primers in a final volume of 20 μl using the Mesa blue QPCR Master Mix for Sybr (Eurogentec, Angers, France). Fluorescence was monitored and analysed in a StepOnePlus Real-Time PCR system instrument (Applied Biosystems, St Aubin, France). 18S RNA was used to normalise gene expression according to the following formula 2(Ct18S − Ctgene) where Ct corresponds to the number of cycles needed to generate a fluorescent signal above a predefined threshold. Oligonucleotide primers were designed using the Primer Express software (Applied Biosystems). The sequence of the oligonucleotide primers is listed in electronic supplementary material [ESM] Table 1.
Data are presented as means ± SEM. Bilateral Student’s t tests were used to compare two groups of data. A two-way ANOVA was applied to detect interaction between treatment and time. Differences were considered significant at p < 0.05.
LPA acutely impairs glucose disposal through inhibition of glucose-induced insulin secretion
After 9 weeks of diet, HFD mice were obese and prediabetic (see Methods). HFD mice also showed a significantly higher (1.9-fold) plasma LPA concentration than ND fed mice (Fig. 1a). This was in agreement with our previous report . To investigate the possible involvement of LPA in the glucose intolerance of HFD mice, glucose tolerance tests were performed 30 min after a single injection of LPA. In both ND and HFD mice, LPA did not modify basal glycaemia (Cont vs LPA, Fig. 1b vs g) and insulinaemia (Cont vs LPA Fig. 1c vs h) measured before glucose load. This indicated that LPA had no direct impact on these variables. Nevertheless, LPA potently impaired glucose tolerance when compared with control (Cont vs LPA, Fig. 1d, e and i, j). Pre-injection of Ki16425, 10 min before LPA, completely blocked the deleterious effect of LPA on glucose tolerance (LPA vs LPA + Ki, Fig. 1d, e and i, j). These data revealed that exogenous LPA exerts a deleterious effect on glucose tolerance through an LPA-receptor-dependent mechanism.
Interestingly, whereas injection of Ki16425 alone did not significantly influence glucose tolerance in ND mice (Cont vs Ki, Fig. 1d, e), it significantly improved glucose tolerance in HFD mice (Cont vs Ki, Fig. 1i, j). This specific beneficial effect of Ki16425 was compared with the higher concentration of plasma LPA in HFD mice than in ND mice (Fig. 1a). These data strongly suggested that enhanced endogenous production of LPA in HFD mice participates in their impaired glucose tolerance.
In an attempt to understand the mechanisms responsible for LPA-mediated impairment of glucose tolerance, plasma insulin was measured during the glucose tolerance test. In both ND and HFD mice, LPA significantly attenuated the induction of insulinaemia generated by the glucose bolus (Cont vs LPA Fig. 1f, k). LPA-mediated inhibition of plasma insulin was completely blocked by pre-injection of Ki16425 (LPA vs LPA + Ki, Fig. 1f, k). In parallel, insulin tolerance was not significantly altered after injection of LPA or Ki16425 (ESM Fig. 1), suggesting no impact on insulin sensitivity. These data demonstrated that LPA-induced impairment of glucose tolerance resulted from inhibition of glucose-induced insulin secretion rather than alteration of insulin sensitivity. In vitro, LPA dose-dependently inhibited glucose-induced insulin secretion by isolated mouse islets (ESM Fig. 2). In contrast, LPA had no influence on basal insulin secretion or on depolarisation-induced insulin secretion by KCl (ESM Fig. 2). A direct impact of LPA on the islets could thus be responsible for its inhibitory influence on glucose-induced insulinaemia.
Chronic treatment with Ki16425 improves glucose tolerance in HFD mice
We then investigated whether the beneficial effect of Ki16425 on glucose homeostasis in HFD mice could persist over time. In contrast to the observations made after 30 min, at 24 h after a single injection of Ki16425 glucose tolerance was no more improved when compared with control (ESM Fig. 3). This showed that the beneficial effect of a single injection of Ki16425 on glucose tolerance was transient.
Effect of chronic treatment with Ki16425 on HFD-fed mice
Control (n = 6)
Ki16425 (n = 6)
Body weight (g)
34.3 ± 2.3
32.4 ± 1.4
Body fat mass (% of total body weight)
34.1 ± 0.5
37.4 ± 1.1
Body lean mass (% of total body weight)
56.6 ± 0.7
57.7 ± 0.9
Subcutaneous adipose tissue (mg)
969 ± 27
1,269 ± 258
Perigonadal adipose tissue (mg)
1,711 ± 198
1,583 ± 292
249 ± 32
202 ± 17
1,136 ± 78
1,051 ± 97
Gastrocnemius muscle (mg)
341 ± 17
359 ± 19
Soleus muscle (mg)
20 ± 1
19 ± 2
Fasted liver triacylglycerols (mg/[g protein])
1.51 ± 0.28
2.07 ± 0.34
Fasted muscle triacylglycerols (mg/[g protein])
7.55 ± 0.67
7.92 ± 1.80
Fasted muscle glycogen (mg/[g protein])
14.7 ± 3.5
14.3 ± 2.5
Chronic treatment with Ki16425 improves insulin tolerance in HFD mice and increases liver glycogen content
To test this hypothesis, livers were examined. Ki16425-treated mice showed no change in liver weight (Table 1) or triacylglycerol content (Table 1). In contrast, Ki16425-treated mice displayed a significant increase in liver glycogen content when compared with vehicle-treated control mice; this was observed in overnight fasted mice as well as after 18 h re-feeding (Fig. 4c). Glycogen content results from a balance between synthesis and degradation. Livers from Ki16425-treated mice displayed higher gene expression of Gck (involved in glucose uptake) and lower expression of G6pase (also known as G6pc) and Pepck (also known as Pck1, involved in glucose production) when compared with control mice (Fig. 4d). A trend towards a reduced expression of Gyk (involved in neoglucogenesis) was also observed but did not reach significance (p = 0.08) (Fig. 4d). Although we are aware of the limitations in the functional conclusions that can be drawn from mRNA measurements, these results suggested that Ki16425-mediated increase in liver glycogen content might result from a reduction in glucose release and an increase in glucose uptake in liver. These changes might explain, at least in part, Ki16425-mediated improvement of insulin tolerance and could also contribute to Ki16425-mediated improvement in glucose tolerance.
Chronic treatment with Ki16425 increases glucose use in skeletal muscle
The objective of this work was to study the involvement of LPA in glucose intolerance associated with obesity. We previously reported that transgenic-mediated reduction of LPA synthesis was associated with improved glucose tolerance in HFD-fed mice , suggesting that LPA has a negative impact on glucose homeostasis. Here we strengthened this hypothesis by showing the deleterious effect of LPA on glucose tolerance through inhibition of insulin secretion and we demonstrated that chronic pharmacological blockade of LPA receptors with Ki16425 can reverse the deterioration in glucose homeostasis in HFD obese prediabetic mice.
We first showed that acute injection of LPA leads to a strong impairment of glucose tolerance. This observation clearly demonstrates a direct negative influence of LPA on glucose tolerance. This effect is mediated by LPA receptors since the antagonist Ki16425 blocks it. The deleterious effect of LPA was associated with inhibition of glucose-induced insulin secretion with no change in insulin tolerance. These observations strongly suggest that the acute deleterious impact of LPA on glucose tolerance is mediated by inhibition of insulin secretion rather than by an alteration of insulin sensitivity. Moreover, in vitro experiments show that LPA dose-dependently inhibited glucose-induced insulin secretion, directly on isolated islets. This is not in agreement with the findings of Metz et al  who reported that glucose-induced insulin secretion was not influenced by LPA in isolated rat islets. Whereas species differences in islet sensitivity to LPA could explain this discrepancy, the way LPA is presented to the islets should also be taken into account. Whereas in our work, LPA was brought to islets in solution in an albumin-containing buffer, Metz et al used an albumin-free vehicle . The latter is not favourable to LPA solubility or its presentation to receptors .
Our data also show that inhibition of glucose tolerance is not limited to exogenous LPA and can be extended to endogenous LPA. LPA plasma concentration is higher in HFD mice than in ND mice, and we found that Ki16425 improves glucose tolerance by itself in HFD mice but not in ND mice. Having demonstrated the deleterious effect of exogenous LPA on glucose tolerance, the most likely explanation is that overproduction of endogenous LPA in HFD mice exerts a tonic inhibitory effect on glucose tolerance that can be alleviated by blocking LPA receptors. Such a conclusion is close to that drawn from our previous report  showing that deletion of the LPA-synthesising enzyme autotaxin in adipose tissue was associated with an improvement in glucose tolerance in HFD mice but not in ND mice. Therefore, blocking LPA synthesis or LPA receptors leads to the same metabolic alterations. Increased LPA synthesis in HFD obese mice very likely participates in the deterioration of their glucose tolerance. LPA can therefore be considered to play an important part in the onset of obesity-associated impairment of glucose homeostasis. Thus, autotaxin and LPA receptors represent possible valuable targets for the treatment of metabolic disorders associated with obesity.
We also found that chronic treatment of HFD mice with Ki16425 improved insulin tolerance, increased liver glycogen storage and increased the capacity of muscle to oxidise glucose. These changes are obvious signs of a better disposal of glucose in peripheral organs and are very likely responsible for Ki16425-induced improvement of glucose tolerance. Nevertheless, chronic treatment with Ki16425 also increases fasting insulin. This was initially intriguing to us since increased insulinaemia is usually associated with insulin resistance. It is well established that HFD obesity leads, after a compensatory phase, to progressive beta cell degeneration responsible, at least in part, for the deregulation of insulin production associated with obesity . Histological analysis of the pancreas revealed that the number of pancreatic islets cells was higher in Ki1625-treated mice than in vehicle-treated control mice. Assuming that more than 95% of the cells present in islets are beta cells, it can be concluded that the effect of Ki16425 on the number of beta cells could explain, at least in part, the observed increased in fasting insulin. The influence of Ki16425 on plasma insulin might therefore be interpreted as a protective action against HFD-mediated alteration of beta cells. Nevertheless, we noticed no change in proinsulin mRNA expression, so a possible impact of Ki16425 on the secreting activity of beta cells cannot be excluded. Increased insulin production is recognised as a compensatory mechanism intended to maintain glycaemia when peripheral insulin sensitivity is altered. One can thus propose that the influence of Ki16425 on insulinaemia contributes to Ki16425-mediated improvement in glucose disposal. A possible mechanism could be that increased insulinaemia has an impact on the expression of genes positively involved in glucose homeostasis. This hypothesis is supported by our results showing that Ki16425 treatment affected the expression of several insulin-sensitive genes such as Gck, G6pase and Pepck.
In conclusion, this work presents strong evidence for the role of LPA as a deleterious lipid mediator involved in the deterioration of glucose homeostasis associated with obesity. Moreover, the demonstration of the beneficial effects of the antagonist Ki16425 indicates that LPA receptors might represent potential interesting pharmacological targets to prevent and/or treat the metabolic defects associated with obesity.
We thank I. Castan-Laurell, V. Bourlier and C. Moro (Inserm U1048, Toulouse, France) and J. Boucher (Joslin Institute, Harvard University, Boston, MA, USA) for fruitful discussions and reviewing the manuscript. We also thank F. Capilla from the service of Histopathology (Inserm US006 CREFRE, Toulouse, France) for her very helpful technical assistance. M. Prentki is the recipient of the Canada research chair in diabetes and metabolism. C. Rancoule is supported by a grant from the Ministère de l’Education Nationale de la Recherche et de la Technologie (France). C. Attané is supported by a posdoctoral fellowship from the Canadian Diabetes Association.
This work was supported by grants from Inserm (to J. S. Saulnier-Blache) and the Fondation pour la Recherche Médicale (grant no. DRM20101220459) (to J. S. Saulnier-Blache) and the Canadian Institute of Health Research (to M. Prentki).
Duality of interest
The authors declare that there is no duality of interest associated with this manuscript.
All authors participated in the conception and design, or analysis and interpretation of the data, contributed to drafting and revising the manuscript, and gave final approval of the version to be published.
- 21.Coy PE, Taneja N, Lee I, Hecquet C, Bryson JM, Robey RB (2002) LPA is a novel lipid regulator of mesangial cell hexokinase activity and HKII isoform expression. Am J Physiol Ren Physiol 283:F271–F279Google Scholar