James Y Yang earned his PhD from the University of Houston, Houston, Texas, USA. He pursued his postdoctoral studies at the Columbia University under the guidance of Dr. Abraham Spector. He worked as a Research Assistant Professor/Research Officer at the University of Hong Kong for 7 years. He is currently a professor in the State Key Laboratory of Cellular Stress Biology and the School of Life Sciences, Xiamen University, Xiamen, China. Dr. Yang has published more than 30 papers in reputed journals including Hepatology, Gut, FRBM, JBC and Diabetologia.


It is well established that aldose reductase (AR) is a critical mediator for a variety of diabetic complications. Recent studies, however, indicate that aberrant activation of AR or overproduction of the polyol pathway-derived endogenous hepatic fructose might contribute to the development of fatty liver diseases as well as the metabolic syndrome (Lanaspa et al, Nature Communications, 2013). However, the mechanisms underlying AR/the polyol pathway-induced pathogenesis of related metabolic disorders were not clear. In this investigation, we aimed to investigate how the activity change of AR might affect insulin signaling, hepatosteatosis and obesity. We found that in mouse AML12 hepatocytes, overexpression of AR significantly reduced the abundance of phosphorylated LKB1, AMPK and ACC. Conversely, lentivirus-mediated AR knockdown greatly elevated the levels of phosphorylated LKB1, AMPK and ACC. Additionally, overexpression of AR reduced the mRNA and protein expression of IRS-1, whereas knockdown of AR greatly elevated IRS-1 mRNA and protein expression. In the Agouti yellow obese mice, loss of AR (Ay/a::AR-/-) significantly ameliorated the Agouti signaling peptide-induced insulin insensitivity, hepatosteatosis and obesity, as compared with that of the Ay/a::AR+/+ control mice. In contrast, liver-specific transgenic overexpression of AR appeared to promote the development of glucose-induced hepatosteatosis and obesity. Together with our previous demonstrations that AR is capable of regulating the activity of PPAR to impact lipid homeostasis, our findings suggest that aberrant activation of AR might promote metabolic remodeling, insulin resistance, hepatosteatosis and obesity in part through modulating the expression or the activity of hepatic PPAR, IRS-1 and LKB1/AMPK.