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Ceramide metabolism in oxidative and glycolytic muscle: significance for lipid-induced insulin resistance
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.ORCID iD: 0009-0007-1566-4095
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.ORCID iD: 0000-0002-7743-9295
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.ORCID iD: 0000-0001-5201-4146
Umeå University, Faculty of Medicine, Department of Medical and Translational Biology.ORCID iD: 0000-0002-1617-334X
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2026 (English)In: Molecular Metabolism, ISSN 2212-8778, Vol. 106, article id 102336Article in journal (Refereed) Published
Abstract [en]

Altered ceramide accumulation contributes to skeletal muscle insulin resistance, but mechanisms underlying fibre-type-specific susceptibility remain unclear. We hypothesized that fibre-type-specific ceramide metabolism governs vulnerability to lipid-induced insulin resistance. Lipidomics and quantification of ceramide-pathway enzymes were performed in mouse skeletal muscles with distinct fibre-type composition (oxidative, mixed and glycolytic) from control-diet (n = 12) and high-fat-diet (HFD; n = 12) mice. In humans, lipidomics and enzyme profiling were done in vastus lateralis biopsies from 36 adults stratified into oxidative or glycolytic phenotypes; insulin sensitivity was determined by glucose tolerance testing. siRNA-mediated silencing of SGMS1 and SGMS2 followed by lipidomics probed sphingomyelin–ceramide cycling in human myoblasts. In mouse muscle, ceramide composition rather than total content, differed by fibre type: oxidative muscle was enriched in very-long-chain ceramides, whereas glycolytic and mixed muscles contained higher C18-ceramides, paralleled by fibre-type-specific expression of enzymes involved in de novo synthesis and sphingomyelin–ceramide cycling. HFD induced ceramide remodelling, with C18-ceramides accumulating in oxidative and mixed muscles and very-long-chain species decreasing in glycolytic muscle; among all assessed enzymes, only SGMS2 was significantly downregulated in oxidative muscle. In humans, an oxidative phenotype associated with higher very-long-chain ceramides and insulin sensitivity, whereas a glycolytic phenotype displayed higher C16–18 ceramides, higher SGMS1 and SMPD2 expression, and lower insulin sensitivity. Elastic net regression identified C16–18 ceramides and galactosylceramides as negative predictors of insulin sensitivity. SGMS2 silencing caused broader ceramide accumulation than SGMS1 silencing, supporting a central role for SGMS2-mediated sphingomyelin–ceramide cycling in limiting ceramide burden.

Place, publisher, year, edition, pages
Elsevier, 2026. Vol. 106, article id 102336
Keywords [en]
Ceramide metabolism, Insulin resistance, Lipidomics, Skeletal muscle fibre, Sphingomyelin synthase 2 (SGMS2)
National Category
Physiology and Anatomy Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:umu:diva-252383DOI: 10.1016/j.molmet.2026.102336ISI: 001705645400001PubMedID: 41707846Scopus ID: 2-s2.0-105034411486OAI: oai:DiVA.org:umu-252383DiVA, id: diva2:2055585
Funder
Swedish Research Council, 2021-01091Diabetesfonden, DIA2022-726Åke Wiberg Foundation, M22-0057
Note

Available from: 2026-04-24 Created: 2026-04-24 Last updated: 2026-04-24Bibliographically approved

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Eurén, TovaFlockhart, MikaelStrmeň, TimotejZhou, XinSteneberg, PärEdlund, HelenaChorell, Elin

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Eurén, TovaFlockhart, MikaelStrmeň, TimotejZhou, XinSteneberg, PärEdlund, HelenaChorell, Elin
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Department of Public Health and Clinical MedicineDepartment of Medical and Translational Biology
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