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. 2024 Aug 1;15(4):1688–1725. doi: 10.14336/AD.2023.0814

Table 1.

Peripheral and central insulin administration in animal models.

Ref. Mouse models Insulin administration Brain zone studied (Method) Insulin administration effects:
Insulin type, vehicle fasting information, delay, and death INSR and IRS-1 activation Signaling downstream kinases Others protein activation/phosphorylation
Peripheral insulin administration Intraperitoneal injection
[119] 5 to 6-month-old C57Bl/6 male vehicle or insulin
(5 IU/kg)
no insulin details
2h fasting
Injection 0 to 60 min before death (cervical dislocation)
Left Cx (WB) Moderate ↓ of pPI3K(Y458), pAkt(S473), pGSK3β(S9) at 15 min, followed by ↑ until 60 min
↓ pmTor(S2448) (15 min), = pAMPK(T172) and↓ pErk(T202/Y204) (with time 0 -> 60min)
↓ pTau(S199), (T205), (T212), (S214), (T217), (S262), (S396), and (S404) at 15 min and ↑ after 30 min
[116] 4 to 6-month-old 1) male C57Bl/6 ob/ob (OB), lean ob+ (CON) or 2) male, female C57Bl/6 +/- HFD (HFF) vehicle or insulin
(1 IU/kg)
no insulin details
No fasting indication
Injection 15min before death (intracardiac perfusion)
Whole hemisphere
(WB)
CON: ↑ pAkt(S473), pGSK3β(S9), pmTor(S2448)
 

OB or HFF: = pAkt(S473), pGSK3β(S9), pmTor(S2448) (but > CON saline)
CON: ↑ pαPKC(T555/560), pFoxO1(S256) and pFoxO3a(S253)
 
OB or HFF: = pαPKC(T555/560), pFoxO1(S256) and pFoxO3a(S253) (but > CON saline)
[118] 6-month-old inducible liver-specific insulin receptor KO (iLIRKO) 50 or 100% INSR deletion vehicle or insulin
(1 IU/kg)
human insulin
Non-fasted
Injection 10 min before death
Whole Brain (WB) = INSRβ 50% deletion: ↓ pAkt(S473), pErk(T202/Y204), pp70S6K(T421/S424)
 
100% deletion: ø pAkt(S473), pErk(T202/Y204), pp70S6K(T421/S424)
[342] 8 to 12-week-old C57BL/6 male mice saline or insulin
(300 IU/kg)
bovine pancreas insulin
Non-fasted
Injection 2.5h before death (cervical dislocation, no anesthesia/perfusion)
Hpc and neocortex (WB) ↑ pGSK3β(S9)/GSK3β, pJNK(Y185)/JNK
= pGSK3β(Y216)/GSK3β, pErk(T202/Y204)/Erk
[129] 6-7-week-old male C57Bl/6 STZ-ip PBS or insulin
(5 IU/kg)
bovine pancreas insulin
o/n fasting
Injection 5 to 30 min before death (decapitation)
Hpc and Cx lysates (WB) ↑ rapid, transient pAkt (T308, S473), pGSK3β(S9), pGSK3α(S21) (peak at 5 min)
= total Akt, GSK3β and GSK3α
6-7 week-old male C57Bl/6 STZ-ip 3 days before ins Hpc and Cx lysates (WB) ↓ pAkt (T308, S473)
↑ pGSK3β(S9), pGSK3α(S21) (baseline is high)
= total Akt, GSK3β or GSK3α
Intravenous injection
[117] 12-month-old APOE3 and APOE4 mice saline or insulin
(33.8 IU/kg)
human insulin
6h fasting
Tail vein injection 5 min before death (intracardiac perfusion)
Microvessels (WB) = INSRβ, IRS1 ↓ RAGE, = LRP1 (APOE4 and E3)
PTCx TBS-soluble (WB) ↑ pAkt(S473)/Akt (APOE4 > E3)
↑ pGSK3β(S9), pErk(T202/Y204) (APOE4 and E3)
= pPDK1(S241)/PDK1, pPI3K(Y458), pERK(T202/Y204), pJNK(T183/Y185)/JNK, pmTor(S2448) (APOE4 and E3)
↑ pTau(S202) (APOE4 > E3)
↑ pTau (S396/404, T181)
= pTau (T231)
= RAGE, LRP1 (APOE4 and E3)
[120] C57Bl/6 male young (10-12 weeks) and aged (77-95 weeks) saline or insulin
(1 IU/mouse for 10min)
human insulin
o/n fasting
Inferior vena cava injection for 10min (decapitation)
Whole brain lysate (WB) ↑ pAkt(S473)/Akt in young mice only
= pAkt(S473)/Akt in aged mice
[115] 15-month-old female 3xTg-AD +/- HFD saline or insulin
(33.8 IU/kg)
human insulin
6h fasting
Tail vein injection 5 min before death (intracardiac perfusion
PTCx soluble fraction
(WB)
↑ pAkt(S473)
= pGSK3β(S9)
(no diet effect)
= pTau (S202, T181, S396)/Tau (also in Hpc)
= RAGE, LRP1, IDE (soluble and membrane)
[121] 8-week-old C57Bl/6 saline or insulin
(1 mIU or 4 IU)
Rapid human recombinant insulin (Actrapid®)
8h fasting
Inferior vena cava injection 5 to 20 min before death (intracardiac perfusion)
Whole brain (WB) ↑ pINSR from 5 to 20 min (1 mU) with immunoprecipitated INSR ↑ pAkt(S473)/Akt (max 10 min),
↑ pGSK3β(S9)/GSK3β with time (max 10 to 20 min),
↑ pERK/ERK (max 10 min) (1 mU)
↑ pTau(S202) since 5 to 20 min (4 U > 1 mU)
= pTau(T231) (4 U and 1 mU)
[122] 8-week-old male mice Akt2-/-, Akt3-/- (DKO) saline or insulin
(10 mIU/g)
human recombinant insulin
o/n fasting
Inferior vena cava injection 12 min before death
Whole brain (WB) = pAkt(S473), pGSK3β(S9)
Hyperinsulinemic clamps
[123] 3- or 12-month-old heterozygous APP/PS1 0.1%BSA-PBS, or insulin (4 mIU/kg/min)
regular human recombinant insulin (Humulin®R)
No fasting indication
Hyperinsulinemic-euglycemic clamp 60 or 90 min before death
Hpc and Hyp lysates (ELISA) = pAkt(S473)/Akt (young and aged APP/PS1)
[121] 12-week-old C57Bl/6 male or NIRKO mice saline + 0.1%BSA, or insulin
(200 mIU/kg)
regular human insulin (Actrapid®)
o/n fasting
Right internal jugular vein hyperinsulinemic-euglycemic clamp 10 to 60 min before death
Whole brain
(WB)
↑ pErk/Erk (max 10 min)
 
NIRKO: = pAkt(S473)/Akt, pGSK3β(S9)/GSK3β, pErk/Erk (no variation)
↑ pTau(S202) since 10 to 60min
 
NIRKO: = pTau(S202) from 0 to 20 min (no variation)
Central insulin administration Intracerebroventricular injection
[125] 8-day-old male layer chicks saline with 0.1% Evans blue and 43 µM chloric acid, or insulin
(100 pmol/chicks)
porcine insulin
3h fasting
9 days injections, death 30 min after the last one (decapitation)
Medulla (WB) ↑↑ pAkt/Akt, ↑ pErk/Erk
[124] young (4 months) and aged (24 months) male Wistar rats saline or insulin
(1 or 20 mIU)
regular human recombinant insulin (Humulin®R)
No fasting indication
5 days injections, death after the last one
Right Hpc (WB) Young rats: = INSRβ
 
Aged rats: ↑ INSRβ
Young rats: ↑ pGSK3β(S9)/GSK3β, = mTor
 
Aged rats: ↑pGSK3β(S9)/GSK3β, ↑ mTor
[120] young (10-12 weeks) and aged (77-95 weeks) C57Bl/6 male mice saline or insulin
(3.75 mIU/5µl 5.41nmol/ml)
human insulin (Actrapid®)
o/n fasting Whole brain lysate (WB) ↑ pAkt(S473)/Akt in young and aged mice
[126] 2-month-old CF1 (wild-type) mice saline or insulin
(5mIU)
no insulin details
Non-fasted
Injection 15min or 24h before death (decapitation)
Hpc synaptic membrane (WB) ↑ INSR (15 min > 24h)
Hpc homogenate (WB) = INSR
↑ pINSR(Y) (5 mUI 15 min > 24h)
↑ pAkt(S473) (15 min)
[128] adult male Sprague-Dawley rats saline or insulin
(6 mU/6µl)
human recombinant insulin
o/n fasting
Injection 15min or up to 60 min before death
Hpc
(WB)
= INSRβ ↑ pAkt/Akt with time between 15-45min, and ↓ after 60 min
Intracarotid perfusion
[343] 16-month-old Non-transgenic (NTg) or 3xTg-AD (3x) oxygenated bicarbonate buffered + saline or insulin
(350 nM)
regular human recombinant insulin (Novolin®ge Toronto)
Non-fasted
Intracarotid perfusion 2 min before death (decapitation)
Microvessels (WB) NTg; ↑ pINSRβ(Y1150/1551)/INSRβ*, = pro-INSR, INSRβ, INSRα
 
3x: = pINSRβ(Y1150/1551)/INSRβ*, = pro-INSR, INSRβ, INSRα
= BACE1, eNOS, caveolin-1, P-gp, LPR1, RAGE, Neprilysin, IDE (NTg and 3x)
Intracerebral injection
[123] 3- or 12-month-old heterozygous APP/PS1 artificial CSF +/- insulin
(40 or 400nM for 1h)
regular human recombinant insulin (Humulin®R)
No fasting indication
Hippocampal reverse microdialysis 1h before death
Hpc around the injection site (ELISA and WB) ↑ pAkt(S473)/Akt (400 nM) (young and aged APP/PS1)
[127] 1-month-old male Sprague-Dawley rats artificial ECF +/- insulin
(100µU)
regular human recombinant insulin (Humulin®R)
No fasting indication
Hippocampal reverse microdialysis 10 min before death
Hpc around the injection site (WB) ↑ pAkt

Summary of insulin delivery interventions (peripheral or central) in animal models and their impact on downstream activation of insulin signaling. The majority of the studies have investigated downstream signaling rather than insulin receptor (INSR) and first effector (IRS1) activation. Studies include control animals as well diet-induced metabolic impairment (HFD), type 2 diabetes mellitus (T2DM), or genetic insulin resistance models (LIRKO, ob/ob, STZ-ip), insulin signaling knock-out model (DKO, NIRKO), or in Alzheimer’s disease neuropathological models (APP/PS1, 3xTg-AD). ↑, ↓ or = indicate increased, decreased or equal levels, respectively, following insulin stimulation compared to control. Abbreviations : AD, Alzheimer’s disease; Akt, Protein kinase B; AMPK, AMP-activated protein kinase; BACE1, β-site APP cleaving enzyme 1; BSA, bovine serum albumin; Cx, cortex; ELISA, enzyme-linked immunosorbent assay; ECF, extracellular fluid; eNOS, Endothelial NOS or nitric oxide synthase; Erk, Extracellular signal-regulated kinase; FoxO, forkhead box transcription factors; GSK3β, Glycogen synthase kinase-3β; HFD, high fat diet; Hpc, hippocampus; Hyp, hypothalamus; IB, immunoblot; IDE, Insulin-degrading enzyme; INSR, Insulin receptor; IP, immunoprecipitated; IRS1, insulin receptor substrate 1; IU, international unit; JNK, c-Jun N-terminal kinases; KO, knock-out; LRP1, Low density lipoprotein receptor-related protein 1; mTor, mammalian target of rapamycin; ob/ob, obese mice leptin resistant; P70S6K, Ribosomal protein S6 kinase β-1; PDK, phosphoinositide-dependent protein kinase-1; P-gp, p-glycoprotein; PI3K, Phosphoinositide 3-kinase; PTCx, parieto-temporal cortex; RAGE, Receptor for advanced glycation endproducts; STZ-ip, Streptozotocin-intraperitoneally injection; WB, western blotting; αPKC, protein kinase Cα.