0013-7227/03/$15.00/0 Printed in U.S.A. Endocrinology 144(4):1211–1218 Copyright © 2003 by The Endocrine Society doi: 10.1210/en.2002-220723 Insulin Receptor Substrate-4 Is Expressed in Muscle Tissue without Acting as a Substrate for the Insulin Receptor SYLVIA SCHREYER, DANIELA LEDWIG, IRINI RAKATZI, INGRID KLÖTING, AND JÜRGEN ECKEL Molecular Cardiology (S.S., D.L., I.R., J.E.), Department of Clinical Biochemistry and Pathobiochemistry, German Diabetes Research Institute, D-40225 Düsseldorf, Germany; and Institute of Pathophysiology (I.K.), University of Greifswald, D-17495 Karlsburg, Germany Insulin receptor substrate (IRS) proteins represent key elements of the insulin-signaling cascade. IRS-4 is the most recently characterized member of the IRS family with an undefined in vivo function. In contrast to IRS-1 and IRS-2, IRS-4 exhibits a limited tissue expression, and IRS-4 protein has not been detected in any mouse or primary human tissue so far. The purpose of the present study was to analyze the expression of IRS-4 in rat muscle and human skeletal muscle cells and assess involvement of IRS-4 in initial insulin signaling. Using immunoblotting and immunoprecipitation, the specific expression of IRS-4 protein could be demonstrated in rat soleus and cardiac muscle and human skeletal muscle cells, but it was not significantly detectable in quadriceps and gastrocnemius. A prominent down-regulation of IRS-4 was observed I NSULIN RECEPTOR SUBSTRATE (IRS) proteins exert key functions as signaling intermediates for the insulin and the IGF-1 receptor (1–2). This involves the tyrosine phosphorylation of IRS proteins within short motifs that bind to Src homology 2 domains of intracellular signaling proteins, including phosphatidylinositol 3-kinase (3), growth factor receptor-binding protein 2 (4), and the protein tyrosine phosphatase SHP-2/Syp (5), finally activating specific signaling cascades. So far, four members of the IRS family (IRS-1, -2, -3, and -4) have been identified with a similar general architecture and domain structure (6). Despite an apparent functional redundancy in the IRS family, these proteins are thought to play distinct roles in mediating insulin action. This is based on their specific tissue and cellular expression (7) and the unique structural features of each IRS protein, which affect the interaction with upstream and downstream proteins (8, 9). IRS-4 is the most recently characterized member of the IRS family that was initially detected in human embryonic kidney (HEK) 293 cells (10, 11). In vitro studies have shown that IRS-4 binds to phosphatidylinositol 3-kinase and growth factor receptor-binding protein 2 (11) and that overexpression of IRS-4 in rat adipocytes leads to the translocation of GLUT4 to the cell surface (12). However, IRS-4 has a different signaling capacity, compared with the other IRS proteins. Thus, IRS-4 does not interact with SHP2 (11) and overexpression in Abbreviations: ECL, Enhanced chemiluminescence; HEK, human embryonic kidney; HRP, horseradish peroxidase; IRS, insulin receptor substrate; RIPA, radioimmunoprecipitation assay; WOKW, Wistar Ottawa Karlsburg. in heart and soleus muscle of WOKW rats, an animal model of the metabolic syndrome. In human skeletal muscle cells, both IRS-1 and IRS-2 are rapidly phosphorylated on tyrosine in response to insulin, whereas essentially no tyrosine phosphorylation of IRS-4 was observed in response to both insulin and IGF-I. Instead, a 2-fold increase in IRS-4 tyrosine phosphorylation was observed in myocytes subjected to osmotic stress. In conclusion, IRS-4 protein is expressed in heart and skeletal muscle in a fiber type specific fashion. Our data suggest that IRS-4 does not function as a substrate of the insulin and the IGF-I receptor in primary muscle cells but may be involved in nonreceptor tyrosine kinase signaling. (Endocrinology 144: 1211–1218, 2003) 32D cells failed to promote cell survival, in sharp contrast to IRS-1 and IRS-2 (13). Furthermore, Tsuruzoe et al. (14) recently suggested that IRS-3 and IRS-4 may even act as negative regulators of the IGF-1 signaling pathway by suppressing the function of other IRS proteins. In contrast to the in vitro studies, the in vivo function of IRS-4 has remained elusive. Interestingly, IRS-4 exhibits a more limited tissue expression, and it was not possible to detect IRS-4 protein in any mouse tissue so far (15). This may explain the absence of a discernible phenotype in knockout mice lacking IRS-4 (16). However, mRNA expression of IRS-4 was recently demonstrated in different human and rodent tissues including heart and skeletal muscle (17). In the present study, we assessed the protein expression of IRS-4 in rat muscle of different fiber type composition and in human skeletal muscle cells. The data show specific expression of IRS-4 in soleus and cardiac muscle with a prominent downregulation of IRS-4 expression in a rat model of the metabolic syndrome. IRS-4 is not phosphorylated in response to insulin and IGF-I in primary muscle cells but appears to be involved in stress-induced cellular signaling. Materials and Methods Chemicals Reagents for SDS-PAGE were supplied by Amersham Pharmacia Biotech (Braunschweig, Germany) and Sigma (München, Germany). BSA (fraction V, fatty acid free) was obtained from Boehringer (Mannheim, Germany), and protein A trisacryl beads were a product from Pierce Chemical Co. (Rockford, IL). Polyclonal anti-IRS-1 and anti-IRS-2 antiserum were gifts from Dr. J. A. Maassen (Leiden, The Netherlands). The polyclonal rabbit anti-IRS-4 antibody and the immunizing peptide 1211 1212 Endocrinology, April 2003, 144(4):1211–1218 (residues 1240 –1257 of human IRS-4) were provided by Upstate Biotechnology (Lake Placid, NY). The antiphosphotyrosine antibody (RC20) coupled to horseradish peroxidase (HRP) was from Transduction Laboratories, Inc. (Lexington, KY). HRP-conjugated goat-antirabbit IgG antibody as secondary antibody for enhanced chemiluminescence (ECL) detection was from Promega Corp. (Mannheim, Germany). Primary human skeletal muscle cells and supplement pack for growth medium were obtained from PromoCell (Heidelberg, Germany). Culture media were purchased from Life Technologies, Inc. (Berlin, Germany). All other chemicals were of the highest analytical grade commercially available and were purchased from Sigma. Cell culture HEK 293 cells were grown on 10-cm plates in DMEM supplemented with 10% fetal calf serum and streptomycin/penicillin. Cells were used upon reaching 80% confluence and were preincubated in serum-free medium for 2 h before stimulation with insulin. Cardiomyocytes from adult rat heart of normal Wistar rats were isolated by perfusion of the heart with collagenase, as described in our earlier reports (18, 19). The final cell suspension was centrifuged and stored in liquid nitrogen until further use. Primary human skeletal muscle cells obtained from satellite cells isolated from M. rectus abdominis of healthy Caucasian donors were supplied as proliferating myoblasts. Cells were cultured in ␣-modified Eagle’s/Ham’s F-12 medium containing skeletal muscle cell growth medium supplement pack up to near confluence as recently described by us (20). For stimulation studies, 106 cells/dish were plated in growth medium and were cultured for 5– 6 d. Myoblasts were then washed with PBS and incubated for 24 h in the absence of serum before stimulation with insulin. Preparation of tissues Male Wistar rats weighing 280 –320 g were used throughout the experiments. All animals had free access to food and drinking water, and all animal experimentation was conducted in accord with accepted standards of humane animal care. Animals were killed by decapitation Schreyer et al. • IRS-4 in Skeletal and Cardiac Muscle and the heart and the gastrocnemius, quadriceps, and soleus muscle were removed (21). In parallel, the brain of the animal was rapidly excised and the hypothalamus was dissected, as detailed recently by us (22). In some experiments, male obese Wistar Ottawa Karlsburg (WOKW) rats (23), at an age of 24 –28 wk and weighing 400 – 450 g, and agematched Wistar controls were used. Cardiac and soleus muscle of these animals was removed as outlined above. Immunoprecipitation Cells were washed twice with ice-cold PBS and lysis was performed by incubation in radioimmunoprecipitation assay (RIPA) lysis buffer (50 mm Tris-HCL, pH 7.4; 1% Nonidet P-40; 0.25% sodium-deoxycholate; 150 mm NaCl; 1 mm EDTA; 1 mm Na3Vo4; 1 mm NaF; and protease inhibitor cocktail) for 2 h at 4 C with gentle agitation. The suspension was centrifuged at 10,000 ⫻ g for 20 min and the supernatant (800 l at 1 g protein per microliter, if not otherwise indicated) was then incubated with antibodies (5 l) against IRS-1, IRS-2, or IRS-4 at 4 C and gently rocked overnight. The immunocomplexes were adsorbed to protein A-Sepharose beads for 2 h at 4 C during gentle agitation and subsequently collected by centrifugation at 14,000 rpm for 30 sec at 4 C. Beads were then washed three times with ice-cold PBS, incubated for 10 min at 95 C with 20 l electrophoresis buffer, and the complete supernatant was used for Western blot analysis. Western blotting Tissues were lysed in RIPA buffer except for brain, which was lysed in a buffer consisting of 50 mm Tris/HCl (pH 7.5), 150 mm NaCl, 1% Triton X-100, 0.5% deoxycholate, 0.1% sodium dodecyl sulfate, 2 mm sodium orthovanadate, 100 mm NaF, 1 mm EDTA, and protease inhibitor cocktail. The tissues (200 mg) were homogenized in 2 ml lysis buffer (10% wt/vol) using Ultra-Turrax tissue homogenizer (Jahnke Kunkel, Staufen, Germany). Lysates were cleared by centrifugation at 10,000 rpm for 20 min at 4 C. Protein determination of the supernatant was performed by the Bradford method using a protein assay (Bio-Rad Laboratories, Inc., Hercules, CA). Immunoprecipitates or total lysates were FIG. 1. Western blot analysis of IRS-4 expression in HEK 293 cells and rat skeletal muscle. A, HEK 293 cells were cultured as described in Materials and Methods and were lysed in RIPA buffer. One microgram cell lysate from three different cell batches (a– c) were resolved by SDS-PAGE and immunoblotted for IRS-4. IRS-4 antibody blocked with the immunizing peptide was used as a specificity control. IRS-4 was immunoprecipitated (IP) as described in Materials and Methods, and immunopellets were subjected to immunoblotting (ID) for IRS-4. Bands were detected using an ECL system and LUMI imager analyzer. Representative experiments of five replicate experiments are shown. B–D, Skeletal muscle samples from four individual rats (a– d) was lysed and subjected to immunoblotting for IRS-4 as outlined above, except using 20 g tissue lysate per lane. Schreyer et al. • IRS-4 in Skeletal and Cardiac Muscle Endocrinology, April 2003, 144(4):1211–1218 1213 separated by SDS-PAGE using 7.5% horizontal gels and transferred to polyvinylidene fluoride filters in a semidry blotting apparatus (24). For phosphotyrosine detection, filters were blocked 60 min in Tris-buffered saline containing 0.05% Tween 20 and 1% BSA. Thereafter filters were incubated overnight with antiphosphotyrosine antibody (RC-20) coupled to HRP and subsequently processed for ECL detection using SuperSignal substrate (Pierce Chemical Co.). For detection of IRS-4, filters were blocked with Tris-buffered saline containing 0.05% Tween 20 and 10% nonfat dry milk and incubated overnight with 1 g/ml antibody. Blocking of the IRS-4 antibody was achieved by preincubation of 1 g/ml antibody with 10 m immunizing peptide for 30 min at 4 C, followed by immediate use for immunodetection. After extensive washing, filters were incubated with goat-antirabbit HRP-coupled antibody and processed for ECL detection. Signals were visualized and evaluated on a LUMI Imager workstation using image analysis software (Roche Molecular Biochemicals, Mannheim, Germany). Statistical analysis All data analysis was performed using Prism (GraphPad Software, Inc., San Diego, CA) or t-ease (ISI, Philadelphia, PA) statistical software. Significance of reported differences was evaluated by using the null hypothesis and t statistics for paired data. A P value less than 0.05 was considered to be statistically significant. Results IRS-4 is expressed in rat skeletal and cardiac muscle In the present study, we used an antiserum raised against the carboxyl-terminal 18 amino acids of human IRS-4, somewhat different from the antisera used in earlier studies (11, 25). As shown in Fig. 1, the antiserum detects a prominent 160-kDa protein band in HEK 293 cell lysates that is completely absent when probing the blots with IRS-4 antiserum blocked with the immunizing peptide. Furthermore, immunoprecipitation of IRS-4 from HEK cell lysates revealed the presence of one protein band at 160 kDa (Fig. 1), most probably representing IRS-4. So far, rat IRS-4 has not been cloned; however, the peptide used for immunization has 44% homology with murine IRS-4 (15). Lysates of rat skeletal muscle with different fiber-type composition were probed with the IRS-4 antiserum using the blocked antiserum as a specificity control. As presented in Fig. 1, IRS-4 protein was specifically detected in red soleus muscle at a molecular mass of 150 kDa. In quadriceps and gastrocnemius, two muscles with mixed fiber-type composition, a faint band at 150 kDa was observed, potentially representing IRS-4. It should be noted that 20 g skeletal muscle lysates were used for immunoblotting vs. only 1 g HEK cell lysates. Specific expression of IRS-4 protein was also observed in cardiac muscle and isolated cardiomyocytes (Fig. 2A). Again, the protein appeared as a 150-kDa protein band. Direct comparison between heart and soleus muscle showed a significantly higher (2- to 3-fold) abundance of IRS-4 in the heart (Fig. 2B). IRS-4 protein was also detected in a preparation of hypothalamic tissue that contains the leptin receptor and exhibits leptin-stimulated signal transducer and activator of transcription 3 phosphorylation (22), but it was absent from the cerebellum (Fig. 3, lane c). These data confirm the specificity of our IRS-4 protein detection assay and are in excellent agreement with a recent report by Numan and Russell (26) showing that IRS-4 expression in the rat brain is nearly completely restricted to the hypothalamus. FIG. 2. Protein expression of IRS-4 in cardiac and soleus muscle. A, Hearts were removed from individual rats (a– d), and tissue lysates (20 g per lane) were subjected to immunoblotting for IRS-4, as outlined in Fig. 1. Cardiomyocytes were prepared from adult rat as described in Materials and Methods. Lysates were then immunoblotted for IRS-4. B, Heart and soleus muscle lysates were resolved by SDS-PAGE within the same gel and were immunoblotted for IRS-4. Signal intensities were quantified by LUMI imager software and are expressed as arbitrary units. Data are mean values of four different animals ⫾ SD. *, Significantly different at P ⬍ 0.005. FIG. 3. Protein expression of IRS-4 in rat brain. Dissection of the hypothalamus was performed as described in Materials and Methods. Twenty micrograms hypothalamic lysates (a, b, d, e) or cerebellum (c) were then immunoblotted for IRS-4, as outlined in Fig. 1. A representative experiment of three is shown. IRS-4 expression is reduced in heart and soleus muscle of WOKW rats Recent studies have shown that WOKW rats develop a nearly complete metabolic syndrome with obesity, hypertension, dyslipidemia, hyperinsulinemia, and impaired glucose tolerance (23, 27). Furthermore, development of the 1214 Endocrinology, April 2003, 144(4):1211–1218 Schreyer et al. • IRS-4 in Skeletal and Cardiac Muscle FIG. 4. Expression of IRS proteins in heart and soleus muscle of WOKW rats. Heart and soleus muscle of WOKW and Wistar rats was removed, tissues were lysed, and immunoblotted (20 g per lane) for IRS-4 (A), IRS-1 (B), and IRS-2 (C). Tissues from individual animals are marked a– d. Signal intensities were quantified by LUMI imager software and are expressed as arbitrary units. Data are mean values of four different animals ⫾ SD. *, Significantly different at P ⬍ 0.05; **, significantly different at P ⬍ 0.005. Schreyer et al. • IRS-4 in Skeletal and Cardiac Muscle Endocrinology, April 2003, 144(4):1211–1218 1215 syndrome in the WOKW rat is under polygenic control (28). We have now assessed the expression of IRS-4 in heart and skeletal muscle of these animals and compared it with normal Wistar rats. As shown for Wistar rats (see Figs. 1 and 2), IRS-4 was present only in soleus and cardiac muscle but was not specifically detectable in quadriceps and gastrocnemius (data not shown). The direct comparison of IRS-4 expression in Wistar and WOKW rats is presented in Fig. 4A. Cardiac IRS-4 abundance was moderately (about 50%) but significantly reduced in WOKW rats. A very prominent (80%) reduction of IRS-4 expression was observed in soleus muscle (Fig. 4A). For comparison we also assessed expression of IRS-1 (Fig. 4B) and IRS-2 (Fig. 4C) in heart and soleus muscle of WOKW rats. In contrast to IRS-4, IRS-1 expression remained unaltered in the heart, whereas IRS-2 expression was not affected in both tissues. IRS-4 is expressed in human skeletal muscle cells but does not act as a substrate for insulin and IGF-I receptors Attempts were then made to study the phosphorylation of IRS-4 in response to insulin in the cardiomyocytes. Unfortunately, we were unable to immunoprecipitate IRS-4 from rat cardiomyocytes and cardiac muscle using the antiserum generated against the carboxy-terminal peptide of human IRS-4. Furthermore, immunoprecipitates with an antiphosphotyrosine antibody after insulin stimulation did not contain IRS-4 (data not shown). We therefore decided to use primary human skeletal muscle cells to test involvement of IRS-4 in insulin signaling. As can be seen from Fig. 5, IRS-4 was immunoprecipitated from the myoblasts; however, we were unable to detect any tyrosine phosphorylation of IRS-4 after different times of insulin exposure. In contrast, tyrosine phosphorylation of IRS-4 in response to insulin was clearly detectable in HEK 293 cells (Fig. 5). To provide additional evidence for the inability of IRS-4 to function as a substrate for the insulin receptor in human skeletal muscle cells, we immunoprecipitated IRS-1, -2, and -4 from basal and insulin-stimulated cells followed by immunoblotting for phosphotyrosine (Fig. 6). Both IRS-1 and IRS-2 show a prominent tyrosine phosphorylation in response to insulin. However, the tyrosine phosphorylation of IRS-4 remained undetectable under these conditions, despite being expressed in the human skeletal muscle cells (Fig. 6). Instead of the insulin receptor, IGF-I receptor signaling may involve tyrosine phosphorylation of IRS-4 (25). Therefore, IRS-4 was immunoprecipitated from human myocytes and HEK 293 cells treated with IGF-I or insulin followed by immunoblotting for phosphotyrosine (Fig. 7). In HEK cells IGF-I was equipotent to insulin resulting in a 4-fold increase in IRS-4 tyrosine phosphorylation, in agreement with the results of Fantin et al. (11). In the myocytes IGF-I even produced a dephosphorylation of IRS-4 (Fig. 7). By subjecting the cells to osmotic shock, we then tested the possibility that tyrosine kinases different from the insulin and IGF-I receptor might use IRS-4 as a substrate for downstream signaling. As presented in Fig. 7, osmotic stress produced a 2-fold increase in IRS-4 tyrosine phosphorylation in the human skeletal muscle cells without being effective in HEK 293 cells. FIG. 5. Effect of insulin on the tyrosine phosphorylation of IRS-4. A, Human skeletal muscle cells were cultured as detailed in Methods. After preincubation under serum-free conditions, the cells were stimulated with insulin (100 nM) for the indicated times followed by cell lysis and immunoprecipitation (IP) (800 g protein) of IRS-4. Immunoprecipitates were resolved by SDS-PAGE and immunoblotted (ID) with anti-IRS-4 and antiphosphotyrosine antibodies, respectively. Signals were visualized using ECL detection. B, HEK cells were stimulated with the indicated concentrations of insulin for 10 min followed by cell lysis, immunoprecipitation (of 100 g protein), and immunoblotting as outlined above. Representative blots of four replicate experiments are shown. Discussion IRS-4 was initially identified in the HEK 293 cell line in which it is expressed at high excess over IRS-1 and IRS-2 (11). To date, IRS-4 protein has been detected only in these cells and some human breast cancer cell lines (15). However, IRS-4 mRNA is expressed in a variety of human and rodent tissues including pituitary, thyroid, ovary, prostate, hypothalamus, liver, heart, and skeletal muscle (29). We now report the detection of IRS-4 protein in rat skeletal and cardiac muscle and primary human skeletal muscle cells using an antiserum against the carboxyl-terminal 18 amino acids of human IRS-4. Three lines of evidence support the specificity of IRS-4 detection using this antiserum: cross-reactivity with IRS-1/2 was excluded (Fig. 6); a single protein band at 160 kDa was readily detected in HEK cells (Fig. 1); and blocking the antiserum with the immunizing peptide completely abolished IRS-4 detection in soleus and cardiac muscle (Figs. 1 and 2). IRS-4 could not be significantly detected in quadriceps and gastrocnemius, two muscles with a mixed fiber-type composition. This finding agrees with the data of Fantin et al. (15), who were unable to detect IRS-4 protein in mouse quadri- 1216 Endocrinology, April 2003, 144(4):1211–1218 Schreyer et al. • IRS-4 in Skeletal and Cardiac Muscle FIG. 6. Tyrosine phosphorylation of IRS family members in human skeletal muscle cells in response to insulin. Human skeletal muscle cells were stimulated with insulin (100 nM) for 2.5 min followed by cell lysis and immunoprecipitation (of 800 g protein) of IRS-1, IRS-2, and IRS-4. Immunoprecipitates were immunoblotted with antiphosphotyrosine and the corresponding IRS-antibodies, respectively. Representative blots of three replicate experiments are shown. FIG. 7. Tyrosine phosphorylation of IRS-4 in response to IGF-I and osmotic shock. Human skeletal muscle cells (left panel) or HEK 293 cells (right panel) were stimulated for 10 min with insulin (100 nM), IGF-I (70 nM), or osmotic shock (500 mM mannitol) followed by cell lysis and immunoprecipitation (800 g protein) of IRS-4. Immunoprecipitates were resolved by SDS-PAGE and immunoblotted with antiphosphotyrosine and anti-IRS-4 antibodies, respectively. Representative blots of three replicate experiments are shown. Signal intensities were quantified by LUMI imager software and are expressed as arbitrary units. Data are mean values of three different experiments ⫾ SD. *, Significantly different at P ⬍ 0.05; **, significantly different at P ⬍ 0.005. ceps. However, in contrast to our work, these authors were also unable to detect IRS-4 in the heart (15). The reason for this discrepancy remains unclear but may be related to the different antibodies used and/or the difference between the rat and the mouse. IRS-1 and IRS-2 exhibit a widespread tissue distribution (17) and are expressed at the protein level in both red and white muscle (30, 31). We report here that IRS-4 protein is preferably detectable in oxidative muscle with the highest level in the heart. Oxidative red muscles are rich in type I Schreyer et al. • IRS-4 in Skeletal and Cardiac Muscle fibers and have a higher content of GLUT4 (32) and a higher insulin sensitivity (33). Specific expression of IRS-4 in red soleus and cardiac muscle may suggest the potential involvement of IRS-4 in the regulation of GLUT4 translocation in these tissues, in agreement with the data by Zhou et al. (12) showing that overexpression of IRS-4 induces GLUT4 translocation. Unfortunately, we were not able to assess insulin signaling to IRS-4 in rat tissues. However, our results obtained in primary human skeletal muscle cells show that IRS-4 does not function as a substrate for the insulin and IGF-I receptor kinase. Interestingly, a prominent downregulation of IRS-4 protein in cardiac and skeletal muscle was observed in WOKW rats, an animal model of obesity and insulin resistance (23, 27). On the other hand, IRS-1 was affected only in skeletal muscle in these animals with IRS-2 remaining unaltered, demonstrating a highly specific metabolic regulation of different IRS proteins. It must be kept in mind, however, that IRS-4-null mice have only mild defects in growth, reproduction, and glucose homeostasis (16). Future work will be needed to define the functional implications of normal and perturbed IRS-4 expression in heart and skeletal muscle. A key finding of the present study consists of the observation that IRS-4 protein is expressed in primary human skeletal muscle cells at a considerable level without acting as a substrate for the insulin receptor kinase. This observation is consistent with the absence of insulin resistance in IRS-4null mice (16). A potential explanation may be related to the relative abundance of IRS-1/2 vs. IRS-4 in muscle tissue. Thus, the insulin receptor may be saturated with IRS-1 and/or IRS-2 excluding IRS-4 from phosphorylation by the insulin receptor kinase. The inverse situation was reported for HEK 293 cells, in which IRS-4 is expressed at a 20- to 30-fold excess over IRS-1/2 (11). In these cells, as confirmed in the present study, IRS-4 is phosphorylated in response to insulin, whereas IRS-1 and IRS-2 do not participate in insulin signaling (11). We therefore concluded that IRS-4 is not a substrate for the insulin receptor kinase in muscle tissue under physiological conditions. Instead of the insulin receptor, the IGF-I receptor may represent an interesting candidate for using IRS-4 for downstream signaling. Qu et al. (25) reported that IRS-4 is implicated in IGF-I receptor mitogenic signaling in cell lines overexpressing IRS-4 and the IGF-I receptor. Furthermore, IRS-4-null mice exhibit a mild defect in growth (16). However, our data obtained with human myoblasts do not support a role for IRS-4 in IGF-I receptor signaling in primary muscle tissue. In contrast to insulin and IGF-I, hyperosmotic shock was found to induce a prominent tyrosine phosphorylation of IRS-4 in human skeletal muscle cells. It is well established that protein tyrosine kinases play a pivotal role in the signaling of hyperosmotic stress (34 –36), involving both members and nonmembers of the Src family of tyrosine kinases (36). Our results suggest that IRS-4 may be activated by nonreceptor tyrosine kinases and may be involved in stress-induced signaling in human skeletal muscle. Further work will be needed to identify the protein kinase mediating this effect. Interestingly, insulin-mimetic signaling to glucose transport involving tyrosine phosphorylation of IRS-1/2 by nonreceptor tyrosine kinases Endocrinology, April 2003, 144(4):1211–1218 1217 like pp59 (Lyn) has recently been reported (37), and this pathway may also include IRS-4. In summary, we show here that IRS-4 protein is expressed in rat cardiac and soleus muscle and primary human skeletal muscle cells. However, IRS-4 does not function as a substrate for the insulin and IGF-I receptor, most likely because of competition with IRS-1 and/or IRS-2. It is suggested that IRS-4 may exert a physiological role in heart and skeletal muscle, potentially involving tyrosine kinases different from the insulin receptor. Acknowledgments The secretarial assistance of Birgit Hurow is gratefully acknowledged. Received July 17, 2002. Accepted December 16, 2002. 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