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11 February 2025

Uncovering KMT5C's Role In Hepatic Gluconeogenesis Regulation

New study reveals non-catalytic mechanisms of KMT5C as key to managing blood glucose levels

Recent research has shed light on the role of the lysine methyltransferase KMT5C in regulating hepatic gluconeogenesis, primarily through non-catalytic mechanisms. This study, published by researchers at various institutions, highlights KMT5C's significant function during periods of fasting and glucagon stimulation.

Gluconeogenesis, the process by which the liver generates glucose from non-carbohydrate sources, is predominantly regulated by hormonal signals, particularly glucagon. When the body's glycogen stores are low, as occurs during fasting, gluconeogenesis becomes the primary source of glucose. This research indicates KMT5C plays a pivotal role by facilitating gluconeogenesis independent of its conventional methyltransferase activity.

Elevated levels of KMT5C were observed both in mouse models of diabetes and human subjects with type 2 diabetes. Interestingly, the loss of KMT5C expression markedly reduced the mRNA levels of key gluconeogenic enzymes, which are necessary for glucose production. This suggests KMT5C not only regulates gene expression but does so by stabilizing the transcriptional coactivator PGC-1α, thereby enhancing its levels and activity.

A major finding of the study is KMT5C's ability to inhibit the E3 ubiquitin ligase RNF34 from binding to PGC-1α. This interaction is key, as it prevents the ubiquitination and subsequent degradation of PGC-1α, effectively extending its half-life and promoting gluconeogenic gene transcription even when KMT5C's methyltransferase activity is inactive.

Diabetic models showed significantly elevated KMT5C levels, which correlated with increased gluconeogenic activity. Khintchina et al. noted, "KMT5C enhances hepatic gluconeogenesis in methyltransferase-independent manner," emphasizing the protein's versatility and importance beyond its histone modification capabilities.

Reducing KMT5C levels through genetic manipulation resulted in improved glucose tolerance without adversely affecting insulin sensitivity, showcasing its dual role as both regulator and potential therapeutic target. This evidence supports the notion of targeting KMT5C as a viable strategy for managing hyperglycemia associated with type 2 diabetes.

The broader implications of this study extend to the sophistication of glucose homeostasis management. By modulating KMT5C levels, it may be possible to devise interventions for individuals struggling with insulin resistance and diabetes, aligning findings with clinical applicability.

Future research will be directed at elucidate the molecular pathways through which KMT5C exerts its effects and whether modulation can yield sustainable treatments for diabetes. This research opens pathways for developing novel therapeutic strategies aimed at rectifying inappropriate gluconeogenesis through targeted interventions.

Overall, KMT5C emerges as much more than just another enzymatic player; its multifaceted roles warrant attention and exploration. Further investigations could illuminate the potential benefits of KMT5C-targeted therapies, reinforcing the delicate interplay of metabolic regulation and disease management.