- Guo, Xuanming;
- Asthana, Pallavi;
- Gurung, Susma;
- Zhang, Shuo;
- Wong, Sheung Kin Ken;
- Fallah, Samane;
- Chow, Chi Fung Willis;
- Che, Sijia;
- Zhai, Lixiang;
- Wang, Zening;
- Ge, Xin;
- Jiang, Zhixin;
- Wu, Jiayan;
- Zhang, Yijing;
- Wu, Xiaoyu;
- Xu, Keyang;
- Lin, Cheng Yuan;
- Kwan, Hiu Yee;
- Lyu, Aiping;
- Zhou, Zhongjun;
- Bian, Zhao-Xiang;
- Wong, Hoi Leong Xavier
Insulin sensitivity progressively declines with age. Currently, the mechanism underlying age-associated insulin resistance remains unknown. Here, we identify membrane-bound matrix metalloproteinase 14 (MT1-MMP/MMP14) as a central regulator of insulin sensitivity during ageing. Ageing promotes MMP14 activation in insulin-sensitive tissues, which cleaves Insulin Receptor to suppress insulin signaling. MT1-MMP inhibition restores Insulin Receptor expression, improving insulin sensitivity in aged mice. The cleavage of Insulin Receptor by MT1-MMP also contributes to obesity-induced insulin resistance and inhibition of MT1-MMP activities normalizes metabolic dysfunctions in diabetic mouse models. Conversely, overexpression of MT1-MMP in the liver reduces the level of Insulin Receptor, impairing hepatic insulin sensitivity in young mice. The soluble Insulin Receptor and circulating MT1-MMP are positively correlated in plasma from aged human subjects and non-human primates. Our findings provide mechanistic insights into regulation of insulin sensitivity during physiological ageing and highlight MT1-MMP as a promising target for therapeutic avenue against diabetes.